02 2015 21 Jan

Rehab after cancer
Going to Gaza
Volunteers tell their stories
Children and hemiplegia
24
National post-radiation service
Help at hand
VOL 21 NO 2
21 January 2015
THE VOICE OF PHYSIOTHERAPY
Research funding
32
CSP Charitable Trust
16
Untitled-2 1
13/01/2015 09 51
21 January 2015
CONTENT
10
Also inside:
Working for you:
whats been done
on resolutions from
the 2014 annual
representative Responses
to resolu
conference
tions
2014
ANNUAL
REPRES
ENTATIV
E CONF
The 2014
ERENCE
An ual Repre
(numbe s
entat ve Confe
2014
1 33) f om
ence was
the pr mary
c rr ed of
he d on 3
agenda and
wh ch one
4 Mar h n
was rem tted
three emer
C rd ff Confe
mo ions f
gency mot
om the p
to CSP coun
ence deba
ons Of the
imary agen
cil and hree
Mot ons
ted 36 mo
da wh ch
36 mot ons
or deba e
ions
fa ed One
were not
deba ed
at he 2015
eme genc
debated due
33 we e
ARC wi l be
y mo ion
to
la
and three
ava la le
k of ime
f rther
online f om
we e a so
rem tted
28 anuary
to coun il
at www
csp
org uk
NEWS
8
Plan to curb industrial action triggers outcry

CSP unveils physio works obesity briefing
10
Paediatric physios bag 250,000 for study
13
New Year Honours for physiotherapy
14
24
FOCUSES
Funds available from CSP Charitable Trust
16
Pilates exercise and older peoples balance 18

Karen Middleton: be part of the solution
21
How physiotherapists in A&E help cut costs 22
13
FEATURES
Physios making a difference in Gaza 24
18
Helping children with hemiplegia
28
Specialist rehab after radiotherapy
32
32
33
32 Cancer care
Suffolk dis overed she had

am a so ial worker f om
underwent a ourse of
b east can er in 1982 She
o make a go d ecove y
adi ther py and went on
ree But more than 20
th nkfu ly rema ning cancer
egan o
that had sav d her i e
years ater the t eatment
cause unfo eseen prob ems
e a fee ng of numbness
ien
expe
to
n 2003 she s arted
m The sens t ons be ame
and t ng ing in her eft a
gradua y ost mobi i y and
nc easing y pain ul and she
st rted to expe ience
she
s
th
ng
ow
Fol
mb
fun t on n he
on by exert on t took some
re pi ato y p ob ems brought
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years be ore the cause of
b ach al
w th r dio herapy indu ed
Pam was fina y d agnosed
os s
plexus nju y nd ung fib
ce
f- efer o a p oneer ng erv
Luck y she w s able to se
his or cal
i es of peo le affected by
hat aims to impro e he
d amat ca ly
re ult her qua i y of i e
b east ra io herapy As a
he was
amme
prog
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mp oved Be ore at ending
erwards
ch oni al y brea hless Af
wheelcha r dependent and
wi hout
u ing a ro la or f ame and
she began o wa k ag in
ness
any p in or undue brea hles
G SURVIVORS OF BREASTS OF
EFFECT
A UNIQUE SERVICE IS HELPIN
THE LONG TERM AFTERMEETS THE TEAM
CANCER TO COPE WITH
. ROBERT MILLETT
HISTORICAL RADIOTHERAPY
t
pa t of the nat onal Brea
The l nic she at ended was
high y
tat on Serv ce (BRIRS) a
Rad othe apy n ury Rehabi
NHS
tarted n 2012 The fu y
specia ised se vi e whi h
It s
fir t of its k nd in the UK
funded prog amme is the
and s
st red w th a GP n Eng and
ava lab e to pat ents reg
Suppo t
ndorsed by Ma m l an Cancer
y
ive
was managed co abora
Unt l ast year the se vice
e
rust n Lo don The Chr st
be ween Bar s Hea th NHS
Nat onal
Manche ter and the Royal
Founda ion NHS rust n
But s has
seases in Bath RNHRD)
Hosp tal or Rheuma ic D
The
ed so e y at he RNHRD
ba
is
and
ised
a
cent
now been
onic hea th
p eople w th comp ex ch
serv ce w s s t up o he
ast cancer
othe apy tre tment for br
prob ems caused by rad
for
ph sio herap st wo ked
Helen Whi ney an onco ogy
rust
ng at Ba ts Heal h NHS
he BR RS whi e it was runn
peop e
that
mean
advances
al
ogi
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rad at on
day a e at far ess r sk of
who ha e adio herapy t
e n the past Do es re now
damage han p ti nts we
and urrounding
vered
de
y
ate
accu
and
ca efully con ro led
expo ure
e p ote ted to m nimi e
unta geted body arts a
ved
e rea ed n the past rece
But many pe ple who we
REGULARS
TALKBACK@CSP
Have your say catch up with the latest debates
DIRECTORY
Courses, conferences and member information
St nge Re te s Co b s
that was qui e rude n terms

b east radio herapy t eatment
tre tm nt
y says Ms Wh tney The
of the p anning and de ive
h gher
and the doses we e much
cyc es were often p olonged
pa ien s who we e rea ed
As a resu t some p evious
most y women a e now
past
the
n
cancer
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for
The
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They can a so be agg avat
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co mo bid t es
age re ated l nesses and
al nurse spe ia i t for the
Ma ianna Sh afkou a l ni
pa ien s
appro r ate management
se vice says that wi hout
a
ica ions wh ch m y c use
can deve op se ondary comp
al fun t on
n hea th mob l ty and soc
sign ficant de er ora ion
nc ude hron c pain and
Secon ary sym toms an
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and imbala ce ymphoedem
numbness mus le w akness
es r cted mo emen s
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nc uding br ath ng problems
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nfec
chest
equent
f
ety >
ee ings of dep ess on anx
prob ems os eoporos s and
21 Janua y 2015
uk
F on l ne www csp org
41
RECRUITMENT
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Kayleigh Clitheroe, on freeing up bed nights
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THE VOICE OF PHYSIOTHERAPY
Rehab af er cancer
Going to Gaza
o un e rs e th i s o i s
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a i na po t ad t on e v ce
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Frontline
is your magazine. Make the most of it!

Published 21 times a year, Frontline is your way of keeping in touch
with the Chartered Society of Physiotherapy and physio-related news,
views and features. It also offers you an opportunity to have your say
about the issues that matter most to you. We welcome your letters,
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Until then, you can keep abreast of the CSP work and physio-related news:
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WC1R 4ED. We reserve the right to edit contributions. Please include your name and a daytime phone number.
shedding a load
Weve recently been issued with iPads in

our community trust in Oxfordshire and I
have been enjoying using mine for work.
Having been used to carrying or dragging
a huge bag everywhere I have now downsized
to a small laptop case and have done away
with my notebook, pens, address book and
diary as I have it all on the iPad. I even have
patient notes and referrals on a password
protected app and can do away with taking
a heavy pile of these around. Im quite excited
about this change to my working practice,
not to mention the release of stress on the
back, after 12 years of having to carry so
much around.
We can write notes on the iPad and they
are transferred to our laptops automatically
which saves time. We are also looking forward
to getting our main patient application
compatible with the iPad in the new year
so we can get access directly to notes
and documents in the community and
write up notes.
Jessica Deguara
TopTweet
@thecsp
The Sports Physio @Adam Meakins

Fantastic paper! How & why to
integrate pain education with exercise
therapy... ncbi.nlm.nih.gov/m/
pubmed/25090
Go to www.twitter.com
to open your own personal
account, then follow @thecsp
source of pride
The therapies team at my trust felt the

article on apprenticeships (page 24, 3
December) really captured the benefits
of these programmes for departments,
trusts, local communities and the
apprentices themselves.
It also highlighted the variations in pay and
potential disadvantages of these programmes.
At our trust we are pleased to report our
current cohort of three apprentices have
all being promoted to band 3 technical
instructor positions after out-performing 15
other candidates. We are also very proud to
report that one of our former apprentices
is leaving her band 3 position to undertake
an occupational therapy degree at Leeds
University, in addition to another former
apprentice having completed year one of his
physiotherapy degree at Leeds University.
As a result of these experiences we are
increasing the number of apprentices in the
therapy team as we have found it is the most
effective way of recruiting local talent into
the therapy professions.
(Elizabeth) Caroline Brown, University
of North Midlands NHS trust
welcome news on cuba
Last month I and a number of others from

the CSP attended what has become an
annual vigil outside the American Embassy
in London calling for the release of Cubas
unjustly imprisoned Miami 5.
I dont know whether our voices carried
to the White House but a few days later,
president Barrack Obama announced the
release of the remaining three of the five
Cuban men being held in US jails.
The campaign for justice for the Cuban
people has not ended, however. The US

persists in a devastating 50-year economic
blockade against the poor but proud Car bbean
island. So now more than ever we need
to put pressure on the US, the UK and EU
governments to reverse this unjust policy.
Despite the most difficult conditions,
Cuba has strived to ensure its people are well
educated and are provided with a universal
free public health service that is the envy of
many Americans and particularly in todays
climate of cuts and privatisation Europeans.
Most members wont be aware that the
Cuban health service sent more healthcare
professionals than the rest of the world to
help deal with the Ebola crisis in west Africa.
To find out more about the Cuba Solidarity
Campaign, which the CSP supports, visit:
www.cuba-solidarity.org.uk
Louise Walker, head of stewards training
lets have a debate
To develop the debate around exercise

that came to the fore at the end of last year,
I propose the following questions which,
if answered, could to used to formulate a
useful exercise framework.
Please add to or subtract from the
questions and lets take the discussion
forward to produce some concrete
physiotherapy guidelines:
how do you strengthen a muscle?
how do you stretch a muscle?
how do you teach an exercise?
how do you progress an exercise?
how do you increase the endurance
of a muscle?
can you do all this by handing out
generic exercise sheets?
Dr Simon Rouse, freelance practitioner
21 January 2015
06_07_ L_21_jan_ alkback indd 1
15/01/2015 15 04
Youve ADDed...
A news item on the CSP website
titled Bury physios make I will if you
will exercise pledge elicited several
comment. Gillianrandall said:
Its great how introducing healthier
lifestyles into our own lives inspires
others to see and feel how that could be
for them. When 20 physios in Bury get
together and pledge to do more exercise,
and make some changes to their own
fitness, it shows how we can be, as a
professional group, looking after ourselves
with more self-care. When we start with
gentle exercise, like walking, it
will definitely encourage others to
realise they can do the same.
CarolineMoss added:
As one of those physiotherapists
involved in having the healthy
conversations, it is amazing how honest
patients can be about how much
exercise they do and what their barriers
are without the conversation being an

elephant in the room. I will be working
in the next 20-25 years and I hope my
patients in general at that time prioritise
their own health as much as they do
with work.
An article on in Frontline (page 29,
3 December) on record keeping
elicited a comment from davidrm:
There is an excellent, affordable
software program, designed specifically
for AWPs (but which can be amended to
suit others eg OTs, podiatrists, midwives)
which can keep records of treatment and
produce data information for any given
time period.
This data report can then be emailed
directly and securely from the program
to whomever one chooses. This software,
from medicaldatareporting.com can
save hours of time and help to maintain
accurate records.
You can comment on articles from this issue of Frontline online. CSP members can log in at:
www.csp.org.uk/frontline and then go to the current issue section. Youll also find icons to
recommend articles to other members, Facebook like Frontline or tweet articles. Comments
posted online may be printed in shortened form in the Talkback section of Frontline .
Burning Question
CSP experts give you regular updates on employment-related issues.
Got an issue youre worried about? Ask your steward/student rep or, if you dont have
one, contact the CSP. View previous columns at: www.csp.org.uk/burningquestions
What is a reasonable adjustment?

If you have a disability (as defined by the Equality Act) you are legally entitled to ask
your employer for reasonable adjustments to be made to remove any disadvantage
that you may face in the workplace. This may be a piece of equipment, a change to
your working hours or amendments to your duties. Your employer does not have to
provide this but must consider the request and give objective business reasons if this
is not possible. The CSP has recently produced a short video in conjunction with our
solicitors Thompsons on reasonable adjustments. It is available on the CSP website in
the legal services section. It is always a good idea to speak to your local CSP steward
if you are experiencing problems at work. If you do not have a CSP steward you should
call the CSP on 020 7306 6666.
This is intended as general information only and does not replace individual advice
www.csp.org.uk
06_07_ L_21_jan_ alkback indd 2
iCSP
Learn from your peers and join discussions

on a wide range of clinical, professional
and employment issues.
Login to www.csp.org.uk and use the
find code to access the examples below.
Avulsion of hamstring
origin
Network: Sports and exercise

medicine therapy
Flavour: A clinical dilemma regarding
a 60-year-old patient.
Comments: 5 replies at 11 December
Find: qqq458
Polymyositis and
dermatomyositis
Network: Rheumatology
Flavour: How do other specialist
rheumatology physios decide how to
progress patient exercise?
Comments: 19 replies at 5 January
Find: qqq459
Postural care patient
Network: Learning disabilities

Flavour: The discussion explores
different sleep systems and what to
do if they do not work.
Comments: 15 replies at 30 December
Find: qqq460
Does your hospital

follow hip precautions
post surgery?
Network: Profession wide
Flavour: Hip precautions may not be
necessary post surgery but some trusts
are still giving them out.
Comments: 36 replies at 7 January
Find: qqq461
Forgot your CSP login?

Go to www.csp.org.uk/password
and tell us your email. Well immediately
email your details to you
15/01/2015 15 04
Frontline
Download
Europe-wide
guidance on
Parkinsons
Sport England
Physiotherapists from 19 European

countries have joined forces to produce
evidence-based guidance about the
treatment and care of people with
Parkinsons.
The European physiotherapy
guideline for Parkinsons disease is the
first of its kind. Endorsed by the CSP,
it provides recommendations that are
applicable to international healthcare
systems.
The guidance is suitable for
physiotherapists who have limited
knowledge about Parkinsons as well
as those who are experts, says Bhanu
Ramaswamy. The education and project
officer for the older people professional
network Agile represented the society
on the development group.
As well as focusing on the
physicality of our interventions, this
guidance considers assessment and
interventions that are indicated for
people with cognitive impairments,
she said.
It also has a section on respiratory
interventions, because a large
proportion of people with Parkinsons
die from respiratory complications.
The guide includes four quick
reference cards. These cover history
taking, physical examination,
treatment goals and grade-based
recommendations.
Agile president Anna Jones, who
was also part of the guideline steering
group, said: This guidance has the
potential to support equality of access
to evidence-informed care across
Europe.
The guidance is available as a free
download. Visit: parkinsonnet.info/
guidelines/european-guidelines
Robert Millet
Sport England campaig
CSP slams plans to clamp

The CSP has criticised the
Conservative partys election
pledge to restrict the ability to
call for industrial action in the
public sector.
If enacted, 40 per cent
of all eligible union members
would have to vote in favour
of industrial action, rather
than a simple majority of
those balloted.
The Conservatives have
also proposed a minimum 50
per cent turnout in industrial
action ballots.
Claire Sullivan, the CSPs
director of employment
relations and union services,
said: These proposals
are a blatant attempt to
undermine the right of public
sector workers to resist the

concerted attack on their pay,
terms and conditions which
they have suffered in recent
years and which is set to
continue.
This government has
already imposed an 8 to 12
per cent real terms pay cut on
CSP members and other NHS
staff, amid serious staffing
pressures.
Commending the hard
work and professionalism of
physiotherapy staff during a
time of major reorganisation
and enormous financial
pressure, CSP chief executive
Karen Middleton said: There
is a direct link between staff
morale, quality of services
Tweeting on 10 January,
after the news broke, CEO
Karen Middleton wrote:
So NHS staff going the
extra mile right now,
volunteering for Ebola sit
& yet no PRB rec pay rise
& now being limited from
protesting Mmm!
and patient care, so all
parties need to recognise the
importance of quality jobs.
On the rare occasions
when public sector workers
have been left no option but
to take industrial action there
has always been a wider
public interest.
Ms Sullivan also argued
21 January 2015
8_9_ L_21_Jan_news indd 1
16/01/2015 14 19
news 9
CALCULATE THE COST OF FALLS IN YOUR AREA
Falls leave 1.2 million people in A&E every year, costing the NHS 1.6 billion. See
how much money physiotherapy can save in your area with the CSPs new online
calculator, infographics and the falls prevention economic model. Discover the
headline savings by choosing your locality, then share the evidence as part of the
Physiotherapy Works campaign. Get started at www.csp.org.uk/costoffalls
aigns to get women exercising

A campaign has been
sport regularly than men, but that
nd
fou
75 per cent of women would like
launched to tackle
h
c
ear
the barriers that
to be more active.
Res
The findings show that
stop women from
d
aye
l
the biggest barrier to
taking exercise and
p
men arly
o
women exercising
getting fit.
w
l
er
gu
ut
few ort re en
b
Sport Englands This
is a fear of being
sp an m
th
girl can campaign will
judged. Sport
aim to show real women
England chief
d
l
ou
n w re
exercising, and change the
executive Jennie
e
m
o
o
widely-held view that active females
Price said: We
of w to be m
like ctive
must be Lycra-clad and super-fit.
want to tell the
a
Research commissioned by the sport
real story of women
promotion body found that two million fewer
who exercise and play
women in England aged from 14-40 played
sport. They come in all shapes and sizes and
all levels of ability. They have a myriad of
A poster from Sport
reasons for doing what they do.
Englands new campaign
This campaign says it really doesnt
2m
%
5
7
mp down on strikes
Physio training place

numbers to rise
Brian Duckett
that the plans were deeply

hypocritical.
If their proposals were applied
to parliamentary elections, only
16 out of 650 members of
parliament would have secured a
Frontline www.csp.org.uk
matter if you are a bit rubbish or completely

brilliant, the main thing is that you are a
woman and you are doing something, and
that deserves to be celebrated.
CSP professional adviser Carley King told
Frontline: Exercise is one of the pillars of
physiotherapy practice, and we are one of
the key professions involved in the battle
against sedentary behaviour.
She said there was a vast range of barriers
to exercise, and physios should be mindful
of these when encouraging an increase in
physical activity or prescribing exercises.
Exploring barriers, such as fear, with
patients and collaboratively looking at
potential solutions, can increase
engagement with exercise, she said.
Graham Clews
seat in the last general election,

as it was only this tiny handful of
parliamentarians who obtained
40 per cent support of people
entitled to vote.
Gary Henson
The number of NHS-funded

education and training places for
physiotherapists in England is to
increase from next September.
It will rise by 53 places (3.6
per cent) from 1,490 to 1,543
in 2015-16, according to Health
Education England.
Its plan is key to providing
the workforce needed for the
governments Five year forward
view for the NHS in England.
This is a step in the right
direction for physiotherapy,
said Karen Middleton, CSP chief
executive. It reflects the growing
need for physiotherapists
as a key part of skilled and

appropriately trained multiprofessional primary care
teams in the future.
However, we have some
concerns about the workforce
planning process and how far
this is developing to form a
strategic approach to meeting
population, patient and service
needs in the most effective,
affordable ways.
We will be writing to Health
Education England, to seek
discussion and active input
to these.
Lynn Eaton
SOMETHING TO ADD?...
go to www.csp.org.uk/icsp
16/01/2015 14 19
Frontline
Joanne OBrien
10
Physio works for obesi

Physiotherapy works for obesity,
the CSPs latest briefing for
clinicians and decision makers, is
now available.
It was published to coincide
with national obesity awareness
week, which ended on 18 January.
The briefing sets out how
physios can prevent and manage
obesity. It says that exercise
and movement are the
t
r
o
rep t
e
keystone of physiotherapy
h
a
T
h
nd t
and physios are ideally
fou
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physical and psychological
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33
complexities of obesity.
Carley King, a CSP professional
adviser, urged physiotherapists
to use the briefing: It can help
to articulate why we have the
skills to provide the physical
activity component of a weight
management service.
And the principles in the
briefing do not just apply to
specific weight management
services. They can be applied when
we are treating a patient who is
clinically obese, she said.
National obesity awareness
NHS trusts adopt self-management

scheme for arthritis pain
The ESCAPE Pain programme to
improve the self-management of
arthritis through exercise has been
adopted by five NHS hospitals.
The programme was produced
by organisations including Arthritis
Research UK and the Health
Innovation Network, an academic
health science network for south
London. It has been adopted by
Dulwich and Lewisham hospitals
in south London, Sevenoaks and
Queen Marys hospitals in Kent, and
Bristol Royal infirmary.
ESCAPE Pain, typically
delivered by physios in outpatient
departments, aims to teach patients
about their condition and delivers a
progressive exercise programme..

