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PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP AP Physiotherapist Neuro Surgical Team Southampton Chair committee for education & approval.

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Presentation on theme: "PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP AP Physiotherapist Neuro Surgical Team Southampton Chair committee for education & approval."— Presentation transcript:

1 PHYSIO WORKS JAY COOKSON MSc MMACP MCSP PGD MANIP (ther) CMP AP Physiotherapist Neuro Surgical Team Southampton Chair committee for education & approval PGA lecturer

2 AP The role utilises extensive skills Progresses skill base Not a new concept WHERE DOES IT STOP?

3 WHAT DOES THE EVIDENCE SHOW Patient satisfaction high: 96% of patients rated care as excellent or very good 97% of GPs report improvement to MSK care Cost effective: potential saving of £220,000 per annum (1) Improved overall outcomes Potential 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 COMPARISONS Study in Portsmouth demonstrated APs were over 1/3 cheaper than normal A+E route Through admission avoidance saved the trust over £1,000,000 in a 6 month trial (4)

6 SOUTHAMPTON PILOT Reduce admission of spinal patients that come through A+E Reduce demand on over utilised on-call service Physio lead – cost savings a/a

7 PATIENT BENEFITS Specialist assessment within 48 hours Appropriate investigations or management strategies started quickly Reduce chronicity

8 CONCLUSIONS APs demonstrate high skill levels Excellent patient centred care (5) Saves the NHS money

9 REFERENCES 1Connect Physiotherapy. Innovating the MSK pathway – Newcastle West Pilot URL: nhs/newcastle-west-pilot/ [Accessed: ]http://www.connectphysiotherapy.co.uk/connect-the- nhs/newcastle-west-pilot/ 2Gardiner 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): 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 online The News. Community lounge hailed success to avoid A&E stays. The News. 2013; URL: lounge-hailed-success-to-avoid-a-e-stays http://www.portsmouth.co.uk/news/health/local-health/community- lounge-hailed-success-to-avoid-a-e-stays 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): K Middleton Powerpoint presentation Physiotherapy’s Offer 2014


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