Incorporating: Manchester Royal Eye Hospital Manchester Royal Infirmary Royal Manchester Childrens Hospital Saint Marys Hospital University Dental Hospital of Manchester Community Services Trafford Hospitals

Update on Community Physiotherapy Involvement with Miss Fosters Cerebral Palsy Clinic Anne Foster – Consultant Paediatric Orthopaedic Surgeon Rhiannon Singleton – Clinical Specialist Physiotherapist

Summary of Pilot 6 months of community physio attached to Miss Fosters CP clinic List of patients & postcodes ed to physio Liaison before, during and after clinic Community physio report proforma

Evaluation Methods Parent satisfaction survey - ongoing Community professionals survey re communication with orthopaedics: Baseline - completed Outcome – due June 2012 Feedback re individual interventions

Summary of Parent Feedback to Date 22 responses 69% thought the pre-clinic phone call had made the appointment better 41% felt that the physio being present made it easier to express concerns – none felt it had been it harder 90% were satisfied or very satisfied with the appointment

Professional Baseline Feedback 24 responses: –19 physios –5 paediatrician Only 4 considered current standard of communication to be satisfactory

Areas of Communication Identified as Working Best Pre-admission clinics (hip surgery) (8) Often/sometimes ccd into clinic letters (6)

Areas of Communication Identified as Giving Most Concern -1 Poor communication preventing effective therapy input (12) Rarely/ never know of appointments in advance (13) Not receiving clinic letters (12)

Areas of Intervention Planning Identified as Giving Most Concern Intervention without prior notice to community (10) Lack of information prevents planned community management (8) Inadequate understanding of home life leading to unrealistic rehab goals (8) Timely key post-op information not available (13)

Suggestions Main response for all CP patients letters to be routinely copied to community paediatrician and physiotherapist (15) Anne – Comments from a hospital perspective

Discussion /Feedback If people have had patients attending Miss Fosters CP clinic: –Have you noticed any difference so far? –What is working positively? –What could be improved further (given limitations of pilot)?