From Mindy Daubeny : Here are some helpful links to get you started: PPE Including FAQson what you need to do to remain safe while treating patients with COVID-19, and your rights and responsibilities. https://www.csp.org.uk/news/coronavirus/workplace-employment/ppe-your-practice-workplace Face-to-face consultations CSP's Sue Hayward-Giles talks about the guidance around face-to-face consultations during the Covid-19 pandemic https://www.csp.org.uk/news/coronavirus/clinical-guidance/face-face-or-remote-consultations/guidance-england Private Practice Including joining the NHS workforce, insurance information and FAQs https://www.csp.org.uk/news/coronavirus/private-practiceindependent-sector Digital Physiotherapy As well as peer to peer recommendations to try AccuRx, Attend Anywhere, Zoom, Teams, Webex, Facetime, Google Duo and telephone calls additional information on digital physiotherapy resources, case studies and options for digital delivery can be found here https://www.csp.org.uk/professional-clinical/digital-physiotherapy From Karen Middleton : do remember everyone the requirements of your registration with the HCPC with regard to the safety of your patients. Also, do document your decision-making ie why you decide to see a patient and the risk assessment you took. From Alec Rickard : I'm sure those who are members are aware, but also here is PhysioFirst's Covid-19 FAQs: https://www.physiofirst.org.uk/resources/coronavirus-covid-19.html wonder what the variety of charges are for telerehab?! too sensitive? Look at VSee Will the CSP release a generic risk assessment format for seeing clients face to face? From Jane’s talk, would she be willing to share Jess’ questions that she used for patient expectation Can you just clarify whether we can double bag the PPE in usual bag and leave for 72 hours or whether we need to put it in clinical waste and arrange collection for that. I am furloughed, can I work towards opening the practice i.e. put together questionnaire en disposal of PPE GUIDELINES please. How soon can I start seeing my patients again as this is such a vulnerable age group and what criteria should I use for when it is safe (for the patients )for me to return to treating them? Also a) What Protective gear should I wear ( if any) b) any suggestions where to source it? c) Should I be tested for Covid Many thanks for all you are doing to support us here in the South On PHE page, public health England thank you. 👊 Where are others getting their PPE from? Keen to find sources. I got mine from comax the risk assessment forms on Health and Safety Exec website are generic and provide examples too. I am furloughed, can I work on protocols for opening the practice, emails for patients to gather feedback from them re opening. Trimbio provide PPE promptly Guidance on seeing face-to-face patients is that they will need GP, secondary care or social care but is it sufficient for clinical reasoning to predict they are high risk of needing this input without physio? Jane Clarke : Amanda Marsh, I am happy to share Jess and I survey questions, you will need to rework them for your clinic and client base. email me. Anel, HSE have templates and Googling request will provide some samples IMO the vast majority of patients we see, would likely seek advice from a GP or other practitioner if we sent them away - that is the issue here! how do I join the rehab meetings? :) how do we find out about SW Peninsula Covid 10 contact / info? Is there anything similar for Bristol area AHPs? re your question on should you be tested: the NHS guidance is you should only seek a test if you have symptoms you will need to work through a risk assessment for your own practice. HSE has guidelines for people working in people homes that may help. key that decision making process about virtual or f2f and discussions are documented Thank you Rachel. You’re doing an amazing job leading the SW COVID rehab network 👏🏼 guidance on childern who cannot be in special schools due to sheilding or AGP, how do we risk assess 'urgent need' when they maybe out of school untill a vaccine and postural management/ hip pain issues for long term. support from trsu thin and feel we are making it up as we go along. https://www.surveymonkey.co.uk/r/HWVCGDK If you are interested in joining the sw peninsula Covid rehab network please contact me - rachel.botell@nhs.net any chance of a recording? i have only just joined Slides are being shared after Vickie I have shared the link to my survey above people can visit that and adjust to their own clinic Rachel Botell,:- How do we find out information on being part of your wed morning meetings?. From Mindy Daubeny : HI Vickie, we aren't recording the meeting but we will be sharing the transcript of the chatroom (anonymised) together with ppt slides and links and responses to the questions posed on the South West regional network web page Are there any other Hand Therapists attending? From an FCP point of view we are very busy at the moment. How much involvement in the rehab will there be for the private sector for NHS discharged patients? Currently hospitals