Innovations

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Innovations - quality assured physiotherapy initiatives

Our quality assured examples of successful initiatives aim to promote physiotherapy as an innovative and cost effective approach to improving patient pathways and promoting public health. We welcome examples and case studies from all aspects of physiotherapy practice, research, education, and service delivery.

You can either filter the innovations by 'Region' or 'Type' or use the keyword search above to find specific words or phrases. 

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Increasing long-term participation in sports based activities in children and young people with acquired brain injury.

Participation in sports can play a key role in a child’s quality of life, development and learning (Willis, 2018). Children and young people (CYP) with acquired brain injury (ABI) face significant barriers in accessing sporting and leisure activities.  This reduces the likelihood of participation in regular sporting and leisure activities (Anaby,2018),  both in the recovery period and the later stages (Willis, 2018).

This is a quality improvement project that explores the implementation of a sports based group in a neurorehabilitation centre for CYP with ABI.

Metastatic Spinal Cord Compression - A Retrospective Audit of Current Practice on Medical Oncology and Haematology Wards at GSTT

Metastatic spinal cord compression (MSCC) is an oncological emergency that requires efficient and effective diagnosis, treatment and rehabilitation (NICE 2008).

 

The current MSCC quality standards for adults highlight the need for:

  • Early detection of MSCC through appropriate assessment by MSCC Co-ordinator, spinal surgeon and clinical oncologist, and imaging within 24 hours.
  • Treatment (dexamethasone, radiotherapy, surgery) commencement within 24 hours of confirmed diagnosis
  • Timely rehabilitation and discharge planning with patient and family input

 

The aim of this audit is to:

  • Determine whether the multidisciplinary team (MDT) management of MSCC patients meets national (NICE 2008) and local (KHP, 2016) guidelines at Guys and St Thomas Foundation Trust (GSTT)
  • To identify if and where improvements need to be made against both national and local guidance.
  • To assess components of the care pathway for timeliness, clinical decisions and processes – namely referrals to clinical oncologists, neuro/spinal surgeon, access to timely imaging, prescribing a suitable dexamethasone dose, timely treatment decisions, confirming spinal stability status and referral to rehabilitation services with provision of timely rehabilitation.

Maximising impact of gait analysis reports on non-surgical management of children with neurodisability.

Instrumented gait analysis (IGA) impacts clinical decision-making in orthopaedic management planning for ambulant children with neurodisability (CwND). Studies shown that IGA influences paediatric surgery planning, but clarity on paediatric physiotherapy practice impact is sparse. Physiotherapists play an important role in helping ambulant CwND fulfil functional potential through management of walking ability, gait improvement training, equipment and post-operative gait rehabilitation but possibly under-use IGA. The study aim was to improve utilisation of IGA reports in inter-disciplinary management of CwND.

Redesign of NHS Forth Valley´s Community Rehabilitation AHP Single Point of Referral.

NHS Forth Valley Community AHP services have redesigned how they deal with referrals received into their services. Until recently, point of receipt of referrals was purely administrative, with staff signposting to various parts of service that are delivered. Referrals that were deemed “inappropriate” were often lost in the system; there was no cognisance of how these “inappropriate” referrals should be dealt with. There was no understanding of time spent dealing with these queries. We redesigned the service, 'going live' in November 2018, to bring clinical staff into SPR, triaging the referrals received using a Personal Outcomes Approach and have reduced the number of referrals going forwards for intervention at the rehab teams, and increased signposting and self management in the community. This has had a knock on effect to reducing waiting times and enabled a more specific and tailored approach to those requiring rehabilitation in the community.

What is the patient experience of a functional goal orientated back group?

Chronic low back pain causes a significant physical, psychological and financial burden to a wide variety of the population and health care services.

Despite a large field of research, optimum long term management remains unknown. The NICE guidelines recommend group exercise for the management of low back pain.

Recently, functional rehabilitation including the restoration of normal movement patterns has gained increasing evidence in the literature. However, there is limited research outlining the effectiveness of a combined approach, involving functional rehabilitation in a group setting.

The aim of this study was to understand the patient experience of a functional goal orientated back group in a South Yorkshire NHS secondary care hospital