Presentation on theme: "PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP"— Presentation transcript:
1PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP AP Physiotherapist Neuro Surgical Team SouthamptonChair committee for education & approvalPGA lecturerTwitter @jtjcookson
2AP The role utilises extensive skills Progresses skill base Not a new conceptWHERE DOES IT STOP?
3WHAT DOES THE EVIDENCE SHOW Patient satisfaction high: 96% of patients rated care as excellent or very good97% of GPs report improvement to MSK careCost effective: potential saving of £220,000 per annum (1)Improved overall outcomesPotential further savings to NHS due to more appropriate care pathways
4PHYSIOS ARE BEST!Evidence suggests APs investigate more appropriately and accurately than Consultants and GPs (2,3)Does this mean that assessment is more accurate?Treat patients, not scans!
5COST COMPARISONSStudy in Portsmouth demonstrated APs were over 1/3 cheaper than normal A+E routeThrough admission avoidance saved the trust over £1,000,000 in a 6 month trial (4)
6SOUTHAMPTON PILOTReduce admission of spinal patients that come through A+EReduce demand on over utilised on-call servicePhysio lead – cost savings a/a
7PATIENT BENEFITS Specialist assessment within 48 hours Appropriate investigations or management strategies started quicklyReduce chronicity
8CONCLUSIONS APs demonstrate high skill levels Excellent patient centred care (5)Saves the NHS money
9REFERENCESConnect Physiotherapy. Innovating the MSK pathway – Newcastle West Pilot URL: [Accessed: ]Gardiner J, Turner P. (2002) Accuracy of clinical diagnosis of internal derangement of the knee by extended scope physiotherapists and orthopaedic doctors: retrospective audit. Physiotherapy, 88 (3):3 Comparison of referrals for lumbar spine magnetic resonance imaging from physiotherapists, primary care and secondary care: how should referral pathways be optimised? V Palmer L Thompson H Anniq Published online4 The News. Community lounge hailed success to avoid A&E stays. The News. 2013; URL:5 McPherson K, Kersten P, George S, Lattimer V, Breton A, Ellis B, Kaur D, Frampton G. (2006) A systematic review of evidence about extended roles for allied health professionals. Journal of Health Services Research and Policy 11 (4):6 K Middleton Powerpoint presentation Physiotherapy’s Offer 2014