It was created after two studies
at Dulwich and Sevenoaks hospitals
showed improvements among
patients with arthritis who followed
the programme, compared with
traditional GP management of
arthritis and with physiotherapy.
Des Carter, project manager for
the Health Innovation Network, said
the programme could be extended
to other NHS trusts as well as to
gyms and leisure centres.
He said that although ESCAPE
Pain was provided mainly by
physios, it was possible for other
health professionals to deliver it.
Michael Hurley, professor
of rehabilitation
sciences at St
Georges, university
of London, led
the design and
evaluation of the
programme.
He told Frontline:
Weve shown that
the programme is
cost effective and that patients and
physios enjoy it. The site includes
all the information physios need,
is free to download and includes
Ken OMahony
Physio using the ESCAPE

programme with patients
at Dulwich hospital
videos of the programme in action,

so people can see what it entails.
Graham Clews
Visit: www.escape-pain org
21 January 2015
16/01/2015 14 09
news 11
NURSE WITH EBOLA IS IMPROVING
Joanne O Brien
A nurse who was diagnosed with Ebola in December was showing signs of
improvement as Frontline went to press. Pauline Cafferkey, from Glasgow,
was being treated in an isolation unit at the Royal Free hospital, London,
by a team of specialists including physios (see Frontline, 7 January). She
contracted the virus while volunteering in Sierra Leone.
sity: CSP briefing

week aimed to highlight the
urther info
rm ti
growing public health problem
of
obesity, which affects one in four
of the UK adult population.
The week was coordinated by
the National Obesity Forum. Its
report, the State of the nations
waistline sets out the scale of
obesity in the UK This includes
the problem of obesity among
children.
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Physio works briefings:

www.csp.org.uk/theevidence
Fewer than half of all frontline

NHS staff in England chose to
receive the seasonal flu vaccine this
autumn.
Figures collated by Public Health
England show that 48.2 per cent of
frontline healthcare staff were given
the jab between 1 September and 30
November last year, compared with
48.6 per cent during the same period
in 2013.
There were significant regional
variations in uptake of the vaccine, with
70.4 per cent of staff in the Merseyside
area being given the flu jab, compared
with 36.8 per cent in the London area.

The proportion of frontline staff
receiving the flu vaccine also varied
between NHS trusts. For instance, just
10.6 per cent of healthcare staff at
Brighton and Sussex university hospitals
trust were given the vaccine, while 81 per
cent of staff at St Helens and Knowsley
hospitals trust volunteered to have the jab.
CSP national policy officer Penny
Bromley said: The voluntary flu jab for
NHS staff is an important element in
protecting both members and their
patients during the winter months.
Graham Clews
Ken OMahony
Physio on leadership scheme wants

to focus on public health messages
The only physiotherapist on Public Health
Englands (PHE) pilot programme for
future public health leaders said
she intends to develop her
interests in better information
for patients.
Amanda Michael, clinical
lead of the musculoskeletal
physiotherapy team at
Barnet and Chase Farm
hospitals in north London,
was chosen last year to take
part in PHEs public health
system talent management
programme.
Ms Michael, who was
nominated by her line
manager, said
Frontline
she hopes to develop her interests in

behavioural change among patients and
service development during the
programme.
A big part of my role is
to develop a culture in my
department where health
messages are delivered to
every patient, wherever
possible, she said.
And one of my goals
on the course is to embed
this behaviour in the
department where I work.
The scheme, from
November 2014 to
summer this year,
aims to
Leading the
way: Amanda
Michael
develop staff with the potential to take

on influential roles within public health.
According to PHE, it is centrally funded
with no charge to the participants or their
organisations.
Most of the 29 participants on the
programme are from NHS England and
local authorities, and Ms Michael said
it would be useful to get a range of
perspectives on physiotherapy and its
role in public health.
PHE is running another public health
pilot talent management programme
in north west England. It is expected
to decide whether to run further
programmes following the outcome of
the pilots.
Graham Clews
GET IN ON PUBLIC HEALTH

go to www.csp.org.uk/publichealth
16/01/2015 14 09
Frontline
John Cole/Science Photo Library
12
Patients lose out on physio

help, stroke audit reveals
The CSP wants physiotherapy
teams in stroke care to collect data
on their services. The call comes as
the first annual audit of stroke care
in England and Wales reveals wide
variations in provision.
How good is stroke care was
published last month by the Stroke
Sentinel National Audit Programme
(SSNAP). It reveals that patients who
need physiotherapy receive a daily
average of 32 minutes of treatment
on over half of their days in hospital.
But this means the amount
of treatment in many acute
physiotherapy services falls several
minutes short of the National
Institute for Health and Care

Excellence (NICE) benchmark. NICE
says that patients should receive
the equivalent of 45 minutes of
physiotherapy a day for five days or
32 minutes over seven days.
Based on data from 74,000
patients, the SSNAP report gives an
overview of patient care from April
2013 to March 2014, measured
against national clinical standards.
It found that while patients really
value therapy, they do not feel they
receive enough on stroke units.
Cherry Kilbride, CSP
representative on the SSNAP and
a senior lecturer in physiotherapy
31%
74%
Access to early discharge teams rose from 31 per cent of

patients in 2008 to 74 per cent in 2014, but the goal is
for all patients to have this support, the report says
12_13_ L_21 Jan_news indd 1
at Brunel university London, said:

Specialist stroke physiotherapy is
continuing to make great strides in
delivering treatments, but there is
still a considerable way to go.
If the median is 32 minutes a
day, we know that the level across
seven day working is still very low so
that the majority of patients will not
be receiving the benchmark.
Jakko Brouwers, chair of
the Association of Chartered
Physiotherapists in Neurology, said:
Those patients who have been
identified to have physiotherapy
needs receive less than 60 per cent
of the amount required.
This shocking statistic needs to
be improved, possibly with improved
staffing ratios and the adoption of
novel treatment methods using new
technology.
The report suggests that the
rehabilitative work of these teams
may be significantly under-reported.
The SSNAP data show that fewer
than 5,000 patient records from
early supported discharge (ESD) or

community rehab teams had been
completed out of a possible 23,000.
It also found that only 17 per
cent of people who have a stroke
has an assessment six months after
admission, though poor records on
this may be a factor.
In addition access to ESD teams
increased from 31 per cent of
patients in 2008 to 74 per cent in
2014, but the goal is for all patients
to have this support, the report says.
The CSP called on all physios
involved in stroke care to participate
in SSNAP audits.
Ralph Hammond, a CSP
professional adviser and neurology
physiotherapist, said: Its vital that
all teams treating at least 10 stroke
patients a year are part of the
audit, as its only when we have
full participation across the care
pathway that we can get a complete
picture of the care stroke patients
receive.
Louise Hunt
21 January 2015
16/01/2015 13 45
news 13
RETIRED MEMBER PRIZE WINNER
Congratulations to Susan Bond from Exeter, the prize winner of a 50

Love2shop gift voucher. Ms Bond took part in the CSPs first retired member
survey, which was held to gauge views on the benefits and services offered by
the society. Results from the survey will help the CSP to develop new services.
Physios bag 250,000

for paediatric research
Photography: Sally Trussler
Three physiotherapists have jointly

been awarded 250,000 from the
CSP Charitable Trust and childrens
charity Action Medical Research to fund

paediatric research.
The award was granted to Jennifer
Ryan, a physio lecturer at Brunel
university London, Cherry Kilbride, a
senior physio lecturer at the university,
and Wendy Levin, a specialised

paediatric physiotherapist at the
Royal Free hospital, London.
The funding will be used for
a three-year study to evaluate
resistance training in young
people with cerebral palsy.
For further details of this
and other awards available
from the CSP see page 16.
Robert Millett
P
f
Award-winning physios
Jennifer Ryan (far left)
and Cherry Kilbride.
Paediatric physiotherapist
Wendy Levin (above)
12_13_ L_21 Jan_news indd 2
16/01/2015 13 45
John Bavosi/Science Photo Library
14 F rontline
CSP physio receives new

Three physiotherapists received
recognition in the Queens 2015
New Year Honours list.
Philippa Ford, CSP public affairs
and policy manager for Wales, was
made a Member of the Order of the
British Empire (MBE) in recognition
of her services to physiotherapy.
She told Frontline: Im absolutely
thrilled with the nomination and
thank the wonderful Welsh members
for nominating me. Im completely
honoured and hope I can continue
to make them all proud.
Ms Ford, who qualified as a
physiotherapist in 1986, began
working for the society in 1999,
just after the Welsh assembly
was established. And since
then she has worked with three
different sets of politicians and
five different ministers for health
CSP public affairs and policy

manager Philippa Ford
and social services.

She says the many changes have
made her job both interesting and
challenging.
The job has given me some
wonderful opportunities and I have
met some really interesting people

in the world of politics and public
affairs. Its a fantastic job and I feel
very lucky, said Ms Ford.
Prior to her current role Ms Ford
worked as a physiotherapist at
Cardiff Royal Infirmary, specialising
in the care of older people.
Since 1986 she has also acted
as a workplace steward, a regional
steward for Wales and secretary
of the national group of regional
stewards.
CSP chair Sue Rees told
Frontline: I am absolutely delighted
that Pip has been awarded an MBE.
As a Welsh member myself, I know
the huge and valuable contribution
she has made to physiotherapy and
to health and social care in Wales.
This well deserved honour not
only recognises that but is also a
reflection of the high esteem in

which she is held by members
and colleagues across health and
social care.
Also recognised were retired
physiotherapist Sally Williams
who was made a Medallist of the
Order of the British Empire (BEM)
for her services to charity and to
the community in Bourne End,
Buckinghamshire.
Mrs Williams has held an open
garden event for the last 25 years,
raising money for charities including
Colon Cancer Concern, Diabetes UK,
Scanappeal, The National Autistic
Society, Air Ambulance, Iain Rennie
Hospice at Home and Sail Training
International.
Retired physiotherapist Valerie
Jourdan was made a Member of the
Order of the British Empire (MBE)
Millions watch phy

An army physiotherapist was chosen
to sing solo at the Royal Albert Hall as
part of a First World War commemoration
that was watched on TV by millions of
festive viewers.
Captain Skye Manton, (pictured left)
who works at the militarys regional
rehabilitation unit in Aldershot, took part
in the BBC2 series The Choir: New Military
Wives. But she was plucked from the
chorus by TV choirmaster Gareth Malone
and given the soloists role for the finale
of a special War Horse Prom concert.
Footage of the commemoration and
its build-up was broadcast just before
Christmas and was watched by more than
Chris Christodoulou
21 January 2015
16/01/2015 13 46
John Bavosi/Science Photo Library
news 15
BOOST FOR CHILDRENS EPILEPSY SERVICES
There has been a significant expansion in epilepsy clinics treating children

and young people, a UK audit has found. The second round of data
collected by Epilepsy12, a clinical audit, found that the frequency of clinics
has also increased, with two-thirds (66 per cent) now operating weekly.
Visit www.rcph.ac.uk for Epilepsy 12 national reports.
year honour
HONOURS FOR OTHER
ALLIED HEALTH PROFESSIONALS
As well as physiotherapists other allied health professionals were
among those honoured. They included:
Jacqui Lunday Johnstone, chief health professions officer for the
Scottish government, who was made an Officer of the Order of
the British Empire (OBE) for her services to healthcare and the
health care professions
Anna van Der Gaag, chair of the Health and Care Professions Council,
who became a Commander of the Order of the British Empire (CBE)
for her services to health and care
Bryony Simpson, chair of the Royal College of Speech and
Language Therapists, who was made a Member of the Order
of the British Empire (MBE) for her services to speech and language.
for her services to improving the lives
of disabled children in the West Bank,
Palestine. Mrs Jourdan founded Action
around Bethlehem Children with
Disability (ABCD) in 1984.
Since then the charity has worked

to improve the quality of life for
children in Palestine with disabilities,
regardless of their faith.
Robert Millett
hysio sing TV solo

two million viewers, according
to figures from the Broadcasters
Audience Research Board.
Captain Manton auditioned
successfully. Then, after being
put on the spot and asked to
sing immediately, she was
given the solo part.
I have sung in choirs
throughout my life and the
Military Wives Choir Foundation
allowed me to start singing again
after a few years of not being
able to do so due to my job and
moving around. It is due to them
and my role that I was fortunate
enough to be given this once

in a lifetime opportunity.
I was immensely proud and
honoured to be involved and it
was a huge honour to stand on
that international stage along
with 99 amazing ladies, she said.
As part of the TV programme,
Captain Manton interviewed her
grandfather who was shot and
captured during the Second World
War. She has also lost friends in
Afghanistan and in her job as a
physio she treats patients injured
in conflicts.
Graham Clews
NHS seven-day
services cant
be done on the
cheap, says CSP
The introduction of
widespread seven-day
services in the NHS must
be properly funded if it is
to succeed, the CSP says in
its written submission to
the NHS Pay Review Body.
The CSP says sevenday services in the NHS
have not so far always
produced better quality
outcomes for patients, or
more efficient services. It
calls for a relentless focus
on improving the quality of
care for patients, through
integrated service delivery,
as full-week services are
rolled out across the NHS
in England.
The government has
asked the NHS Pay Review
Body and the Review Body
on Doctors and Dentists
Remuneration to examine
the provision of seven-day
services, which is one of its
key objectives for the NHS
in England.
The CSP also criticised
the rejection of a one per
cent across the board rise
for all NHS employees in
England and Northern
Ireland by the countrys
respective governments.
The society argues that
nationally-agreed pay and
conditions of employment
must be maintained as
seven-day services becomes
more widespread, and calls
for early consultation with
staff and trade unions
over any proposed changes.
CSP assistant director
Peter Finch said seven-day
services could improve clinical
outcomes for millions of
patients, but they must not
be introduced on the cheap.
An approach that seeks
to deliver seven-day services
with the resources allocated
to a five-day service, or which
seeks to reduce the pay
of staff providing services
over seven days, will fail,
he said.
There needs to be
proper funding to ensure
hard-working professional
physiotherapy staff and their
colleagues in the NHS are
both properly rewarded for
a step change in provision
and have the resources,
including appropriate
staffing levels.
Graham Clews
16/01/2015 13 46
16 CSP Charitable Trust
Funding the future

THIS YEAR FUNDING OF 200,000 IS AVAILABLE TO CSP MEMBERS FOR RESEARCH,
AND 84,000 FOR EDUCATIONAL ACTIVITIES. ROBERT MILLETT FINDS OUT MORE
esearch and education are vital to

the profession, but both can prove
expensive. Luckily, CSP members
who are keen to pursue research
or advance their education can apply for
funding from the CSP Charitable Trust.
Set up in 1980, the trust is an independent
charity which supports education and
research relevant to physiotherapy.
Trustee and CSP honorary treasurer Sue
England explains: Each year the charitable
trust receives two per cent of the societys
membership subscription income, as well
as occasional bequests and legacies from
members, member groups and external

organisations. These contributions help
to fund various grants to members as well
as a wide range of initiatives that benefit
the profession.
The CSP Charitable Trust allocates
funding across three main categories.
They are: physiotherapy research,
paediatric research and education grants.
Research grants
By funding physiotherapy research in the
UK at a number of levels, the trust aims
to broaden the evidence base informing
physiotherapy practice. Annually, it allocates

about 200,000 in research grants through
the Physiotherapy Research Foundation.
This year the grants have been split between
start-up funds of up to 25,000 for novice
researchers and funding of up to 50,000
for more experienced researchers.
Physiotherapist Claire Marcroft, who
leads a team at Newcastle upon Tyne
NHS trust, applied to the trust as a novice
researcher and received a 20,000 award.
She is using the money to fund studies into
the motor assessment of pre-term infants.
Ms Marcroft told Frontline: Assessment
21 January 2015
16_17_ L_21_Jan_ct indd 1
16/01/2015 13 52
17
EDUCATIONAL AWARDS
CSP awards administrator Susan Williams says the
trusts educational awards are designed to help
members fund various activities. These can include
overseas development projects, visits to international
centres of research excellence, academically
accredited courses, student elective placements
and presenting at conferences.
Last year the trust made 71 educational awards
and, with the exception of the masters dissemination
award, all of these awards are open to qualified,
student and associate members, says Ms Williams.
In 2014 Gail McAndrew, a final year student at
Robert Gordon University in Aberdeen, received a
700 education and development placement award
that helped to fund a five week placement at Headley
Court, the armed forces rehabilitation centre in Surrey.
It made a massive difference to my placement
costs, says Ms McAndrew. It really makes you think
about what you want out of your elective, and how
you can use that knowledge to help others further
their learning. I feel that I actively contribute more as
a student because of this placement and the focus
that the award provided.

