Presentation on theme: "PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP"— Presentation transcript:
1 PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP AP Physiotherapist Neuro Surgical Team SouthamptonChair committee for education & approvalPGA lecturerTwitter @jtjcookson
2 AP The role utilises extensive skills Progresses skill base Not a new conceptWHERE DOES IT STOP?
3 WHAT 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
4 PHYSIOS 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!
5 COST 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)
6 SOUTHAMPTON PILOTReduce admission of spinal patients that come through A+EReduce demand on over utilised on-call servicePhysio lead – cost savings a/a
7 PATIENT BENEFITS Specialist assessment within 48 hours Appropriate investigations or management strategies started quicklyReduce chronicity
8 CONCLUSIONS APs demonstrate high skill levels Excellent patient centred care (5)Saves the NHS money
9 REFERENCESConnect 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