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 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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Patients with fibromyalgia attending primary care based education seminars and workshops

To ascertain patient feedback following their attendance at education seminars “Understanding Fibromyalgia”, “The role of medications in the management of Fibromyalgia” and a 'Moving forwards workshop' for people with a diagnosis of Fibromyalgia Syndrome (FMS). This is a change from usual practice where patients were seen in specialist secondary care by a member of the medical team. Education and exercise are now prioritised as first-line interventions.

Prescribed Only Medications (POMs) issued in a musculoskeletal physiotherapy primary care

Non-medical prescribing was introduced in the United Kingdom (UK) to improve healthcare service efficiency, access to medicines and support service innovation. From 2013, independent prescribing was extended to include physiotherapists. Patients are facing increasingly long waiting times to see their GPs, and delays getting medication to aid their musculoskeletal ailments. This report aims to explore patient satisfaction of this service in a primary care musculoskeletal physiotherapy setting. IPOPS started provision of independent prescribing during physiotherapy sessions by a single physiotherapy practitioner in March 2017.

Preparing the workforce for frailty in primary and community healthcare

The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary assessment that identifies the medical, psychosocial, and functional needs of older people. This service evaluation considers the impact of training allied health professionals (AHPs) and community nurses to undertake a CGA assessment in primary and community settings.

Patient-reported outcome measures (PROM's) following Secondary Care NHS Musculoskeletal Physiotherapy

The aims of this report were:

  • to provide a large, transparent dataset from which other organisations can benchmark clinical outcomes
  • to provide the first documented large-scale musculoskeletal (MSK) physiotherapy outcomes evaluation using the MSK Health Questionnaire (MSK-HQ)
  • to compare clinical outcomes of MSK physiotherapy with NHS England average clinical outcomes associated with surgical procedures.

Developing an evidence-based Making Every Contact Count (MECC) model of practice

Population health and prevention is a major priority of the recently formed Greater Manchester Health and Social Care Partnership and is an area in which physiotherapists can make a positive contribution. The Physiotherapy MSK services within the Bury Care Organisation, have successfully developed a MECC model of practice into their service pathways. This quality improvement, uses evidence based behaviour change principles to support patients in making positive lifestyle changes which can impact on their physical and mental health and wellbeing. It also aims to support Trust staff to become more active and promotes health and wellbeing within the wider communities.

Therapy led Stroke Early Supported Discharge: outcomes in mild to moderate stroke survivors

The Stroke Early Supported Discharge (ESD) service enables accelerated discharge to service users providing seven days a week specialist rehabilitation and social support in the community to mild and moderately impaired stroke survivors. Service provision is focused around time specific goals and will consider the needs and ability of their carers. The main focus is to save bed days and improve patient outcomes and goals in the community setting.

The main aims and objectives is to demonstrate the outcomes particularly in relation to physiotherapy with ESD input in patients who have had a mild to moderate stroke.

Prehabilitation service for cancer patients undergoing major abdominal surgery

Prehabilitation has been shown in clinical trials to improve fitness, improve quality of life, reduce complications, reduce hospital length of stay and improve recovery. It is not currently standard of care in routine clinical practice. This prospective observational study reports the outcomes of a newly introduced prehabilitation service for patients undergoing major abdominal surgery for cancer.

Current Physiotherapy Practice in the Management of Tennis Elbow

Tennis elbow is a common painful condition that may affect daily function and ability to work. Physiotherapy is the most commonly used primary intervention but there is a wide range of treatment options within the umbrella of physiotherapy. Our aim was to report which treatments are currently used by physiotherapists in a UK National Health Service setting.