Meanwhile Lauren Fordham, a senior
physiotherapist at Derbyshire Healthcare NHS
trust, applied for a masters dissemination award
and received 500. She said: This award is a really
positive scheme because disseminating your
information often involves travelling and publishing,
and these things often fall outside of a clinicians
everyday experience so the additional funds can
really help.
Ms Fordham has used part of the funds to produce
printed copies of her thesis on pain assessment
methods in community mental health, which she has
now supplied to local libraries. The money also helped
her organise and host a pain in mental health study
day, due to be held in Derby on 26 February.
The funds have helped to make the workshop
more attractive. As a result, I have lots of speakers
and a diversity of clinicians attending including
psychologists, physios and doctors who will have
the opportunity to network and share best practice
and evidence-based training, she says.
e of physiotherapy
of infant neuro-developmental stage and
progress is very important for both clinicians
and parents of pre-term infants. It will result
in direct improvements in the way care
is delivered. And having the opportunity
to contribute to the development of the
role of the clinical academic by leading
clinical research is also very exciting for the
physiotherapy profession.
As well as funding research in a range of
fields, the trust provides awards specifically
for paediatric research. This year grants
of up to 25,000 are available for novice
researchers who submit projects addressing
research questions in the areas of paediatric
non-acquired brain injury and paediatric
cerebral palsy.
In addition, for the second year running
the CSP Charitable Trust and childrens
charity Action Medical Research have

teamed up to offer experienced researchers
an award of up to 250,000 for paediatric
research (see News on page 13).
Last year saw the trust grant a special
care of older people research award of
300,000 to Anne Forster, professor in
the academic unit of elderly care and
rehabilitation at the University of Leeds.
Professor Forster and colleagues are using
the funds to conduct a randomised controlled
feasibility trial of a training package
designed to upskill care home staff.
The care training course was devised
by physiotherapists Jill Fisher, Karen Hull
and other members of the Physiotherapists
Care Skills Group. The training is designed
to improve the postural care of care home
residents and enable staff to practise good
physical management when they move

and handle people (see Frontline, page 24,
6 November 2013). Professor Forster said:
This is a wonderful opportunity to evaluate
a physiotherapy-led intervention which may
improve the care environment for frail older
people in care homes.
Ms England says the trust has been
able to fund larger projects like this over
the last five years, thanks to extra funds
from the CSP. These projects have been
very practical in nature and should produce
the evidence to underpin everyday clinical
practice, she says. And as the results come
through they will be disseminated across
the profession. fl
For details on applying for Charitable Trust
funding visit: www.csp.org.uk/2015awards
16_17_ L_21_Jan_ct indd 2
email us at talkback@csp.org.uk
16/01/2015 13 53
18 Physio
findings
IN OUR REGULAR SURVEY OF RESEARCH THATS
RELEVANT TO PHYSIOTHERAPY STAFF, JANET WRIGHT
LOOKS AT RECENTLY PUBLISHED STUDIES
BACK CARE
Reviewers question use of core

Stabilisation exercises are widely taught to
treat non-specific lower back pain, but are
they any more helpful than other forms of
active exercise?
Benjamin Smith, a senior physiotherapist
at London Road Community Hospital in
Derby, and colleagues set out to see how
effective the use of stabilisation, or core
stability exercises has proved to be.
Despite it being the most commonly
used form of physiotherapy treatment
within the UK, there is a lack of positive
evidence to support its use, say the team.

In 2008, a systematic review found that
specific stabilisation exercises might be
more helpful than no treatment, but were
unlikely to produce a better outcome than
any other form of exercise.
Many more studies have been published
since then, so Mr Smiths team updated the
2008 review by searching five databases.
Unlike the 2008 team, they restricted their
search to studies in which a core stability
programme was used alone.
In the 2008 review the majority of

studies favouring stabilisation exercises
combined the exercises with some other
form of treatment, implying that it was the
package of care that was effective rather
than stabilisation exercises alone, say the
authors.
Mr Smiths team found that a core
stability programme could give patients
slightly more short-term relief than other
exercise. But when followed up for a year or
more, the differences became insignificant.
PILATES
Quality of research clouds findings

on balance and falls
Pilates exercise can improve older peoples balance,
according to researchers in Australia who reviewed
existing studies.
But, although poor balance increases the risk of
falling, there isnt clear evidence on whether learning
Pilates actually reduces the number of falls.
Anna Lucia Barker, of Monash University in
Melbourne, and colleagues found six suitable
published studies. But only three gave enough
detail to show whether the exercises they used
provided a moderate or high challenge to
balance as recommended for best practice.
The evidence suggests Pilates can
improve balance, an important risk factor
for falls in older adults, say the team.
However, there is limited data on the
impact on falls.
Effects may have
been over-estimated
due to the low
methodological quality
of studies. Best-practice
recommendations were rarely
applied in prior studies.
The team wants future studies to
include best-practice recommendations.
Barker AL et al
al. Effect of Pilates
exercise
xercise for improving balance in older
adults:
dults: a systematic review with metaanalysis, Archives of Physical Medicine
and Rehabilitation 2014; http://dx.doi.
org/10.1016/j.apmr.2014.11.021
rg/10.1016/j.apmr.2014.11.021
21 January 2015
18_19_ L_21_jan_Physio indings indd 6
15/01/2015 14 57
Sciepro/Science Photo Library
19
e stability exercises
There is strong evidence
stabilisation exercises are not more
effective than any other form of active
exercise in the long term, the authors
conclude.
This review cannot recommend
stabilisation exercises for low back pain
in preference to other forms of general
exercise, and further research is unlikely
to considerably alter this conclusion.
Smith B et al. An update of
stabilisation exercises for low back
pain: a systematic review

with meta-analysis, BMC
Musculoskeletal Disorders
2014; http://dx.doi.
org/10.1186/1471-247415-416
May S & Johnson R.
Stabilisation exercises for
low back pain: a systematic
review, Physiotherapy 2008;
http://dx.doi.org/10.1016/j.
physio.2007.08.010
&Conclusions
Comments
Playing a musical keyboard can help people with multiple

sclerosis to improve control of their hands, say researchers,
who used a special keyboard with hospital patients. The
half-hour exercise sessions, carried out daily for 15 days,
also improved patients hand strength and dexterity.
Gatti R et al. Physiotherapy Research International 2014;
http://dx.doi.org/10.1002/pri.1600
The quality of articles published in physiotherapy journals

has improved and the proportion of original studies and review
articles has increased, say researchers who studied work
published in 2000-2002 and 2010-2012.
Snell K et al. Physiotherapy Canada 2014; http://dx.doi.
org/10.3138/ptc.2013-67
Overweight children taking part in a trial had poorer balance
than those of a healthy weight, perhaps partly because they
also had weaker legs, researchers say.

Martino SA et al. Archives of Physical Medicine and
Rehabilitation 2014; http://dx.doi.org/10.1016/j.
apmr.2014.07.347
In tests of memory and mental speed, 1484 former or

current shift workers scored less than 1685 other people.
The effects lasted at least five years after they stopped
working shifts.
Meanwhile, the governments Health survey for England
has found that shift workers are more likely to be unwell and
overweight, even though they tend to be younger than the
general workforce.
Marqui JC et al. Occupational & Environmental Medicine
http://dx.doi.org/10.1136/oemed-2013-101993; http://
www.hscic.gov.uk/catalogue/PUB16076/HSE2013-Ch6sft-wrk.pdf
ABSTRACT DEADLINE
18_19_ L_21_jan_Physio indings indd 7
for Physiotherapy UK see page 52-53
15/01/2015 14 58
Physiotherapy
Research Foundation
Research Awards 2015
The CSP Charitable Trust is pleased to announce the Physiotherapy Research
Foundation (PRF) award scheme this year. The trust is now accepting research
applications for funding in 2015.
Scheme A
Scheme B
Up to 50,000
available for
research
projects
Up to 25,000
available for
research
projects
for experienced
researchers
Scheme B
Paediatric research funding
for novice researchers
Up to 25,000
of funding in the area of

paediatric non-acquired brain
injury and paediatric cerebral
palsy, available for one
research project
for novice
researchers
The deadline for outline applications

is 12 noon, Friday 13 March 2015
Guidance notes and outline application
forms for each scheme can be found at:
www.csp.org.uk/prf
The CSP Charitable Trust
Registered Charity No. 279882

Supporting the advancement of
physiotherapy education and research
001206 indd 3
14/01/2015 07 25
InPerson
Person...
21
Be the solution,
not the problem
T
owards the end of 2014,

I was involved in two
CSP-led working dinners.
On the days after these
evening events, members and
non-members in high-profile,
influential jobs discussed the
strategic direction for the
profession and informed our
Physiotherapy Works programme.
Some were senior allied health
professional leaders in the NHS or
higher education. Others were in
the private sector in a range of roles,
including elite sport. All were highly
successful individuals in their fields
who were making a real difference.
They were still registered with the
Health and Care Professions Council
and many were CSP members too,
Despite their diverse roles, I
tried to work out what they had in
common. My conclusion was that
they had put themselves forward as
being the solution rather than being
associated with a problem.
Nurturing talent
Even when they are students, we
can all spot these individuals they
go the extra mile; take on additional
roles; theyre a little bit more
courageous or they have some
extra astuteness.
Personally, I know they can also
be a little bit scary as they challenge
some of our accepted wisdom and
nudge us out of our comfort zones!
But these people are our future
and we need to nurture their
talent, not shut it down and knock
the confidence out of them.
WE HATE PEOPLE WHO

ADD TO OUR PROBLEMS
SO DONT BE ONE OF THEM,
SAYS CSP CHIEF EXECUTIVE
KAREN MIDDLETON
The strategic leaders had all had
mentors, coaches and peers who had
believed in them. But they had also
worked out for themselves early on
that to be associated with, or be seen
as, the problem gets you nowhere.
To moan and blame eventually means
you will, at best, be ignored and, at
worst, marginalised.
Being the solution or part of the
solution means you will at least be
listened to and, often, people will return
to you to hear more. We all like people
with solutions to our problems but we
hate people who add to them.
The strategic influencers talked
about how often physiotherapists are
not viewed as being in the solution
game. This is such a paradox when you
consider that the very essence of our
clinical work is to find solutions. Why is
it that we dont always translate that
clinical experience into other aspects of
our working lives?
Being part of the solution is
important when we are trying to exert
our influence, raise our visibility and get
our contribution valued, commissioned
and bought. Those in the private sector
have always had to do this because
they have always been customerfocused. first and foremost. They
simply cannot afford to be anything
other than the solution

to other peoples problems.
Those of us working in
the public sector are learning
that the same imperative
applies to us now. It is not
just a matter of presentation,
but also of substance.
So, when speaking to
people who are buying
your services, forget the
message about needing
more physiotherapists. Rather,
focus on how you can solve
their problems, whether these
are increasing demand in
A&E, the cost of long lengths
of stay, the cost of care
packages in social care or
the cost of primary care.
This is the approach I
took when I had a recent
one-to-one meeting with
the chief executive of NHS
England, Simon Stevens.
I told him about our falls
prevention economic mode
and, in my next column,
I want to share
more about that
experience with
you to illustrate
You can email Karen at: middletonk@csp.org.uk
how its done ... fl
L_21_Jan_KM indd 1
15/01/2015 14 58
22
Frontline
VIEWS & OPINIONS

in perspective
Shining a spotlight on A
Log-jams in A&E hit the headlines again this month. Eve Jenner explains how
physios can play their part in speeding up care and cutting costs
Rarely does a day go by without A&E
services getting media exposure
as they struggle to cope with rising
demand and missed targets. We
read about waiting times and
the enormous pressure staff
face. But perhaps not enough
attention is paid to the skill mix
in A&E teams and how they can
be expanded to help patients get
through the system quicker and
more effectively.
A new briefing
on A&E in the
physiotherapy works series seeks to

address this by setting out two crucial
roles for the profession. Emergency
physio practitioners mostly see patients
presenting with musculoskeletal
(MSK) problems. They provide expert
assessments, order and interpret tests,
such as X-rays, manage wounds, softtissue injuries and fractures, and provide
advice and treatment.
As the briefing shows, physios
managing MSK injuries in this way have
equivalent clinical outcomes and lower
direct costs than doctors or emergency
nurse practitioners. Physios also work in
multidisciplinary therapy teams in A&E
and medical admission units, bringing
to bear their expertise in assessment,

discharge management and arranging
care after leaving hospital.
This helps to stop older people who
have fallen, for example, from being
admitted and avoids the clinical risks
linked to hospitalisation. This is critical as
people over 65 are the fastest growing
group of A&E attendees and delayed
discharge is said to be at the highest
ever level. That truly gets to the heart of
physiotherapys offer, especially when it
comes to emergency care.
The professions skills in assessment,
diagnosis and treatment are allied with
a knowledge, understanding and vision
of how the system should fit around
people to get them to where they want
to be, both physically and geographically.
If used properly, these talents could
bring huge benefits for the NHS.
advice line
Are you up-to-date?

The CSP is keen to ensure that all members are able to participate
fully in its business and that barriers to participation are identified
and action is taken to remove or mitigate them.
For this to happen it is important that the CSP has information
about the personal characteristics of its membership so that
we can monitor levels of participation. This can range from
involvement as a steward or safety rep to membership of CSP
council and standing committees, to attendance at the annual
representative conference (ARC) and Physiotherapy UK.
Only by having this information can we identify underrepresented groups and take action to make sure that all CSP
From next month, you can te

orientation and gender ide n
members have a voice.

For many years the CSP has collected information about
members age, gender, disability and ethnic origin. At last years
ARC a motion was passed calling on the CSP to monitor members
sexual orientation and gender identity.
From next month the CSP is adding questions about sexual
orientation and gender identity to membership application forms
and the online member profile form. An option prefer not to say is
available to members who choose not to provide this information.
The CSP wishes to assure members that we are aware of the
sensitive nature of this information and will only use the data in
21 January 2015
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15/01/2015 15 01
23
Got something to say?
We encourage members to contribute to these pages.
For information see the guidelines at:
www.csp.org.uk/frontlineideas or email: eatonl@csp.org.uk
The views expressed here are not necessarily those of the CSP
A special service
A&E
About a fifth of the 18.3 million
people who attend A&E each year
have MSK problems. Many of them
could be assessed and managed by a
physiotherapist, as could many people
attending with other conditions, such
as chronic obstructive pulmonary
disease. This would free up doctors to
see more medically complex cases and
reduce waiting times.
It would also cut costs in a
significant way when Salford Royal
NHS Foundation Trust introduced
an advanced physiotherapist role to
assess, diagnose and treat people
presenting with MSK injuries, the
new pathway cut costs by 60 per
cent or 32 for each patient. Finally,
by viewing patient care in its wider
context, physios working in A&E could
help the NHS on its path to becoming
viewpoint
a more responsive, person-centred

system. For the physios themselves,
the rewards would also be significant.
The work demands high standards
and presents opportunities to learn
new skills and broaden your practice.
As with all physiotherapy works
briefings, various teams at the CSP
will use it to make the case for the
profession to commissioners.
However, members can play
their part by using it as evidence
in conversations with colleagues,
commissioners and colleagues to
demonstrate what we can bring to this
high-profile service.
To download a copy of the briefing,
visit: www.csp.org.uk/theevidence
Eve Jenner is a CSP professional
adviser
an tell the CSP about your sexual

de ntity. Kate Moran explains why
aggregated form to produce reports about
the proportion of members self-identifying
within these categories. No individual members will be identified
from these reports.
The information will be invaluable in helping the CSP equality
and diversity group to take action to make sure that all members
are truly able to participate in the full range of its work. So do
please go online next month and check that all sections of your
CSP membership profile information are up-to-date.
Kate Moran is the CSPs head of employment research
Susie Turner and Anita Patel set the record

straight on selective dorsal rhizotomy
The Association of Paediatric Chartered Physiotherapists
(APCP) would like to highlight that selective dorsal rhizotomy
(SDR) is now an NHS-commissioned service.
It has been available in England for children who fulfil
certain criteria since 17 July 2014. These criteria are strict as
only a select group of children will benefit. Current evidence
on the effectiveness of SDR, especially on long-term function,
is limited and it is important that we, as therapists, are fully
aware of the literature to enable us to have honest and
realistic discussions with families.
The aim of SDR is to relieve spasticity in younger children
that is those aged from three to 10 years who fall within
the gross motor function classification system levels II and III.
The intervention aims to improve a childs functional abilities.
Understanding a childs motor prognosis without intervention
as well as establishing realistic goals is crucial.
Selective dorsal rhizotomy is frequently portrayed in the
media as a miracle cure and it is important that families
understand this is not the case. Children with cerebral palsy
have many difficulties associated with their condition and
spasticity is only one of these. As we know, muscle weakness
and poor selective motor control have a major impact on the
functional abilities of these children.
Cognition and a childs ability to comply with an intensive
two-year rehabilitation programme are other factors that
need to be considered. Relieving spasticity doesnt address
these other difficulties and can result in a child whose level of
function remains unchanged or even potentially worse.
Families wishing to explore whether SDR is a suitable
intervention for their child should be encouraged to be
assessed by one of the five commissioned centres in England.
Susie Turner and Anita Patel are members of the APCP
neurodisability group
For more information about the criteria and the
commissioning services, visit: http://apcp.csp.org.
uk/news/2014/08/01/nhs-england-news-sdrcommissioning
frontline www.csp.org.uk
22_23_ L_21 Jan_Views&Ops indd 23
15/01/2015 15 01
24 International aid
PHYSIOS WERE AT THE FOREFRONT