are working as one team, how much will this continue? Really helpful zoom chat thank you everyone, what a great profession can people not share pathways Chris? Is anyone seeing the NHS and independent sector collaborating together with CRT ? Whare are the level 7 competencies going to be shared? Thanks for the interest in the sw peninsula rehab network. My email is rachel.botell@nhs.net. Exciting times for FCP physios! I really look forward to when rehab specialists are as highly valued as other AdvPr’s! Is having 2 titles confusing FCP cf Advanced Practitioner? FCP is the role, advanced practice is the level of practice as I understand it. Is there anyone in the SW working as FCP in elderly care or LTCs/rehab? I'm really keen to know if it is a job role as I'd love to do something like that. Huge opportunities here if we can mobilise cohesively and strategically together, exciting times. 👍👍 Larry- we are noticing that the need for FCP is now huge but we have no where to sign post people too because core physio and ortho are still closed. what is the csps advice on this? Hi Larry. EMIS will not allow us to prescribe electronically? is there an update on this? thanks I'm in private practice and was told I wasn't needed when applying to go back into NHS, but maybe in the future for rehab. Is this something department leads see happening to support NHS rehab? core msk physio needs to think differently, we are managing our patients with virtual first model you can do lots over the phone and attend anywhere is rolling out. Can we please clarify with Karen that if we choose to re-open following guidelines,, and a patient developed COVID and decided it was from us that we would be covered legally? are there any guidelines of who is considered essential for physios to see in private practice agreed we need to know what is essential how do we know who to treat f2f if the BOA has provided guidelines why can the CSP not? Some of us are not on facebook or social media agreed a guideline would be very useful. I joined the NHS bank in my local trust, it was an eight week process and no sign of work just yet. I agree with Jane Mitchell re second wave though so think may end up with hours Personl trainers have detailed info physios dont yes, 'essential' is up for interpretation and decisions on who to see f2f could be influenced by financials in private practice and not to forget hcpc registration 😝 very few filter to face to face in the NHS services karen it says that we must demonstrate that the risk of having not having physio is worse than the conseqences of health of coming into clinic what physio is demonstrably more important than potential ITE admission and death? it doesn't help you have been very helpful is a stiff shoulder more important than covid? very good article about safety netting in ci If the stiff shoulder is masquerading as a sinster pathology. yes. Is Greybrook insurers going along with this? Is taking someones temperature a valid risk assess / necc? This wouldn't prove they havn't got it especially if they only contracted it 2 days ago and not yet symptomatic. autonomous practitioners that clinically reason everything we do need to relate that to whether to see covid patients or not whether it’s nhs or private fcp or core, Where will you be posting your answer to Lisa Adams' question re children? I think very few patients still will need to come in and see us at this stage….very much virtual first covid 19 by Laura finucaine and others worth a read regarding seeing patients face to face and risk assessment Yes really helpful to do Zoom meetings as info sharing and pointers to where to find further info/links. Thanks so much Perfect time. Incredibly useful. Many thanks Great webinar, thanks to all speakers thank you it has all been very helpful and reassuring and don't think that anything has been unhelpful at all. Adapting a telephone / video first will help to triage a patient before deciding on F2F Daytime is preferred. Timing works well - zoom call is great. Ive never made it to a CSP face to face meeting as often too far to travel There is not going to be a black and white answer re which patients to see. USe clinical reasoning and assessment of risk. For future could we have a talk fro Graybrook insurers In a conversation I had with PhysioFirst last week I asked about implementing government guidelines re keeping any contact f2f as short as possible with social distancing and keeping the amount of contact limited how to implement this? it has been very helpful, thank you. it is good to have this type of contact with other practitioners. Great time too. Thank you all, I feel positive for the future, Great speakers. Time Good Someone asked if CSP insurers are on board with iit (Covid)? Yes - see CSP and PhysioFirst guidance. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214294/ 72 hours and leave it with the patient With regards to legal responsibility currently, this cannot be the same as previously as mentioned That's the advice I've read also - however the patients Ive spoken to are really not happy about disposing of my PPE!