Learning and education

Talkback: A co-designed educational resource for people with lower back pain

NICE recommends that people with back pain are provided with advice and information tailored to their needs and capabilities. However implementation of research evidence/guidelines into practice is not always successful.

Co-production using creative co-design methods offers a different approach to intervention development. It aims to produce, with all relevant stakeholders, contextually sensitive solutions that are more likely to be acceptable and implementable into practice.

This project aimed to co-design an educational resource for people with low back that would specifically facilitate positive thinking and behaviours to support their physiotherapy management.

Return to Running Postnatal - guideline for medical, health and fitness professionals managing this population

There are currently no national/international guidelines to provide a framework to support health professionals working with women who wish to return to running postnatal.

Musculoskeletal pain, urinary incontinence, abdominal separation (Blyholder, Chumanov, Carr & Heiderscheit, 2016) and pelvic organ prolapse are prevalent conditions amongst postnatal runners and often create barriers to exercise (Nygaard et al., 2005). Engagement in regular physical activity is a public health priority due to its established health benefits.

Aim: To create an evidence-based guideline that offers a framework to support health professionals in providing appropriate advice to women following delivery and returning to running.


Engaging public and patients to develop a website to assist people to remain in or return to work.

Musculoskeletal conditions are the second biggest cause of absenteeism in the UK representing 28.2 million working days lost per annum. Current literature suggests that work issues are generally insufficiently addressed in primary healthcare and there is little evidence that evaluates any existing workplace interventions in this setting.

To address this issue locally, North West Boroughs Healthcare Physiotherapy Service is developing a new work and health pathway, 'Work Wise', to assist patients to remain in or return to work. An element of the pathway is the development of a website to provide accessible supportive resources and signposting material.

To inform website design and content we have undertaken extensive engagement with patients, public and employers and we wish to present our findings to assist the development of other initiatives in this important area.

Raising awareness of Axial Spondyloarthropathy

The identification of patients with suspected Axial Spondyloarthropathy (AxSpA) came under the spotlight with the release of the NICE guideline NG65 in 2017.

This service evaluation focused the outcomes of a training and awareness campaign designed to improve the implementation of NG65 in screening for AxSpA.

Recorded Physiotherapy Webinars: Innovative provision of CPD to Physiotherapists working in busy independent sector, MSK clinical environments.

The purpose of this service evaluation was to help better understand the impact and value of running a Recorded Physiotherapy Webinar (RPW) programme to Nuffield Health Physiotherapists.

RPW's are a series of 20-40 minute presentations recorded with both visuals (PowerPoint) and audio (presenter's voice). They are delivered by subject matter experts from across Nuffield Health and aim to promote learning on clinical topics (i.e. ACL rehabilitation, Shoulder red-flags and Cervicogenic headaches).

A total of 14 self-selected RPW's are currently available and can be accessed from anywhere, at any time after the recording via a Learning Management System (LMS).

A service evaluation of new independent prescribers within a COPD Team

Chronic Obstructive Pulmonary Disease (COPD) is the fourth leading cause of death in the world (Barnes, Celli 2009) and an estimated 1.2million people in the UK are diagnosed with COPD (BLF, 2019). The NHS Long Term Plan (2018) is encouraging supported care, achieving value in prescribing and improving integration. Community respiratory teams are key to providing specialist multidisciplinary support in pharmacological and non pharmacological management of people with COPD and other lung diseases. With the national drive to provide more care at home, the number of community respiratory teams are increasing.

In this Respiratory Team 3 clinicians undertook Non-Medical Prescribing qualifications at Masters Levels: 2 physiotherapists and 1 nurse. Each prescriber has a personalised formulary within their scope of practice and treat complex respiratory patients.

There is very little research found to ascertain non-medical prescribing habits within a community respiratory setting. This service evaluation aims to review actual prescriptions versus the expected prescriptions between April and September 2018, we hypothesise that we will prescribe mostly inhaled therapy.

The design, development and implementation of a Musculoskeletal Trainee programme in a large MSK Interface Service (MIS)

A large MIS in North Staffordshire assesses 21,000 patients per year with musculoskeletal disease, providing over 100 clinics per week. Advanced Physiotherapy Practitioners (Band 8a) manage 85% of the case load. Interviews for Band 8a roles have identified that candidates often do not have the required skill set to operate at this level immediately. Therefore a twelve month Musculoskeletal Trainee programme was developed in order to provide the knowledge,skills and attributes to support a Band 7 Physiotherapists transitioning to a band 8a within an MIS setting. Prior to this programme there was no formal mechanism to support this process.

Move, Groove Improve Quality Improvement Project

The purpose of this project was to reduce the effects of deconditioning and promote functional independence on an elderly care ward, with the ethos inspired by the End Pj Paralysis campaign. The first aim was for over 55% of patients to be sitting out daily for lunch on the ward. The aim was also for over 20% of patients to be wearing their own clothes daily on the ward. Secondary aims including improving patient experience, increasing staff knowledge on deconditioning and maintaining and reducing length of stay.

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