OF THE HUMANITARIAN RESPONSE
TO THE HOSTILITIES IN GAZA LAST
SUMMER. LYNN EATON REPORTS
Rob Holden Photography
Gaza alert
24_27_ L_21_1_gaza indd 1
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25
24_27_ L_21_1_gaza indd 2
15/01/2015 15 02
26 International aid
Photos: Mary Jane Cole/Handicap International
hysios, like many other healthcare professionals, are always eager to

help out in a humanitarian crisis. But, when CSP members put their
names forward for a new register of volunteers, set up by the UK
government in 2011 to help co-ordinate offers of help, many would
have expected to be dealing with typhoons or earthquakes.
However, last year volunteers on the UK International Emergency
Trauma Register (UKIETR) were called on for a very different situation: the
humanitarian emergency in Gaza that followed the Israeli operation in July.
Although it was an entirely man-made crisis the challenges were similar
to a natural one, according to physio Peter Skelton, who is no stranger to
disasters. Peter is rehabilitation project manager with Handicap International, a
charity that provides training for physios on the register. He has been involved
in the relief operation after typhoons hit the Philippines in November 2013
(Frontline, 17 December 2013) and in Haiti, Libya and Jordan.
Although the first reaction is to send surgeons in to such situations, Peter
and his colleagues knew would not be enough. Whenever you have a large
humanitarian crisis, surgery is performed in very difficult conditions, he says.
There will be amputation, infection, peripheral nerve damage, spinal cord
injuries, skin grafts and complex fractures, often with external fixation. That all
requires an enormous amount of rehab.
Handicap International has been involved in Gaza since 1996, working with
children with disabilities such as cerebral palsy. So, when the severe escalation
in hostilities in Gaza began, his organisation already had staff on the ground.
After an initial assessment team went to Jerusalem in August, three
Three volunteers reflect on the day that aff e

Abi Aston: arriving in Gaza
We arrived at Tel Aviv airport early in the
morning, tired after the flight from Heathrow,
but excited. We were driven to Jerusalem
and managed a
little sightseeing
in the old city.
We had planned
to go in to Gaza the
following day but
our permits werent
ready. Instead we
did some teaching
preparation. The
following morning
we got a call which
confirmed we were
clear to go to Gaza.
We had been briefed on how to conduct
ourselves during the Erez border crossing,
the official entry point for non-governmental
organisation workers from Israel into Gaza.
We each carried huge, black 100 litre
duffle bags. They contained minimal personal
belongings plus donations for the local

Handicap International teams, such
as Theraband and compression bandages
for amputees. We also carried large
trauma kits.
The crossing point is a huge hangar
where you pass through turnstiles l ke
those once seen at football grounds. We
struggled with the rucksacks, one person
going through first, putting the big bags
through the turnstiles afterwards.
After three hours, we emerged through
a grey sliding door and sat down on two
benches nearby, waiting for a man in a golf
buggy-type vehicle to appear and drive us
along the final stretch of no-mans land.
After the desert-like border area, my
first sight of Gaza was of damaged and
blackened apartment blocks in a built
up area. We were met by very friendly
Handicap International staff and, after
one final bag search, we were in Gaza.
Abi Aston is a paediatric physiotherapist
based at the Royal National Orthopaedic
Hospital, Stanmore, Middlesex
Zoe Clift: my
final clinical day
7am At Handicap International
(HI) office for security brief
9am Meet with Rafah
area team to start clinical
visits. First patient (median
nerve and flexor tendon
injury) assessment/
treatment plan completed
by local Gaza team with only
reassurance needed from
us fantastic to see the progress in their
clinical skills and their growing confidence.
10am Second clinical visit (median
nerve and tibial ex-fix, plus patients son
with head injury). Local physio points
out where he lives amid the rubble ...
a reminder for me of the situation the
clinicians are living and working in.
12.30pm Visit nine-year-old girl, arranged
specifically for review of possible lower
limb peripheral nerve injury and wound/
dressing review. Referred to me and Lesley
21 January 2015
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15/01/2015 15 02
27
UKIETR teams were sent to Gaza in the following two months. There
were 60 rehab professionals on the register at the height of the Gaza
escalation, 20 of whom had completed a three-day clinical training course
about starting humanitarian work. They were invited to join the mission.
Most of these were physios but some were occupational therapists.
All had trauma experience, and some had experience of working
overseas, says Peter. What was really great was that we engaged with
organisations like the British Association of Chartered Physiotherapists
in Amputee Rehabilitation (BACPAR), the Association of Chartered
Physiotherapist in Neurology, Adapt, the CSPs international health and
development network, and the British Association of Hand Therapists.
We also worked with several non-governmental organisations.
During their visit, physios abandoned their normal duties to transport

patients or took on auxiliary roles. They had responsibility for their existing
disabled patients, many of whom were now living in difficult conditions
often without water or electricity. Now they had newly-injured patients,
many with complex multiple fractures, amputations or burns, who had to
be discharged earlier than was ideal.
The local teams were, Peter says, fantastic. But their physio skills and
training were not sufficient for the complex cases they now faced. The
two teams of UK volunteers who have been out since worked alongside
Handicap International staff, providing treatment but more importantly
training. We are at a critical moment for the role of rehab in responding to
a humanitarian crisis, he says. Experts need to be deployed really early. fl
Training in Sussex
But the 20 volunteers werent trained for a conflict
or post-conflict zone where threats might include
being kidnapped or coming under fire. We spent two
days in the Sussex countryside going through hostile
environment awareness training, says Peter. The first
of the three teams, including three physios, went
out to Gaza with Peter in September, just after the
ceasefire was announced, to assess the situation and
provide training for the Handicap International teams
already in Gaza.
ff ected them most

(major trauma nurse) as local therapy team
all male. Simple clinical session gaining
patient trust emotionally this is probably
the toughest case we have seen.
13.30pm Debrief with Rafah team.
Reassured them they are doing a
fantastic job at learning new skills and
applying them. Brilliant to feel we are
leaving them with tools to continue.
3pm Final mission de-brief at HI office.
Extremely positive feedback. We agree to
continue work to provide plan/guidance
for next time its not if but when.
Zoe Clifton is an extended scope practitioner
at Guys and St Thomas Hospital, London
Mary Jane Cole:

a return visit
Returning to Gaza after a visit
six weeks previously, I saw a
couple of amputees Id seen
earlier. Ossama was one.
Like so many hed
suffered multiple injuries
For information on applying to join the register

go to: www.uk-med.org and search for UKIETR
Peter Skelton is pictured far right
when his cousins house collapsed in

the shelling head and facial fractures,
widespread superficial burns, deep wounds
to his left leg and an amputation on the
right. And hed arrested twice. He was the
only survivor of 19, many were relatives.
When we first met Ossama, being able
to walk again was naturally a concern for
him. He was uncertain if he would get a
prosthesis. He had remaining family to care
for and was apprehensive about the future.
But the local community team reassured
him and he was quickly
referred to the local prosthetic
service supported by the
International Red Cross.
It was great to meet
him again. He volunteered to help us

on an amputee rehab workshop we ran
jointly with the Red Cross. He was doing
well, coping with reduced vision and
hearing and some pain but he was about
to get his prosthesis and was having
physiotherapy at the centre in preparation.
He seemed really motivated to return to his
work as a supervisor in a local iron company.
He said work was his hobby. Unemployment is
especially high in Gaza,
so to see him on the brink of returning was
really encouraging, and his resilience humbling.
Mary Jane Cole is a senior lecturer
in practice education at Kingston
University and St Georges, University
of London, and vice chair of BACPAR
Handicap International is an independent aid organisation working in

situations of poverty and exclusion, conflict and disaster. The charity
works alongside disabled and vulnerable people in more than 60 countries
worldwide. For more information, visit: www.handicap-international.org.uk
www.csp.org.uk
24_27_ L_21_1_gaza indd 4
15/01/2015 15 03
28 Hemiplegia
Photos: HemiHelp
He
A boy with hemiplegia at

a HemiHelp Try it Day
28_30_ L_21_Jan_hemi indd 2
21 January 2015
15/01/2015 15 00
29
elp at
hand
GILL HITCHCOCK REPORTS ON THE

ISSUES AFFECTING CHILDREN
WITH HEMIPLEGIA AND OUTLINES
HOW PHYSIOS HELP THEM GAIN
INDEPENDENCE IN ADULTHOOD
uzanne Lawrence describes the Leicestershire HemiHub

as a one stop shop for children with hemiplegia. She is a
physiotherapist and advanced practitioner in physical disability
with the scheme, which is run by Leicestershire Partnership
NHS trust. Since the project started in April 2011 it has developed into
a hub of three physios and two occupational therapists (OTs) who offer
holistic care to about 90 children.
Hemiplegia, or paralysis on one side, has the same incidence rate
as Down syndrome. Each day in the UK between one and two babies
are born with hemiplegia and because it is caused by brain damage
80 per cent of cases are the result of a stroke it affects more than
motor development. One child in two has an additional diagnosis,
such as epilepsy, visual impairment or speech difficulty. And some
children experience challenges including perceptual problems, learning
difficulties and behavioural or emotional issues.
This is why Ms Lawrence believes the hubs holistic approach is so
significant: We are looking at the whole person. We are not just looking
at their walking or hand function, but also at their access to recreation
and education. Its about seeing the whole picture.
Amy Couture is chief executive of hemiplegia charity HemiHelp.
She argues that a rapid diagnosis and early intervention are essential
to achieving good outcomes for the child and their family. But she says
that identifying the condition can be difficult because the exact causes
can be different and no two cases are the same.
We do hear of cases where hemiplegia is not picked up and its very
much down to a parents intuition or that of a grandparent who has said,
their hand is in a fist, it looks different. So that is how it is picked up
sometimes, rather than by a health professional, she says.
Weight bearing exercises

Joanne Nichols is a physiotherapist at the Kaleidoscope Child
Development Centre, a joint NHS and local authority project for children
and young people living in the London borough of Lewisham. She says
that for children with hemiplegia, physiotherapy is key to enabling them
to manage their condition and learn how not to compensate by overusing their non-hemiplegic side.
One of the biggest challenges of working with the children is
trying to get them to use their hemiplegic side, she says. They tend to
neglect it a little bit, and it is important for us to remind them to use that
side and get them to do two-handed play, so they can use that hand
functionally.
Senior paediatric physiotherapist at Mid Yorkshire Hospitals NHS
trust Helen Abiad is working on improving proprioceptive treatment
for children with hemiplegia.
Because the children often neglect their affected side, we need
to build up that proprioceptive awareness, she says. We do it through
15/01/2015 15 00
30 Hemiplegia
We are looking
at the whole
person. We are
not just looking
at their walking
or hand function,
but also at
their access to
recreation and
education
exercises, which involve weight bearing

and doing activities out of a spastic
pattern, if they are a child that goes into
a spastic pattern of movement.
The aim, says Ms Abiad, is to maximise
the childs potential: The condition is not
going to go away, but it is getting the
best that we can for the children within
their capabilities. In the NHS, exercise
programmes are not supervised or
assisted by physiotherapists on a daily
basis, rather by a support worker at
school or parents at home.
Suzanne Lawrence
Holistic approach
South Yorkshire-based physio Helen
Dinneen says that having a three-year old son with hemiplegia has given
her new insights into the condition and a better understanding of how
varied it can be. She has some key message other physios: The fatigue
aspect will limit you at every corner is you dont understand it. So you can
have a great plan for exercises and strengthening, but if you cant address
the fatigue issue you will never reach the next stage.
If children with hemiplegia have an infection, such as a cold, it can
dramatically affect how symmetrically they breathe, she says. The nonhemiplegic side of the chest will have much better capacity than the
hemiplegic side and this will massively affect their fatigue levels. And
when they have recovered from an infection, the fatigue can continue
for another for another two or three months.
The physio needs to do a lot of work on breathing and stretches, and
even chest percussion to encourage more chest improvement, she says.
A severe epileptic fit can be very debilitating for children with hemiplegia
and mean they cant continue with regular exercises.

Asked whether NHS provision is adequate, Ms Abiad responds: Its
difficult to say. Some parents would argue they would want a physio
to be involved, but often things need to be done daily so it would be
impossible for a physio to see every child on their caseload daily.
And the nature of treatment changes as a child gets older and team
working becomes particularly important, she says. In relation to older
children, she often works closely with orthotists and OTs. Orthotics and
splints can be used to help correct the position and functionality of hands
and feet, and the childs environment can be adapted to enable them to
live as independently as possible.
At the Kaleidoscope centre 14 full and part-time physiotherapists
work alongside a range of other healthcare professionals, including OTs,
language therapists and doctors, to care for the children holistically. The
range of professionals here makes multidisciplinary working very easy,
says Joanne Nichols. This is important for a child with
hemiplegia, as each profession can look at a different
aspect of their daily function.
About HemiHelp
A girl with hemiplegia at school
The charity HemiHelp provides support

and information to people with hemiplegia
and their families across the UK.
It was set up more than 20 years by
parents of children with hemiplegia, who
felt they were not getting the support
they needed.
It remains a membership organisation,
of families and healthcare professionals,
such as physios, OTs, GPs, paediatricians
and neurologists.
One of HemiHelps key aims is to
work in partnership with medical and
education professionals so that everyone
with hemiplegia and their families are
understood and receive the support they
need.
For more information, visit:
www.hemihelp.org.uk
Transition problems
Ms Abiad talks about the potential of therapies that
are not routinely used by every therapist: Something
like botulinum toxin injections are used quite widely,
but you wouldnt put every child in for them. It causes
the spasticity to go from the muscle, but it is only
short term within which time you can work to help a
child, for example, with better weight bearing through
their affected leg, or with some stretches.
A major concern for those involved at HemiHelp is
that while there is good provision of care for children,
when they reach the age of 16 care becomes much
more ad hoc.
Adults with hemiplegia can get a block of
physiotherapy if they have a specific issue, but not
continuous support, says Ms Couture.
Hemiplegia can speed up the ageing process.
People can be affected by early-onset arthritis when
they are in their early 30s and there is no care plan in
place to help. Its just another thing to fight for, Ms
Couture adds. fl
21 January 2015
15/01/2015 15 01
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AACP_ rontline_Advert_November indd 1
19/11/2014 12 00
32 Cancer care
Stringer/Reuters/Corbis
A UNIQUE SERVICE IS HELPING SURVIVORS OF BREAST

CANCER TO COPE WITH THE LONG-TERM AFTER EFFECTS OF
HISTORICAL RADIOTHERAPY. ROBERT MILLETT MEETS THE TEAM
21 January 2015
32_34_ L_21_1_radio indd 1
15/01/2015 15 03
33
am, a social worker from Suffolk, discovered she had

breast cancer in 1982. She underwent a course of
radiotherapy and went on to make a good recovery,
thankfully remaining cancer free. But, more than 20
years later, the treatment that had saved her life began to
cause unforeseen problems.
In 2003, she started to experience a feeling of numbness
and tingling in her left arm. The sensations became
increasingly painful and she gradually lost mobility and
function in the limb. Following this, she started to experience
respiratory problems, brought on by exertion. It took some
years before the cause of both conditions was identified and
Pam was finally diagnosed with radiotherapy-induced brachial
plexus injury and lung fibrosis.
Luckily, she was able to self-refer to a pioneering service
that aims to improve the lives of people affected by historical
breast radiotherapy. As a result, her quality of life dramatically
improved. Before attending the programme, she was
wheelchair dependent and chronically breathless. Afterwards
she began to walk again, using a rollator frame; and without
any pain or undue breathlessness.
The clinic she attended was part of the national Breast

Radiotherapy Injury Rehabilitation Service (BRIRS), a highly
specialised service which started in 2012. The fully NHS
funded programme is the first of its kind in the UK. It is
available to patients registered with a GP in England, and is
endorsed by Macmillan Cancer Support.
Until last year the service was managed collaboratively
between Barts Health NHS trust in London, The Christie
Foundation NHS trust in Manchester and the Royal National
Hospital for Rheumatic Diseases in Bath (RNHRD). But is has
now been centralised and is based solely at the RNHRD. The
service was set up to help people with complex, chronic health
problems, caused by radiotherapy treatment for breast cancer.
Helen Whitney, an oncology physiotherapist, worked for
the BRIRS while it was running at Barts Health NHS trust.
She explains that technological advances mean that people
who have radiotherapy today are at far less risk of radiation
damage than patients were in the past. Doses are now
carefully controlled and accurately delivered, and surrounding,
untargeted body parts are protected to minimise exposure.
But many people, who were treated in the past, received
breast radiotherapy treatment that was quite crude, in terms

of the planning and delivery, says Ms Whitney. The treatment
cycles were often prolonged and the doses were much higher.
As a result, some previous patients who were treated
for breast cancer in the past mostly women are now
experiencing radiotherapy-induced health problems. The
associated symptoms are chronic and many, such as nerve
damage, are irreversible. They can also be aggravated by
age-related illnesses and co-morbidities.
Marianna Shiafkou, a clinical nurse specialist for the
service, says that without appropriate management patients
can develop secondary complications, which may cause a
significant deterioration in health, mobility and social function.
Secondary symptoms can include chronic pain and
numbness; muscle weakness and imbalance; lymphoedema,
pulmonary fibrosis; reduced and restricted movements
and loss of function in the arms and hands. Patients can
also experience symptoms including breathing problems,
frequent chest infections due to scarring of the lungs heart
problems, osteoporosis and feelings of depression, anxiety >
32_34_ L_21_1_radio indd 2
15/01/2015 15 04
34 Cancer care
and anger, says Ms Shiafkou. She adds that

although symptoms are rare they can impact
severely on quality of life, day-to-day living and
psychological wellbeing.
hs
ont g a
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e
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a
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t
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,
t
c
af clini
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A multidisciplinary approach
Patients with radiotherapy-induced health problems
receive a holistic pathway of care at BRIRS, delivered by a highly
specialised multidisciplinary team. The staff include physiotherapy
and occupational therapy specialists, a clinical nurse specialist, a
psychologist, a clinical oncologist, a respiratory physician, a pain
specialist and rheumatologists.
Following a telephone assessment by a nurse specialist,
patients attend a two-day clinic where they receive a thorough
clinical assessment and appropriate advice and treatment.
Ms Shiafkou says the two-day programme aims to equip
patients with ways to manage their symptoms, maintain their
independence, prevent further health deterioration and improve
their overall quality of life.
On the first day, each patient receives a comprehensive
individual consultation with each specialist. The physio and the
occupational therapist conduct a 45-minute joint assessment and
Ms Whitney says they aim to make the session goal orientated
and specifically tailored to each individual. We have to be dynamic
in the assessment, depending on their priorities and what they
present with, she says. But generally we assess neurology,
posture, function and balance. And we look at the area where
theyve had radiotherapy and surgery as these patients can suffer
with incredibly tight scars, which can cause muscle imbalance,
chronic pain and a reduced range of movement.
Working closely together, the team decide on interventions
such as breathlessness management or strengthening and
stretching exercises.
On the following day, the patients attend a multidisciplinary
HOW TO REFER PATIENTS TO BRIRS

Since this article was written the BRIRS national service has been
centralised and now runs only at the Royal National Hospital for
Rheumatic Diseases in Bath. As well as offering the two-day clinic for
patients the service at RNHRD also provides residential rehabilitation,
which is producing good outcomes.
The NHS-funded service is available to anyone registered with a
GP in England who meets the inclusion criteria. Referrals are accepted
directly from healthcare professionals and referrals to the service can
be accepted under separate funding arrangements for patients who
are not registered with a GP in England.
Referrals should be sent to: Professor Candy McCabe, Royal National
Hospital for Rheumatic Diseases, Upper Borough Walls, Bath, BA1 1RL.
Email:candymccabe@rnhrd.nhs.uk Tel:01225 473481
32_34_ L_21_1_radio indd 3
therapies group, which focu

focuses
patients
therapie
e on helping patient
o identify and work towards
to
toward meaningful goals.
goal
We
We highlight coping strategies
trategie and provide
mation about fatigue, pacing, energy con
conservation,
information
ervation,
elaxation techniques
relaxation
technique and the importance of exercising,
exerci ing,
says Ms
M Whitney.
Whitney We
We also
al o talk about equipment and aids,
aid ,
because some of the patients have completely paraplegic arms
due to their injuries, so we look at advice about arm care and
positioning.
The format of the group therapy is flexible and changes
according to the particular dynamics of each patient group.
Some groups are made of very active people who go swimming
and cycling, while others may consist of people who are having
a package of care and hardly go outside, explains Ms Whitney.
So, depending on their level of independence and function, we
adapt it from day to day.
Impressive outcomes
Women attending the BRIRS tend to range in age from 64 to 84
years, and the average timespan since they received radiotherapy
is about 24 years. All patients complete questionnaires before
attending the clinic and again three months after their visit, with
results used to assess improvements in quality of life. They are
asked to rate the two-day programme on a scale of one to 10. The
data show that these feedback scores have steadily risen since
the service started and the quality and relevance of the clinic is
now consistently rated nine to 10. Three months after attending a
BRIRS clinic, symptom control and psychological outcomes typically
improve by 30 per cent. In addition, depression scores recorded at
the three-month mark indicate a significant shift from moderate
and severe to mild or none.
The questionnaire scores demonstrate significant
improvements in symptom control, physical function, depression
scores and overall quality of life, says Ms Shiafkou.
Ms Whitney says the service has been very well received by
both patients and their families, and she thinks the emphasis on
a multidisciplinary approach is central to the good outcomes the
service has achieved so far. Commonly what happens to these
patients is that they end up getting a lot of co-morbidities, she
says. So they really benefit from being looked at as a whole
person and having all of these specialists give their advice. And
the outcomes show that the multidisciplinary approach works
effectively.
The service won a highly commended runner-up award at the
2013 Breast Cancer Care Awards and the team is keen to build on
its success, raise public awareness and encourage the recruitment
of more patients. fl
* Physiotherapists who know of patients who have
radiotherapy-induced disabilities, acquired from breast cancer
treatment, can refer them to the BRIRS clinic in Bath.
21 January 2015
15/01/2015 15 04
2014
Responses
to resolutions
ANNUAL REPRESENTATIVE CONFERENCE 2014

The 2014 Annual Representative Conference was held on 3-4 March in Cardiff. Conference debated 36 motions
(numbers 1-33) from the primary agenda and three emergency motions. Of the 36 motions debated, 33 were
carried of which one was remitted to CSP council, and three failed. One emergency motion and three further
motions from the primary agenda which were not debated due to lack of time were also remitted to council.
Motions for debate at the 2015 ARC will be available online from 28 January at www.csp.org.uk
ARC2014_Resolutions indd 1
14/01/2015 09 23
Primary agenda
PROFESSIONAL ISSUES
RESOLUTION 1
Band 5 rotations
Conference notes the positive actions taken by

the CSP following last years motions regarding
the erosion of traditional band 5 rotations.
However, despite this valuable work, Conference
is st ll aware of the development of so-called
experienced or senior band 5 rotations
throughout the four UK countries.
The creation of these posts can cause conflicting
viewpoints as there is a concern that these posts
are being developed as a cost saving exercise
where previously there would have been band
6 rotations. The concern is that, since Agenda
for Change has no profile for experienced band
5 staff, there is a risk of employers artificially
creating another band. This has a potentially
negative impact on staff support, development
and ultimately patient care.
The opposing argument is that these rotations
should be made more available as they improve
motivation, development, access to training
and potential for career progression. It is also
felt that they could form a realistic model for the
difficult financial times ahead.
Conference therefore calls on the CSP to
scope the prevalence of so called experienced
band 5 rotations using managers and stewards
networks
investigate both the positive and negative sides
of these posts and what physiotherapists in the
NHS feel is required
develop a policy position on these so-called
experienced band 5 roles to guide stewards,
managers and members
Scottish stewards
Yorkshire stewards
Council responds
The development of band 5 experienced

physiotherapy posts has two elements: the
impact on the grade and career progression of
physiotherapists, and the professional impact of
a growth in experienced band 5s working non
rotational posts.
Given this, it is proposed to widen the work to
include static band 5 posts within its remit.
The most effective means of gathering

information on experienced band 5 static and
rotational posts within available resources will
be explored. This work will feed into a range
of workstreams and projects currently being
undertaken in the CSP. The ARC motion will be
raised with these projects so that project teams are
aware of the band 5 issues and can address them
in their work where possible.
We will work with individual services and post
holders to establish
whether these posts are correctly banded
for the work they do, including utilising the CSP
physiotherapy framework to articulate the
professional scope of the band 5 and band 6 roles
how this emerging role contributes to the career
development and skills of physiotherapists
how this impacts on the development of band 6
Following on from this, specific grading and
professional advice will be issued.
RESOLUTION 2
Benefits of independent prescribing
Conference applauds the landmark decision

to give independent prescribing rights to
physiotherapists, and commends the tireless
campaigning by the CSP to achieve this.
Conference considers it critical that the
profession moves forward and takes advantage
of the increased benefits of autonomy. As a
profession we need to effectively articulate the
value of physiotherapists with these sk lls and
to demonstrate its contribution to support the
implementation of health and social care policy.
Conference calls upon the CSP to gather
evidence to evaluate the impact of independent
prescribing rights for physiotherapists on patient
care and value for money, by demonstrating
the efficiency that has been created through
enabling physiotherapists to utilise their skills
optimally, and the benefits that this will have
on patient care and service provision. This will
support business cases for physiotherapists
developing these new sk lls as adjuncts to their
roles.
Conference therefore calls upon the CSP to
design a consistent approach for measuring
the impact of physiotherapists applying their
independent prescr bing skills in clinical practice

develop a website to widely share the tools
developed
publicise the impact
Scottish board
Welsh board
Council responds
The evaluation of the implementation of

physiotherapist independent prescribing (IP) has
already been planned by the Department of
Health for England. A contract to undertake an
evaluation of physiotherapist and podiatrist IP
has recently been awarded to the University of
Surrey and Brighton University. The CSP continues
to have links with this project as it progresses.
The CSP has recently redeveloped pages
on its website to highlight and share with
members the role of medicines and prescribing
in physiotherapy practice and to provide
information to members on the process for
securing IP rights. In addition, Frontline will
continue to promote IP to members. It would
be most effective and efficient if any new online
tools were made available via the CSP website.
This would also ensure a better experience for
members.
Promotion of the benefits of IP to patients
and commissioners will be integrated
into Physiotherapy Works programme
communications. Appropriate opportunities to
lobby and to raise the profile of IP have been
successful, with IP introduced in Scotland in May,
Northern Ireland in July and Wales in September
2014.
Public promotion of IP will be possible, for
example through Physio2u, once there is a
sufficient body of independent prescribers. It is
therefore important to encourage members to
take up the opportunity to train as independent
prescribers. Member communications such as
Frontline will therefore continue to promote IP to
members.
CSP Practice and Development (P&D)
department has developed a project plan
to progress activity that optimises support
to members in engaging with independent
prescribing and making the case for integrating
THE CHARTERED SOCIETY OF PHYSIOTHERAPY
14/01/2015 09 23
prescribing into their practice and service

provision to enhance patient care.
RESOLUTION 3
PIP assessments
This Conference has growing concerns regarding

the increasing number of physiotherapists
undertaking clinical roles not normally considered
within the scope of routine physiotherapy practice
such as performing subcontracted Personal
Independence Payment (PIP) assessments as a
result of the overhauled Department for Work
and Pensions (DWP) benefits scheme.
Members are increasingly worried about the
impact this work has had on their professional
identity, health and wellbeing and safety. There is
evidence that some of the assessment processes
expected to be utilised have led to unsatisfactory
outcomes for some individuals, with an added
risk of these individuals seeking to report their
grievance directly to the Health and Care
Professions Council (HCPC).
work with managers and members to
produce recommendations for robust training
programmes for performing these assessments
and structures for supervision
produce guidance on how this extended role
meets the HCPC standards of proficiency for
physiotherapists (2013) re scope of practice
work with DWP, stakeholders, and other health
professionals to review the validity and reliability
of the current assessment processes and ensure
that these are robust and fit for purpose
London North stewards
Council responds
Assessment of a patient is within the scope of

practice of the profession. Members undertaking
PIP assessments must ensure they are educated,
trained and competent to do so and have judged
that this activity falls within their individual scope
of practice.
The CSP has developed a web based resource for
members to ascertain whether a particular activity
is within the scope of practice of the profession and
within an individuals own scope of practice.
www.csp.org.uk/scope
The CSP has prepared an updated briefing

and FAQs for members on PIP. www.csp.org.
uk/professional-union/practice/personalindependence-payments-pips
In addition, in October 2014 Frontline published
an article which included an interview with Barrie
McKillop, Atos clinical director for PIP, about how
Atos is improving assessments and training for
physiotherapists.
The government commissioned a statutory
independent review of PIP implementation which
closed in September 2014. A second review is due by
April 2017 so it is envisaged the first review will help
inform what should be looked at in 2017, as well as
making recommendations on what needs to be
addressed in the coming year.
RESOLUTION 4
Dangers of social media
This Conference acknowledges the steps the CSP

has made towards addressing the varying issues
of social media. However, it has become apparent
that guideline publications and advice provision
do not address the issue of how members
manage situations in which content is placed on
social media networks by a second or third party,
sometimes placing members in challenging and
stressful situations.
Therefore this Conference asks the CSP to
review current guidelines with the addition of
the management of third party actions using
social media
publish a Frontline article informing members
of this potential issue
South Central stewards
Council responds
An extensive review of digital engagement, including

social media, has been undertaken by the CSP. This
envisages a member led focus for developing the
physiotherapy presence on social media with the
CSP providing training, signposting quality networks
and promoting high standards.
In October 2014 we launched a new member-only
guide to using social media based on a guide
developed by Physiotherapy New Zealand. The
guide covers issues such as dealing with negative
posts. This was supported by a workshop session on
social media at Physiotherapy UK in October 2014.

CSP Marketing and Communications staff have also
supported professional networks in offering training
and briefing sessions on social media to members.
This complements the professional guidelines
already available and includes advice on handling
negative posts by patients or other third parties.
RESOLUTION 5
National rehabilitation plan
for England
Conference is disappointed that the national

rehabilitation plan for England , produced by NHS
England, has not yet been published and is only
ava lable within NHS England.
CSP members had been hopeful and were
encouraged that this would be a widely regarded
tool that would support physiotherapists and
their fellow allied health professionals (AHPs)
within rehabilitation to influence managers and
commissioners.
Conference calls for the CSP to lobby NHS
England to publish and implement the plans
recommendations.
East Midlands regional network
Council responds
Although work has been progressing at NHS

England, at the time of this report, it had not
yet been published. The current document is a
summary of the work which has been undertaken
so far and plans for the coming year. The vision
for the future of rehabilitation services remains
unchanged and will continue to underpin all the
work undertaken. The vision is that rehabilitation will
be key to every episode of care, maximising mental
and physical health, independence and occupation.
Following the national stakeholder event in March
2014 a rehabilitation delivery board at NHS
England has been established. The purpose of this
board is to create and deliver a strategic vision for
rehabilitation services across England. The board has
a broad representation from all stakeholders and
has agreed the priorities for work moving forward
as rehabilitation for long term conditions, and
rehabilitation to support people to return to work or
remain in work. These priorities will provide a focus
for the boards work, but will not exclude other areas
14/01/2015 09 23
identified from feedback as needing attention.

To support the board and the rehabilitation
programme, working groups are being established
that will concentrate on the following areas
commissioning levers and incentives
commissioning guidance
rehabilitation for economic growth
children and young peoples rehabilitation services
workforce
2015 national rehabilitation conference
The principles and expectations for good
rehabilitation services continue to be refined, but this
work has now taken on a significant commissioning
focus and will be incorporated into an interactive tool
that will be aimed at supporting the commissioning
of good rehabilitation services.
EMERGENCY RESOLUTION 4
Care.data programme
Conference notes the six-month pause in the

implementation of the Care.data programme.
The Care.data programme w ll allow sharing
of medical records to researchers and drug
companies for the enhancement of medical
research. The pause is in reaction to the fact that
many members of the public in England do not
think they have received the leaflet detailing how
they can chose to opt out if they wish. However,
Conference is horrified that the Health & Social
Care Information Centre has admitted selling
coded hospital records to insurance companies.
These records have been pseudonymised but
are still re-identifiable by anyone with malicious
intent.
Conference calls on the CSP to
condemn the selling of patient information
in a potentially identifiable form to insurance
companies, and
join with other trade unions, patient bodies
and other like minded groups to call for proper
safeguards to patient information that is to be
released for the purpose of health improvement
by the medical research community
National group of regional stewards
Council responds
The opportunity to influence on this issue will only

be for a few months during the short pause in
the implementation of the Care.data programme.

Therefore, where opportunities arise, in parliament
or the media, we will present CSP concerns alongside
those of other professional and academic bodies.
Specifically the CSP will use its position on the
National Allied Health Professions strategic task force,
a group with UK-wide representation led by NHS
Englands chief allied health professions officer, to
work with a range of stakeholders to better influence
this issue. In addition, the CSP has raised the issue
through the England social partnership forum.
LEARNING AND DEVELOPMENT

RESOLUTION 7
Education in dementia
In only seven years time there is estimated to be

over one m llion people suffering from dementia
in the UK. Conference is concerned that despite
this increasing amount of people there is very
little teaching on this subject within physiotherapy
pre-registration courses in the UK.
Therefore, Conference requests that the CSP
should encourage physiotherapy courses across
the UK to include practical and visual dementia
awareness training in their curriculums from the
next academic year.
Student executive committee
Council responds
To obtain CSP accreditation, university physiotherapy

programmes must be based on the CSP learning
and development principles and the CSPs
physiotherapy framework. (Links to these resources
can be found within the CSP Quality Assurance
Processes http://tinyurl.com/CSP-Qaprocesses)
For CSP accreditation, programme teams are
expected to show that they are changing
programmes in response to evolving patterns of
service delivery and addressing the particular needs
of their local population.
While the CSP expects physiotherapy graduates to
understand the needs of individual service users,
the CSP does not specify conditions/disorders/
pathologies/syndromes that students need to know
about. Rather, programme teams are expected
to demonstrate that new graduates will have
an understanding of a range of factors which
influence how individual patients may present

and react to physiotherapy and how to adapt
physiotherapy appropriately. Most importantly, the
CSP seeks reassurance from programme teams
that physiotherapy students, within the university
and on practice placements, are being equipped
to proactively, independently and continuously
advance their knowledge and skills throughout their
careers.
Although the CSP does not prescribe the curricular
content of pre-registration physiotherapy
programmes, the CSP agrees that it is essential for
all physiotherapy students, support workers and
qualified physiotherapists to build up the knowledge,
skills and values required to provide high quality
services to people with dementia and their carers.
This important area is monitored at pre-registration
programme (re)accreditation events and explored
with programme teams.
The CSP is aware of excellent examples of
educational strategies to help pre-registration
students understand the impact of dementia
on people and their families, as well as how to
adapt physiotherapy goal setting and treatment
strategies. The CSP will continue to promote
the sharing of good educational practice in this
area through educational networks that support
programme/subject leads, admission tutors and
practice placement coordinators. The CSP supports
the governments eight common core principles
for supporting people with dementia. www.gov.
uk/government/publications/common-coreprinciples-for-supporting-people-with-dementia
RESOLUTION 8
Clinical placements for privately
funded students
Conference notes that there appears to be

an increased number of privately funded
physiotherapy undergraduate and postgraduate
students within UK universities. However,
these students still require clinical placements
to meet the demands of their course. These
placements are over and above the clinical
placements required for NHS funded students
and the placements are generally within NHS
institutions. This is placing increased pressure on
NHS resources in this time of limited resources
14/01/2015 09 23
and staffing, and the general austerity we are

experiencing.
investigate the numbers of privately funded
physiotherapy undergraduate students within UK
universities
determine the percentage of these non-NHS
funded students that enter NHS employment
investigate the demand placed on NHS
institutions to provide clinical placements for non
NHS funded students
explore with the relevant bodies a mechanism
for charging these students for their placements
Yorkshire stewards
Council responds
We confirm that the CSP already scrutinises the

nature of physiotherapy programme funding across
the UK. When new and existing physiotherapy preregistration programmes are (re)approved by HCPC
and (re)accredited by the CSP, Higher Education
Institutions (HEIs) are required to evidence the
viability and stability of programmes and confirm
that appropriate contractual arrangements are
in place. Furthermore, adequate capacity and
diversity of student practice placements must be
demonstrated. To obtain accreditation, the CSP
requires physiotherapy programmes to provide a
balanced sequence of practice placements for each
student representing a diverse range of settings in
which they are likely to practise on qualification.
It is the responsibility of individual HEIs to ensure
that student practice placement capacity and
diversity is developed and maintained. The CSP
encourages and supports collaboration between
HEIs to work together to maximise the potential of
student practice placement capacity across public
and private health and social care sectors. This is
promoted within the new CSP resource, Practice
education - information, support and guidance:
www.csp.org.uk/publications/practice-education%E2%80%93-information-support-guidance
The CSP is aware of examples of good practice
where practice placements are managed
successfully in a concurrent way, for publicly and
privately funded students.
Given the current financial climate the CSP takes
seriously its role to monitor any impact of changes
in HEI funding arrangements on HEIs, students and

the wider profession. The CSP has not been alerted
to any negative impact on student placement
capacity as a result of provision for non-NHS-funded
students, but continues to actively monitor this
annually. In 2013/2014 from a total intake of 1,696
physiotherapy students (England only), 1,513 took
up commissioned places (UK and EU students), 111
were international (self-funding), 69 were UK selffunding and three were EU self-funding.
First employment destination statistics are
notoriously difficult to capture and the CSP is
currently working on pursuing more information
from all physiotherapy graduates. However, the
small number of privately funded student places in
England (including those for international students
who are expected to return to their home countries
for work) do not appear to be making an impact
on employment rates which are currently at good
levels, with recruitment difficulties being reported in
some areas.
RESOLUTION 9
Third sector practice placement
provision
The CSP should be commended for the

commissioning of contemporary guidance to
support practice education for the physiotherapy
workforce. However, with the progressive health
and social care agenda and the changing
relationships between statutory and third
sectors, our profession needs to specifically focus
upon how we grow our future generation of
physiotherapists.
We need to enable our students to have
opportunities of working with the third sector to
optimise their future employment and to raise the
profile of the profession within this vast sector. As
such, there are governance and practical issues
to be considered and addressed to more easily
support this important development to preregistration education consistently across the UK.
Therefore, we call upon the CSP to
host a UK seminar for educators to discuss the
opportunities and challenges of physiotherapy
students accessing placements within a sector in
which relatively few physiotherapy practitioners
operate at present
produce a publication to review and publicise

the evidence base behind different strategies
that will enable students to have third sector
placements; for example, long-reach supervision
by a physiotherapist from another organisation,
peer assisted placements, or role-emerging
placements that our occupational therapy
colleagues have embraced
produce CSP guidance for members to provide
clarity about the legal and insurance implications
for students and organisations involved in third
sector practice placement provision
Scottish board
Council responds
The CSP resource Practice education - information,

support and guidance contains information and
guidance to support and extend the development
of student practice placement opportunities in a
broad range of contexts, including the voluntary
sector. Within the resource, CSP members are
encouraged to share examples of practice education
in contemporary arenas so that others may benefit
from their experiences and gain confidence in
experimenting with new ideas for student practice
placements.
The CSP insurance web pages and the information
paper Insurance and physiotherapy practice already
provide an existing valuable resource for members
on the extent of the cover provided by the CSP PLI
scheme, and circumstances that may require specific
insurance advice to be obtained from elsewhere.
The CSP is not regulated by the Financial Conduct
Authority so is unable to give insurance advice.
However, separate CSP guidance (within the remit of
the CSP) is currently being developed to facilitate the
creation of agreements between HEIs and student
practice placement providers developing innovative
learning opportunities for students within and across
NHS and non-NHS care sectors.
Opportunities and challenges of physiotherapy
students accessing non traditional/contemporary/
role emerging placements in NHS and non-NHS
sectors were discussed at the CSP education forum/
practice education forum session on emerging
placements at the CSP in March 2014. Examples of
practice from other AHPs were shared. This theme
will be continued at future CSP events for educators
14/01/2015 09 23
where members will continue to be encouraged

to share good practice examples of innovative,
contemporary student placements that involve
working across health and social care sectors and
provide examples of overcoming any challenges
and obstacles.
SOCIAL POLICY
RESOLUTION 10
Poverty and austerity
Conference congratulates the CSP on its

accreditation as a living wage employer.
However, Conference is concerned about the
numbers of workers in the UK who do not
receive anything like a living wage. Along with
the austerity cuts, living standards, particularly
for the poorer in society, are reducing, whilst
some of the largest companies operating in
Britain are still using blatant tax avoidance
activities to the detriment of the UK economy
as a whole.
Poverty is of concern to all health workers due
to the detrimental impact it has on the physical
and mental wellbeing of our patients. Therefore,
Conference notes with dismay the increase in
the number of families resorting to the use of
food-banks in the UK as austerity continues to
impact. The sobering headline is that three new
food-banks are opened every week.
support the TUCs A future that works
campaign for economic recovery based on
investment, fair wages, decent public services and
the building of affordable housing
support the social care campaign launched by
Citizens UK in October 2013, which includes a call
for a living wage for everyone, especially focusing
on carers
press for tougher government action to ensure
that everyone contributes to economic recovery
by paying their fair share of taxation
highlight the growing support, here and
in Europe, for the introduction of a financial
transactions tax and the contribution this can
make to the funding of public services such as
the NHS
use all CSP communications channels and
networks to mob lise support for the major TUC

demonstration planned for 2014

East of England stewards
Council responds
The CSP has been a consistent supporter of the

TUCs broad-based A future that works campaign,
aimed at ensuring that all sections of society gain
a fair share of the benefits of economic recovery,
including the most vulnerable.
Details of the TUC campaigns major demonstration
on 18 October 2014 were communicated to CSP
members to encourage maximum support on
the day, under the leadership of the CSP industrial
relations committee. The main theme of Octobers
demonstration was that all workers, public and
private, need a decent pay rise after many years of
austerity and rising prices.
The CSP has also been helping to publicise
the practical role that tackling tax avoidance
and introducing a financial transactions (or
Robin Hood) tax could play in funding public
services and other economic priorities. The CSP
weekly electronic bulletin has been used to
draw members attention to a new video and
linked petition produced by the Robin Hood tax
campaign group. Eleven European countries
including Germany and France have now agreed
to introduce a financial transactions tax and a
legal appeal mounted by the UK government to
stop this going ahead was recently defeated.
As part of the CSPs future work we will be seeking
to highlight the fact that one of the best routes
out of poverty is by enabling people to return to
paid work after injury, linking in with the CSPs
Physiotherapy Works programme.
RESOLUTION 11
Increasing energy costs
Conference is deeply concerned about the

relentless rise of energy prices. Every winter many
older people die from, or are admitted to hospital
with, ailments linked to damp, cold housing.
Often older people living in poverty have to
choose between eating and keeping warm.
The energy companies obligation (ECO)
supports poorer households to become more
energy efficient. This reduces heating costs

and keeps people healthier. However, the
governments response to increasing fuel bills is
to decrease the energy companies green levies
rather than tackle large energy companies that
continue to profit from the misery of many.
Conference calls on the CSP to publicise the Age
UK campaign Spread the warmth and to work
with the TUC in campaigning around improving
the quality of housing stock so that older people
can both keep warm and eat.
Council responds
The CSP is deeply concerned about the impact of

climate change on the current and future health
of physiotherapy staff, their patients and the wider
local, national and international populations, and
is dismayed that the government has responded
to increasing fuel bills by decreasing the energy
companies green levies rather than facing up
to large energy companies who profit at the
expense of many ordinary people, including poorer
pensioners.
Through our affiliation to the TUC, the CSP is
supporting campaigns to fight poverty - including
among the aged - and Britains living standards crisis
- caused by welfare cuts and a squeeze on wages on
the one hand, and rising prices, including price hikes
by large energy companies, on the other. Although
inflation has fallen in recent months, energy bills
remain sky-high for many and energy companies
stand accused of failing to pass on the drop in
wholesale prices to consumers.
Through this TUC link and our affiliation to the
national pensioners convention the CSP will seek
to highlight the need for improved quality of housing
stock to enable older people to keep warm while not
being forced to cut back on essentials like food.
The CSP will promote this work, and in particular
the Age UK campaign Spread the warmth, through
member communication channels like Frontline,
the weekly e-bulletin, website and social media,
and encourage member activity in support of the
campaign, including for example members of the
CSP retirement association.
We will also promote the campaign among
stewards - via iCSP and Stewards News - as
14/01/2015 09 23
another means to getting the message through to

members.
EMERGENCY RESOLUTION 1
Minimising the impact of the
Lobbying Bill
Conference deplores the forcing through
parliament of the Lobbying Bill, despite
strenuous campaigning by many diverse
groups.
draw members attention to this highly
undemocratic move which is clearly aimed at
stifling opposition to government actions in
advance of a general election, and making it
harder for representative organisations such as
the CSP to advance members interests
assess the implications for the CSP now
that the B ll has received Royal Assent to try
to minimise its impact, working with other
affected organisations such as health charities,
other health membership bodies and the TUC
campaign for a repeal of the legislation as
part of the CSPs programme of influencing
work in the run up to the 2015 general election
Council responds
In the run up to the Lobbying Bill becoming

law the CSP worked actively, both directly and
with other groups such as the TUC, to try to
head off this draconian attack on the right to
lobby and campaign in the UK. CSP members
were encouraged to contact their own MPs as
part of this effort.
As a result, while the Bill still went through, a
number of helpful amendments were agreed
which have made the Act less onerous for
organisations such as the CSP to comply
with the new law. In addition, the TUC was
able to secure a delay in the introduction of
the part of the Act dealing with trade union
administration given its potential to add to
the CSPs running costs as well as represent
an intrusion into members personal records
held by the CSP. Consultation is under way on
the administrative provisions and the CSP is
submitting a response.
A member communication to inform CSP

members of the impact of the legislation will be
prepared once what is a very complex situation
becomes clearer.
EMPLOYMENT ISSUES
RESOLUTION 12
Incremental pay progression
Conference notes the recent introduction of the

link between incremental pay progression and
performance in national terms and conditions.
Conference also notes there is evidence that
some employers are using this to suppress pay
with unreasonable and unfair demands on staff
to be top achievers or demonstrate trust values
to move up the pay scale.
Conference believes that incremental progression
for NHS staff, including physiotherapists and
support workers, should be awarded in line with
developing experience, skills and knowledge,
and should only be withheld in the exceptional
circumstance of poor performance.
Conference therefore calls on the CSP to work
jointly with other trade unions to
promote fair and consistent appraisal systems
(based on the NHS knowledge and skills
framework)
ensure use of equality impact assessments in
any policies
support members and stewards in challenging
any policies that seek to undermine members
and associate members
South West South stewards
Council responds
The CSP has worked with other trade unions

through the NHS staff council executive to
ensure the terms of this motion are met. Any
policies which undermine the terms of the
national agreement will be challenged at
both local and national level.
Where problems have been identified these
have been raised with NHS Employers.
If required the ERUS briefing Incremental
pay progression (England) (IP67) will be
updated to provide stewards with additional
information.
RESOLUTION 13
Pay Review Body (PRB)
Conference notes with concern the statement

from the government in October 2013 that
any pay increase for April 2014 recommended
by the PRB should be delayed pending further
changes to the national agreement. The
chancellor also reiterated his belief that the
current system of pay progression is antiquated
and that time served increments should be
abolished.
Conference calls upon the CSP to
seek to ensure all members are fairly rewarded
for the work they do irrespective of where they
work
counter the propaganda about the so-called
public sector pay premium
work with the TUC and, in particular, other
health unions to ensure the independence of the
PRB process is maintained
provide members with information and
support to help them campaign against further
cuts in living standards
Council responds
The CSP condemned the decision of the secretary

of state for health to reject the recommendations
of the independent PRB. We have worked with
other health unions on the NHS staff council
and the TUC through the public sector liaison
group to try to ensure the PRB process is seen as
independent and maintained for pay bargaining
across the UK.
The CSP has worked with other unions on a
joint campaign over pay to highlight the link
between fair pay and quality patient care and
the importance of maintaining an independent
process for determining pay; this campaign will
continue in the coming months.
The CSP produced a detailed briefing for
members and regularly used member
communications to keep members informed of
developments on pay in each of the UK countries.
CSP members have taken part in local days of
action, lobbying MPs in parliament and also at a
regional level, and supported the October
2014 march organised by the TUC. They also
14/01/2015 09 23
leafleted the NHS Confederation conference held

in Liverpool.
The CSP produced template letters for members
to send to their MP, Welsh assembly member
or member of the NI legislative assembly
highlighting the need for a fair deal for NHS staff
irrespective of where they work.
RESOLUTION 14
Caring responsibilities
The UK population is ageing and Conference

is aware that an increasing number of CSP
members have responsibility to care for older
relatives in addition to their traditional role in
caring for their ch ldren or even grandchildren.
This so called squeezed generation is facing
greater than ever pressure to provide this vital
support wh lst themselves being required to work
longer. Conference is concerned that this portion
of our membership are facing da ly challenges
juggling these multiple responsib lities while
trying to ensure delivery of quality services.
undertake a qualitative survey of members to
scope how widespread this situation is amongst
CSP members
equip stewards and safety representatives
with guidance on supporting members with age
related caring roles. These roles do not fit into
most family friendly policies and cannot come
easily under parental or carers leave so stewards
and managers require specific guidance on
supporting this group of members
monitor the ongoing professional impacts of
increased caring roles on both individuals and
the wider profession; in particular, monitor the
issues of members needing to put their career on
hold or leave the profession because of increased
caring roles
Scottish stewards
Council responds
The TUCs Age immaterial campaign has

highlighted that the increasing pressure on women
to provide care both for older relatives and for
children and grandchildren is something which
particularly affects women over the age of 50,
although men and younger workers are also
Council responds
affected. In a recent survey (which CSP members

were asked to participate in) the TUC found that
parents are the group most often cared for by older
workers, particularly women. They also found that
a third of parents aged between 45 and 54 have
school-age children.
As such recent evidence of the extent of the
problem is available, and clearly of particular
relevance to CSP members given the high
proportion of women members, it is felt to be
unnecessary to carry out a survey of CSP members
on this issue. This will also allow resources to be
concentrated on providing guidance and support
to members. Another concern is that of survey
fatigue and the need to rationalise when surveys
of members are undertaken given the wide range
of information CSP seeks from members.
The CSP will produce guidance for stewards and
safety reps on how to ensure that the particular
needs of this group of members are met when
negotiating and applying relevant local workplace
policies. The CSP will investigate ways to monitor
the impact on members of increased caring roles
and how to identify the impact on members who
have had to make career changes as a result and
will report findings back to the industrial relations
committee.
RESOLUTION 15
Northern Ireland (NI)
partnership forum
The staff survey and development of an action plan

was discussed by the NI board in June and it was
agreed to set up a subgroup to develop proposals.
The subgroup has now met and prepared a paper
with various options. This paper was discussed at
the September meeting of NI board. It is on the
agenda for further discussion in December after
which it is planned to develop an action plan.
RESOLUTION 16
Zero hours contracts
Conference is dismayed that the 2012 NI NHS

staff survey st ll shows very poor results. Although
the questionnaire went out in 2012, the results
were not released t ll July 2013.
We are also equally dismayed that since the NI
partnership forum has not met since 2012 there is
no strategic forum/tripartite group with oversight
of the staff survey results; instead they will be
monitored by the Human resources directors
forum.
We ask council to:
support the NI board to develop an action plan
for physiotherapy in NI based on the staff survey
results
continue to work with other unions to demand
the relaunch of the NI partnership forum
Northern Ireland stewards
Conference is concerned about the possible

impact of zero hours contracts on physiotherapy
and believes these contracts lead to detrimental
working conditions including lack of access to
mandatory training.
There is overwhelming evidence that quality
employment leads to quality patient care.
Conference believes zero hours contracts do not
constitute quality employment.
Conference calls upon the CSP to
produce guidance to support members,
representatives and managers indicating the
individual and corporate responsib lity towards
training to meet the requirements of the role
investigate the incidence of zero hours
contracts in physiotherapy within both the public
and private sectors
actively participate in the TUC campaign
against the use of these detrimental contracts
continue to increase the awareness amongst
the membership with follow-up Frontline articles
National group of regional safety

representatives
South Central stewards
Council responds
ERUS have continued to collect responses from

members on their experience of working under
a bank or zero hours (ZH) contract. These were
used to inform a robust response submitted to the
Department for Business, Innovation and Skills
consultation on ZH contracts in April 2014.
Work also continues on a proposed spring 2015
CSP campaign on ZH contracts. This will involve
asking employers to sign up to a CSP Code of
Conduct to ensure members on ZH contracts are
14/01/2015 09 23
treated fairly, allowed access to training, and not

employed on long term bank contracts in place of
a permanent contract of employment. Supporting
resources such as a Q&A document are in their
final draft form.
It is proposed that a question be added to the CSPs
managers survey in early 2015 to get a feel for the
incidence of ZH and bank contracts. In addition we
continue to work actively within the TUC union legal
officers network to support and contribute to TUC
research and campaigns on this issue.
RESOLUTION 17
Employment rights in
the private sector
Conference notes that, with the increase in

competitive tendering and the any qualified
provider scheme, there is an increasing
number of newly qualified physiotherapy
graduates being employed directly from
university to large private companies rather
than the NHS. There is anecdotal evidence
that some of these private companies are
employing new graduates on terms and
conditions far worse than the NHS, including
long hours of work, significantly less pay
and little support or training, leading to their
potential exploitation in the workplace.
Conference therefore asks the CSP to
investigate the difference between NHS terms
and conditions and those offered by private
companies undertaking NHS work
help prepare final year students and newly
qualified members by increasing their awareness
of employment rights and good practice in the
workplace
provide information and support to members
to help challenge when their rights are
being undermined, or good practice is being
compromised
lobby private companies to provide similar
terms and conditions to the NHS, and to ensure
the necessary clinical support is in place for newly
qualified physiotherapists
highlight to members poor employment
practices and their impact on members and
services
East Midlands stewards
Council responds
This is work we already carry out on a biennial basis

in the form of a non NHS members pay, terms
and conditions survey. This survey is undertaken
via a SurveyMonkey questionnaire emailed to all
members who have identified themselves to us
as working in the non NHS sector and the results
are published in Frontline. The questionnaire will
be amended to cover the point about private
companies undertaking NHS work. The next non
NHS terms and conditions survey will take place in
2015; the results will be published in late 2015.
Senior negotiating officers routinely speak to final
year students at their universities during the latter
part of their final year. This talk currently looks at the
benefits of the NHS contract and issues that can
arise for new employees in the workplace. The talk
will be amended to include issues around graduates
first job and their rights in the workplace.
In addition we will look to conduct a short survey of
newly qualified staff to identify the issues and take
any outcomes or information forward via Frontline
during the later part of 2015.
The CSP is always looking for areas to increase our
trade union recognition into the non NHS sector to
promote the value of good employee relations, and
the value of a fair reward system that promotes a
stable and happy work environment. This work will
continue.
We will highlight to members the Physiotherapy
framework resource produced by practice and
development which highlights the pathway that
new graduates should expect from student into their
first roles as an employee.
ERUS is already undertaking a piece of work to
highlight the benefits of quality employment,
what quality employment looks like, examples of
best practice and establishing links between good
employment and better patient outcomes. When
complete this will be published in Frontline.
RESOLUTION 18
Job evaluation
Conference notes that Agenda for Change

has now been in place for 10 years. Following
extensive work to train CSP representatives for
initial job matching, there is growing concern
that we now have inadequate numbers of CSP
stewards trained for ongoing job evaluation. Lack

of trained reps involved in this process could place
the profession at risk as job descriptions are being
written by people with no working knowledge of
job evaluation. This may result in lower graded
and undervalued physiotherapy staff and
risks inappropriate skill mix and lack of career
progression.
survey CSP stewards to quantify how many are
trained and involved in local job evaluation
campaign with health departments in all four
UK countries to ensure there are adequate reps
trained and participating in job evaluation
seek to develop an agreement to facilitate paid
release for job evaluation work which is separate
to fac lities time
campaign for CSP representatives to take on
the job evaluation role
Scottish stewards
Council responds
Work is currently under way in the NHS national job

evaluation group (JEG) to collectively address the
issues raised in the motion. A job evaluation survey
was undertaken in England, Scotland and Wales
in order to establish the status of job evaluation
processes. The results have been used to develop a
work programme, which
addressed key areas, in particular, the number
of representatives to undertake job evaluation
matching and evaluation
has produced guidance to encourage adequate
facilitation time and support for job evaluation
processes
The CSP is directly involved in this work and is
working to ensure that the needs of CSP members
are included in all outcomes and discussions. Now
that the JEG and joint staff side work programmes
have been developed, the CSP is currently evaluating
where it can best support these programmes and
is developing a physiotherapy-specific programme
to work alongside JEG to ensure that members are
supported in this important area of Agenda for
Change. Although the issue is UK wide, each country
is likely to develop its own work programme on
specific issues. Any response from the CSP will take a
country-specific approach and response.
14/01/2015 09 23
EQUALITY AND DIVERSITY

RESOLUTION 19
Race discrimination in
NHS recruitment
Conference notes with dismay that research

carried out by the social enterprise Public
World in 2013 indicates there has been little
or no improvement in the overall pattern of
discrimination in NHS recruitment in recent years
despite numerous initiatives.
The data, gathered from the 30 trusts for which
usable publicised data were available, shows
that the likelihood of white applicants being
appointed is more than three times greater
than that of black and minority ethnic (BME)
applicants, and the likelihood of white shortlisted
applicants being appointed approaches twice
that of BME applicants.
investigate what national figures for the NHS
are ava lable for physiotherapy broken down by
grade and ethnicity
ensure that stewards are fully equipped to
negotiate for employers to collect, analyse and
act upon reliable data around ethnicity and other
protected characteristics
ensure that any guidance produced is relevant
to stewards working for private or voluntary sector
employers who take on NHS functions
Black & minority ethnic network
Council responds
We have carried out research into what equality

monitoring data is available in the four UK countries.
The Department of Health, Social Services and
Public Safety in Northern Ireland provided separate
breakdowns of physiotherapists by grade, age band
and gender. However, there was no data provided
with this breakdown by pay band and age, or pay
band and gender. They do not hold data on the
ethnic background of health and social care staff.
Similar statistics are available for NHS Scotland
from the Scottish workforce information standard
system. Separate breakdowns are available for the
numbers of male and female physiotherapists, and
physiotherapists by age bracket, but these statistics
are not broken down by pay band and there is no
data available on ethnicity.
10
NHS monitoring data in Wales was unavailable

on the grounds that the data belongs to individual
health boards, which was a disappointing response.
The Health & Social Care Information Centre
(HSCIC) provided statistics for qualified
physiotherapists in England, broken down by gender,
age and ethnicity. These were reported to the CSP
equality and diversity group and the BME network at
their meetings in October, and showed that
non-white ethnic groups are slightly overrepresented in comparison to white physios in AfC
Bands 3, 5 and 6
with the exception of Pay Band 8d, non-white
physios are under-represented in all pay bands
above Band 6
the difference in AfC band 8d and Band 9 is
negligible as there are only 12 physios in 8d and four
in Band 9
the overall picture is still one of underrepresentation of BME in the physiotherapy
profession. BME form approximately 15 per cent of
the population in England
Further work on this motion will include an
investigation into the information that we hold on
the CSP membership profile database on numbers
employed in the NHS and outside the NHS, broken
down by pay band and ethnicity and pay band and
gender. A short information paper will be produced
for stewards on negotiating with employers to
collect, analyse and act on equality data. This paper
will need to take account of the outcome of the
current discussions around the possible introduction
of a mandatory Race Equality Standard across
the NHS, and changing the status of the Equality
Delivery System from voluntary to mandatory.
The CSP was a joint signatory to a letter to the prime
minister about research published earlier this year
by Middlesex University. The research, entitled The
snowy white peaks of the NHS, showed that there
had been no significant progress on any indicator
in the treatment of the 170,000 black and minority
ethnic staff in the NHS over the past decade.
RESOLUTION 20
Guidance for students
with disabilities
Conference notes that following the demise

of the Allied health professions support service
(AHPSS) there is, not surprisingly, a gap in the

provision of support and advice on disability
issues in education. There is an ongoing and
pressing need for support and advice on disability
issues for clinical educators, academics, students
and prospective students. Without the necessary
specialist support, physiotherapy will no longer
be an attractive career option for young disabled
people and students may fail mid-way through
their training.
Conference therefore calls on the CSP to produce
additional written guidance on this subject,
including updating the excellent joint guidance
produced by the Royal National Institute of Blind
People (RNIB) and the CSP, Into physiotherapy:
welcoming and supporting disabled students.
Disabled members network
Council responds
The CSP remains committed to supporting

disabled students into the profession and
to ensuring that they are afforded equal
opportunities throughout their studies. The
CSP reviews and updates all resources on a
five-yearly cycle and is pleased to confirm that
the highly valued joint RNIB/CSP resource is no
exception; it is due for review in autumn 2015.
In addition to this resource, the CSP promotes
inclusivity and provides further guidance
through the production and promotion of the
following resources:
Learning and development principles: CSP
accreditation of qualifying programmes in
physiotherapy (2010)
CSP accreditation of qualifying programmes
in physiotherapy: quality assurance processes
(2010)
Physiotherapy framework: putting
physiotherapy behaviours, values, knowledge
and skills into practice (updated 2013)
Practice education information, support and
guidance (2014)
Annual quality review: UK qualifying
physiotherapy education (2007/8 2012/13)
CSP education position statement: widening
participation (publication due spring 2015).
The CSP continues to challenge assumptions
and stimulate debate with pre-registration
14/01/2015 09 23
programme teams (particularly through

the learning and development strand at
Physiotherapy UK, practice education forum,
admission tutors forum, education forum, and
directly through the CSP accreditation process).
Inclusivity remains a critical element of our
quality assurance requirements for accredited
pre-registration programmes whereby all
programmes must demonstrate that
they have processes for identifying and
negotiating reasonable adjustments for
disabled students
in addition to ensuring that their staff
collectively understand their responsibility for
supporting disabled students they also have an
identified equality and diversity lead within
their team
there are mechanisms for ensuring fairness,
consistency and transparency throughout the
programme
disabled students have access to strategies
and specialist equipment to support their
learning
RESOLUTION 21
HIV stigma
This Conference is concerned that despite

significant advances in diagnosis and
management of HIV and AIDs, stigma and
discrimination continues in society in general
and, more worryingly, amongst some healthcare
professionals.
The CSP has been pro-active in publicising
the employment rights of HIV positive
physiotherapists in the work place via an article
in Frontline (June 2013). However, little has been
done to promote HIV education or challenge
stigmatism around HIV and AIDs.
As HIV positive people live longer, more
physiotherapists will become involved in their
care, so dispelling myths that have grown around
the disease is essential.
This Conference, therefore, calls upon the
CSP to work with the Terrence Higgins
Trust in promoting their It starts with me
campaign to physiotherapists through relevant
communication channels including an article
in Frontline and develop, in conjunction with
physiotherapists specialising in this field, online

resources that are access ble to all members.
LGBT network
Council responds
In response to this motion ERUS, P&D and a

specialist physio working in HIV rehabilitation and
research collaborated to produce online resources
for members about HIV. The EDG and LGBT
network were updated on this at their October 2014
meetings. The resources will be posted on the CSP
website, and a further article on HIV appeared
in Frontline to coincide with World Aids Day on 1
December.
HEALTH, SAFETY
AND WELLBEING
MOTION 22
Safety and the Francis Report
This Conference knows only too well the findings

of the Francis report Lessons from Stafford,
highlighting the need for all organisations within
the NHS to create and maintain the right culture
to deliver safe quality care that is responsive to
patients needs and preferences. To succeed it
acknowledges that a fundamental element is
the adoption of a strong safety culture, with a
focus on staff health and wellbeing.
Conference asks the CSP to use this
opportunity to
produce a training module for safety
representatives to inform and prepare them to
address local challenges in relation to the report
develop information materials to support the
CSP representatives at a local level
National group of regional safety

representatives
Remitted to council: see Resolution 23 council

response
RESOLUTION 23
Safe staffing levels
There is concern that unsafe staffing levels

are leading to undue pressure on all bands
of physiotherapy staff and that this is having
a knock-on negative impact on staff and
patient safety. Conference applauds the
recent and ongoing work by NHS England

and the National Institute for Health and Care
Excellence (NICE) on safe staffing levels with
other staff groups such as nurses, midwives
and care workers.
Conference calls on the CSP to:
establish safe minimum staffing levels for
physiotherapists of all disciplines
lobby government to enforce minimum safe
staffing levels
provide stewards and managers with a
toolkit to help identify and manage the issue
of understaffing at a local level
South West North stewards

Northern Ireland stewards
Amended by Yorkshire stewards
Council responds
(joint with Motion 22)

The CSP Charitable Trust agreed at its spring 2014
meeting to fund a CSP project to explore a robust
approach to safe and effective staffing levels in
physiotherapy. A small CSP project team has been
formed to oversee the progression of the project.
An invitation to tender exercise was enacted
over the summer, the outcome of which was to
award a contract to Allied Health Solutions (AHS).
Contracted activity began in September 2014, and
is due to conclude by the end of March 2015.
The focus of the CSPs safe and effective staffing
levels (SESL) project is on producing an online tool
and supportive guidance for members with the
following characteristics
founded on evidence-based principles
take account of the multiple variables (to do with
patient need, environment and staffing) relating to
physiotherapy delivery
practical for CSP members and other
stakeholders to use
focus on patient outcomes and benefit
apply across the UK, taking account of each
countrys health and social care structures and
policies
reflect the breadth of specialisms/patient
pathways, settings, sectors and service delivery
models within/through which physiotherapy is
provided
The SESL projects approach is founded on
11
14/01/2015 09 23
consultation and pilot activity with CSP members

and other stakeholders. Draft approaches and
resources are being developed, tested and
refined in line with feedback. Members wishing
to get involved in the SESL project should email
SESLproject@csp.org.uk
Opportunities for member involvement are also
being promoted through all CSP communication
channels.
The project is being progressed in parallel with the
CSPs workforce data modelling project (as part of
the CSP Physiotherapy Works programme). AHS
has also been awarded the contract for this activity
as a result of a parallel invitation to tender exercise.
More broadly, the CSP has had input across the
year to policy developments relating to staffing
levels. This has included responding to NICE
consultations on its guideline development
on nurse staffing levels and the Wales private
members bill on the same topic.
In addition to the above, regional training has
been developed for stewards and safety reps,
looking at how they can be effective locally in
ensuring that the main recommendations of the
Francis report and the Governments response to it
are taken forward and that frontline staff are fully
involved in this process. Resources and information
that support this training have been produced and
are available on the CSPs website and elsewhere
for all CSP members.
As the work on staffing levels and other important
areas such as staff engagement and openness
and transparency develop, new resources will
be produced and added to a toolkit for use by
members, managers and reps.
CSP POLICY
RESOLUTION 25
Associate membership
Conference is concerned about the relatively low

and static numbers of associate members. The
Francis and Cavendish reports raised concerns
about professionalism, standards of practice, duty
of candour, adequate training and regulation of
support staff.
The CSP offers regulation of support workers and,
with its dual functions of professional body and
12
trade union, is ideally placed to support

associate membership.
Therefore, following the impact of Cavendish,
launch a revitalised campaign to recruit
support workers (including those in generic roles)
recognising that associate membership provides
real benefits for support workers in terms of
supporting and promoting their professionalism,
learning and development and access to quality
employment
work with other appropriate bodies to ensure
that the implementation of the new Certificate of
Fundamental Care (and equivalent qualifications
across the UK) provides relevant and positive
opportunities for training and development for
physiotherapy support workers
Associates committee
Amended by the Welsh stewards
Council responds
Expanding associate membership has been

identified as a high priority by both the associates
committee and the recruitment and retention
integration group (RRIG).
CPD support for associate members has already
been upgraded.
The CSPs Championing CPD project (funded by
the TUC union learning fund) has introduced online
CPD resources to support associates with developing
their CPD. These include practical guidance, tools
and examples of practice to support associates in
making the most of their CPD to show the value
of their role in the workplace. During 2014 we
conducted a survey of associate members and
ran focus groups with associates in London and
Edinburgh. The findings from this market research
are informing future recruitment activity.
Recruitment materials will be updated during
2015 to make it clearer that colleagues working
in a wide range of support roles can benefit from
associate CSP membership. This should assist
stewards and staff to promote membership.
As a result of the deployment of the new member
relationship system during 2014 we will also be
reviewing communications with associates.
RRIG will review the wider benefits offered to
associates on an ongoing basis.
RESOLUTION 26
CSP services for retired members
Conference urges the CSP to ensure that it is

providing retired members with value for money.
As more and more CSP members approach
retirement, the CSP needs to ensure that it is
highlighting the benefits of continuing as a
retired member. Conference urges the CSP to
ensure that once members retire they consider
remaining members of the CSP. The CSP needs
to ensure that retired members are aware of
the benefits of continued membership. Many
members are now approaching retirement and
subsequent reduction in income. Their valuable
contr bution will be lost to the CSP if they consider
that their continued membership subscription is
not worthwh le.
review what services it provides to retired
members
provide more information about the CSP
Retirement Association to members who are
retiring
raise the profile of the retired membership
within the CSP
Welsh board
Council responds
Retired members are valued within the CSP and

existing promotions of retired membership resulted
in growth of 4.5 per cent in this category in 2013.
Working with the CSP retirement association
(CSPRA), CSP staff are producing briefing papers for
members approaching retirement and for the newly
retired. These will offer support and information to
members, while promoting the benefits of retired
membership and raising the profile of CSPRA.
As part of redeveloping our overall member
retention approach we are developing a whole
life approach to engaging members, with a
particular focus on ensuring smoother transitions
at different stages of life and career. As a result of
the deployment of the new member relationship
system during 2014 we should be able to improve
promotion of retired membership to those members
approaching retirement.
RRIG will be reviewing the retired member offer and
marketing during 2015.
14/01/2015 09 24
In addition CSPRA have been working on a project

to provide an oral history of the development and
changes within the profession to take the history
of physiotherapy up to 2010. This will capture the
histories of a range of physiotherapists from different
areas of work, background, experience, and jobs.
RESOLUTION 28
Equality monitoring
Conference calls on the CSP to include a question

on sexual orientation and gender identity as part
of its standard collection of membership data as
well as on equality monitoring forms.
The omission of questions about sexual
orientation and gender identity could be
interpreted by new and current members
that the CSP does not recognise and support
lesbian, gay, bisexual or transgendered (LGBT)
members, when in fact this is not the case as is
demonstrated by the existence of the CSP LGBT
network group.
LGBT network
Council responds
The CSP has recently changed over to a new

customer relationship management system
which will allow us greater flexibility to access and
analyse our member profile data.
There are plans to add new questions to the
member profile data form and hard copy
application form on sexual orientation and
gender identity and it is expected that these
new fields will be available for members to begin
populating by early 2015.
The CSP equality and diversity group was
consulted on the wording of the questions taking
advice from CSP officers who in turn reviewed
best practice advice from organisations including
Stonewall and TUC. We will ensure that, due to
the sensitive nature of the questions, prefer not
to answer will be included as a response option
to allow more accurate analysis and comparisons
of the data submitted by those who have
responded.
The CSP is also developing plans to encourage
members to review their profile data and ensure
that it is kept up to date by explaining why it
is so important for the CSP to have accurate
profile data about its membership and how

that information is used in a variety of ways
including lobbying, campaigning, and responding
to consultations and reviews including those
affecting workforce planning for health services.
RESOLUTION 29
Reviewing professional networks
Conference is concerned that the demise of

the clinical interest group liaison committee
(CIGLC) in December 2011 has been a
retrograde step in communications between
the CSP and the clinical specialist groups.
The new professional network system does
not allow full and frank discussion, reduces
networking opportunities, and adds to the
workload of the individual group chairs,
particularly for the smaller groups.
We request that counc l re-establish dialogue
with the professional networks to review this
structure, as it currently sidelines the clinical arm
of the membership.
Aquatic Therapy Association of Chartered

Physiotherapists (ATACP)
Council responds
The CSP recognises that professional networks

(PNs) are sources of expertise within the profession
and values the contribution that networks and
executive committees make.
The PNs came together in July 2014 at the
professional networks chairs forum, and were
invited to a meeting again in November where
networks discussed how to effectively engage
with NICE, and how the CSP and the PNs can
work together to maximise engagement with
NICE.
PNs were also introduced to the CSP process
of developing evidence based guidance, and
provided with details on how the CSP can support
project teams throughout this process. This
meeting was followed up with an email outlining
some of the key points for those PNs who were
not in attendance.
Networking opportunities are also available at the
Physiotherapy UK annual conference and PNs are
encouraged to make the most of this opportunity
to make informal links with other PNs.
HEALTH SERVICES
RESOLUTION 30
AHPs in accident and emergency departments
This Conference believes that physiotherapists

and occupational therapists have a valuable
role to play in preventing unnecessary
admissions to hospital and facilitating timely
discharges, particularly within the elderly
population. One area of the role requiring
development is the presence of therapy staff in
all accident and emergency departments.
Conference calls on the CSP to develop
guidance for commissioners on the scope of
practice and benefits of a physiotherapy role
within A&E, such as a Physiotherapy Works
publication.
London South stewards
Council responds
The CSP agrees that physiotherapy has an

important role to play in preventing unnecessary
admissions in a variety of settings, including A&E
(and similar urgent care environments).
As part of the wider Physiotherapy Works
programme many areas where physiotherapists can
provide added value will be highlighted, especially
around admissions avoidance. A Physiotherapy
Works briefing on A&E was published in December
2014.
RESOLUTION 31
Compulsory competitive tendering for NHS contracts
Conference is dismayed at the passing of section

75 of the Health and Social Care Act. This limits
commissioners ability to change or innovate
new care pathways without going out to tender.
Conference believes that the cost of tendering
outweighs any benefits.
Conference requests that the CSP urgently takes
action on this matter by initiating working with
other health unions to
commission an independent organisation,
such as the Kings Fund, to undertake a piece of
research on all the implications of Section 75
campaign for the repeal of section 75
13
14/01/2015 09 24
Council responds
We continue to monitor the implications of the

implementation of S75 of the Health and Social
Care Act carefully and to update the CSPs industrial
relations committee at every meeting. In particular,
there are emerging concerns that commissioners
do not feel able to exercise their right not to open
up all services to competition despite government
assurances to the contrary.
As so many other organisations are already
undertaking work and commenting on the
implications of S75, including Pulse (the publication
for GPs), the NHS Support Federation and the Health
Service Journal (HSJ) amongst others, we do not
think it would add to the debate to commission a
further new piece of work in this area at this time.
We have raised the possibility of undertaking some
joint union work on the impact that the introduction
of competition to the NHS is having. The All together
for the NHS campaign group is keen to progress
this idea but is currently focused on the NHS pay
campaign. In the meantime, we will continue to
raise issues such as the shortcomings of the Health
and Social Care Acts competition provisions and
the problems they cause for developing innovative
and integrated services and sharing best practice in
many areas.
EMERGENCY MOTION 3
EU & US Trade Agreement
Conference notes with concern the

negotiations between the EU and US to reach
a new trade agreement (Transatlantic Trade
and Investment Partnership TTIP) started
in July 2013. However, in January 2014 the
European trade commissioner announced
a consultation period on the investor-state
dispute settlement (ISDS) mechanisms. This
consultation was due to genuine concerns
about this part of the EU-US deal, and the
poss bility that it could allow companies to
exploit loopholes and be used by corporations
to attack public services. The ISDS are
contentious as they give foreign corporations
the right to sue the countries in which they
are investing if they believe a government
decision has unfairly impacted on their
investment.
14
The potential impact of this on the NHS is

much greater now due to the introduction of
competition and private companies having
contracts to provide NHS services. Another
consequence is l kely to be the levelling down
of terms and conditions of service in a drive to
be competitive.
Conference calls on the CSP to:
work with the TUC and other health unions
to lobby for the protection of health services in
the UK by calling for healthcare to be explicitly
ruled out of the negotiations
provide adequate information to members
and encourage them to lobby their MPs, MSPs,
AMs, MLAs and, importantly, their MEPs over
this issue.
RESOLUTION 32
Physiotherapists working in integrated health and social care teams
Council responds
Council responds
The TUC is leading the work alongside the European

TUC (ETUC) and counterparts in the UK to try to
ensure that this new trade treaty does not lead to a
loss of control by individual countries to decide how to
provide their own public services, or a levelling down of
employment rights in the name of free trade.
The CSP has lent its name to the TUC-led
campaigning, including attending and speaking at
a packed parliamentary meeting on the subject,
and will respond to any future call by the TUC to
encourage individual members to lobby their own
MPs and MEPs.
Joint union lobbying has resulted in a decision by
the European Commission to open up certain parts
of the draft treaty to public consultation, and the
European chief trade negotiator met representatives
from British trade unions at the invitation of the TUC.
Concerns specifically around the impact of the treaty
on the NHS are clearly growing as a result of the
campaigning and consequent media attention.
It is now looking unlikely that the treaty will be
finalised in advance of the next UK general election,
although a similar trade treaty between the EU and
Canada is proceeding at a faster pace and could
create an unhelpful precedent if agreed. The TUC is
monitoring the situation closely.
The CSP is also supporting Clive Efford MPs private
members bill which seeks to exclude the NHS from
the provisions of the treaty.
Conference welcomes the integration of older

peoples health and social care services and the
improved access to rehab litation for this client
group.
Conference calls for the CSP to
lobby government for specific guidance to
ensure parity for older peoples rehabilitation as
part of integrated health and social care services
across the UK
prepare guidance for physiotherapists in
integrated teams to promote and develop the
physiotherapy role in teams and campaign
effectively for increased staffing
London South stewards
Under the auspices of the Physiotherapy Works

programme the CSP is developing a range of
evidence based cases to use specifically for lobbying
and influencing purposes. These resources are
focused on older peoples services including falls
services and the integrated health and social care
environment.
During 2014 we carried out an intensive lobbying
campaign targeting politicians in all four UK
countries, directors of social services, GPs and
other opinion formers to promote the role of
physiotherapy in integrated care. It is planned to
continue this work into 2015.
Resources have been developed for members and
for the public and are available on the CSP website.
These include service examples to illustrate the role
of physiotherapy in integrated care.
RESOLUTION 33
Community activity targets
Conference notes that within the community

setting CSP members are increasingly required to
meet targets on the minimum number of visits
that must take place within a working day. In
the absence of physiotherapy-specific guidance
these targets are often based on the numbers of
nursing visits which are generally much shorter. As
a result both the quality of physiotherapy services
and posts are at risk as staff are told they are not
14/01/2015 09 24
seeing enough patients in a day. At the same

time, nursing posts are being increased.
Conference therefore calls for the CSP to develop
guidance for community services with respect to
appropriate activity targets that are compatible
with safe and effective rehabilitation services.
East Midlands regional network
Council responds
The CSP recognises that members are under

increasing service pressures, including in relation
to the fulfilment of targets, and is concerned to
provide support to them. The Society believes
that this needs to be done primarily through
helping members to advocate for their delivery of
high-quality, compassionate care to patients, with
a focus on the quality of patient experience and
the quality of outcomes for individuals. Integral
to this is being sensitive to different models of
service delivery, and promoting the value of
community-based services that increase patients
timely access to care in settings closer to and at
home. However, this area of work has not been
progressed. The priority for this to be progressed
will be considered as the CSP develops its plans
for 2015.
Motions remitted to council due to

insufficient time for debate:
EMERGENCY MOTION 2
Politicising of watchdog organisations
Conference is concerned by the apparent

politicising of watchdog organisations by this
government. These organisations should be
solely concerned with the standards over which
they have a respons bility. The apparent politically
motivated removal of the OFSTED chief is
evidence of this, as is the exertions of David Prior,
Chair of the Care Quality Commission (CQC)
that more competition is needed to improve
standards in the NHS. Conference therefore calls
on the CSP to
write to CQC and the Health Minister
expressing the view that poorly evidenced,
ideological and political positioning should have
no place in its business
monitor further developments of this nature

and respond swiftly and appropriately to them
Yorkshire & Humber network
Council responds
While endorsing the premise of this motion, council

concluded that writing to ministers would be unlikely
to prevent apparently political appointments being
made, but could undermine our efforts to secure
the appointment of physiotherapists to public
appointments. We will be monitoring the situation
and encourage appointment on merit where
opportunities to do so emerge.
MOTION 37
Conference applauds the CSPs development

of the regional networks for England and notes
the continued success of the country boards for
Scotland, Northern Ireland and Wales.
There is currently no formal link between the
networks and the country boards so Conference
requests the CSP to consider development of a
UK-wide forum for the regional networks and
country boards to promote communication and
sharing across the UK.
Regional networks and country boards

Welsh board
Council responds
A UK-wide Chairs sharing group will meet for the first

time in January 2015 with member representation
from throughout the UK to
provide a formal link between the English regional
networks and the country boards
promote communication and share ideas,
learning and information across the UK
facilitate planning and incorporation of UK wide
activity into plans and provide peer support to its
members
recognise that each of the boards and networks
is different and needs to be able to respond to their
own local priorities
Initially it is intended that meetings will be convened
by videoconference twice a year. Consideration
will be given to the use of an iCSP UK-wide forum
to support the group. The value of the group will
be reviewed at each meeting to ensure that its
objectives cannot be met elsewhere.
MOTION 43
Researchers access to CSP
membership database
This Conference calls on the CSP to allow access

to the contact details of members, who have
given consent, to researchers for the purposes of
conducting physiotherapy relevant research.
McKenzie Institute for Mechanical

Diagnosis & Therapy Practitioners
(MIMDTP)
Council responds
The CSP is committed to supporting its members in

their research activities and developing the evidence
base for physiotherapy (in relation to both its clinical
and cost-effectiveness). This is reflected strongly in
the CSPs 2012-16 research strategy and the broad
range of activity undertaken to implement this.
Often researchers request access to CSP members
details for research purposes. Most often this is to
ask whether members themselves will participate
in a research study, but it can also be to ask
members to recruit patients to their research.
The feasibility of enabling researchers to access
CSP members details for these purposes, while
clearly adhering to data protection requirements,
will be considered as the CSPs new customer
relation management system is implemented.
This will be informed by the CSPs data protection
policy and its new research ethics and governance
framework.
A review will also be undertaken to understand the
resources implications and the process required to
provide this service. This will in particular consider the
following aspects, to determine
if the research is relevant, what the likely impact
and/or benefits to physiotherapy/ patient care would
be and whether it is in the best interests of our
members/ profession
how to identify and target (if appropriate)
members in line with the research recruitment
requirements to prevent CSP members from being
inundated with requests which may or may not be
relevant to them
whether appropriate and required ethical
approvals and permissions have been granted/
gained for the research project
who the sponsor for the research project is
15
14/01/2015 09 24
what outputs and dissemination/sharing of the

findings would be appropriate for the CSP to expect
from this research and how these might most
appropriately be disseminated
whether a fee for such a service should be
charged and, if so, what this amount would be
MOTION 46
Physiotherapy help-lines for global sharing of training materials
Conference is aware that there are

physiotherapists across the globe trying to
do the best for patients in the most trying of
circumstances. When asked what they require
to help them, often the request is for training
materials and up to date research to help them
support their clients to the best of their abilities.
In this digital age we can connect with people at
the touch of a button and yet the vast knowledge
we have here in the UK is st ll not easy to share.
Conference therefore calls on council to explore
with interested parties the prospect of setting up,
or fac litating the setup of, an information sharing
website that physiotherapists in the developing
world can access and that universities and
departments in the UK can contr bute to with
electronic CPD materials.
Student executive committee
Council responds
Open access to CPD materials could be detrimental

to recruitment and retention if UK non-members
can access CSP materials in this way. The potential
impact on traffic to the CSP website would
also need to be considered as it would impact
on our Global Network product for overseas
physiotherapists. Often what is most helpful in
low income countries is availability of resources
concerning the development of the profession,
such as regulation, standards of practice and scope
of practice.
There is a risk of duplicating information that is
available already. The following global sources of
free or low cost educational resources provide a
wealth of information:
WCPT
The World Confederation for Physical Therapy
(WCPT) website is open access and provides links to
16
resources on policy, practice, education and

global health issues.
www.wcpt.org/resources-and-info
WCPT also host educational activities such as an
international congress and conferences in their
geographical regions. Content from these events
is freely accessible, for example abstracts, posters,
PowerPoint presentations, videos.
It is however worth bearing in mind that there is an
issue in many less resourced countries of a lack of
reliable IT infrastructure.
WCPT has a few partnerships with online CPD
providers; more information at
www.wcpt.org/node/27531
WCPT facilitates a number of Facebook/LinkedIn
groups on various topics on which documents/
resources are shared: www.wcpt.org/node/100053
WCPT also refer many countries to the CSPs
Physiotherapy Works publications which are free for
anyone to download and can be adapted to other
countries.
www.csp.org.uk/professional-union/practice/
your-business/evidence-base/physiotherapyworks
HINARI
The HINARI initiative www.who.int/hinari/en
was developed in the framework of the Health
InterNetwork, introduced by the United Nations
secretary general Kofi Annan at the UN millennium
summit in 2000.
The HINARI programme, set up by the World
Health Organization together with major
publishers, enables low- and middle-income
countries to gain access to one of the worlds
largest collections of biomedical and health
literature. Up to 13,000 journals (in 30 different
languages), 28,800 e-books and 70 other
information resources are now available to health
institutions in more than 100 countries, areas and
territories, benefiting many thousands of health
workers and researchers, and in turn contributing to
improve world health.
Eligible categories of institution are national
universities, professional schools (medicine, nursing,
pharmacy, public health, dentistry), research
institutes, teaching hospitals and healthcare
centres, government offices, national medical
libraries and local non-governmental organisations.
All staff members and students are entitled to

access the information resources.
If the institution is in a Group A (free access)
country, area or territory, HINARI is free
If it is in a Group B (low-cost access) country, area
or territory, HINARI costs US$1000 per institution per
calendar year (from January through December).
All eligible institutions registering from Group B
countries, areas or territories receive a six-month trial
without payment
If the institution is in a Group B (low-cost access)
country, area or territory, and cannot or chooses not
to pay the annual fee, the institution is still eligible
for free access to a small number of information
resources.
HIFA
The CSP supports the Health Information For All
by 2015 (HIFA2015) initiative. More information is
available on the CSP website at www.csp.org.uk/
about-csp/who-we-work/main-affiliations
ECPTS
The European Confederation for Physical Therapy
Students (ECPTS) website has links to free podcasts
http://ecpts.weebly.com/useful-links.html
14/01/2015 09 24
CSP Charitable Trust Funding

for Qualified, Student and
Associate Members Spring 2015
Academically Accredited Courses Award
This award contributes towards course fees with up to 300 available for
a 20 credit course, 1200 for a 180 credit course (MSc) and 1500 for a PhD.
Courses supported in previous years include:
Advanced Theory CYQ Level 3 Anatomy & Physiology for Exercise and Health
Independent and Supplementary Prescribing for Nurses, Midwives and AHP
PG Certificate in Ergonomics
MSc Global Health and Development
MSc Advancing Practice
MPhil/PhD in Asthma, Allergy and Lung Biology.
Education & Development Placements Award
This award scheme covers:

1) International study visits/research projects to overseas centres of excellence
awards of up to 3,500 available
2) International education and development projects awards of up to 3,500 available
3) Student Elective Placements (UK and overseas) awards of up to 700 available.
Successful applications to this award have included:
Research visits to Brisbane and Perth to explore international collaborations examining
ways to improve recovery after critical illness
Development projects in: Zambia, Tanzania, Thailand and Gambia
Student elective placements to: Surrey, Nepal, Cambodia and Romania.
All applications are submitted via the CSP ePortfolio and are assessed by the CSP
Educational Awards Panel. The next deadline is 23 March 2015. For more information
including details of how to apply please visit: www.csp.org.uk/charitabletrust

001195 indd 1
16/12/2014 10 39
FINAL CALL for abstrac
Physiothe
Physiotherapy UK 2015 will showcase the latest research findings

and best practice, educational and professional developments in physiotherapy.
The programme brings together the work of a number of CSP professional networks,
offering physiotherapy staff from a wide range of backgrounds the opportunity to
hear top speakers, access new evidence to support their practice and to learn, debate
and share knowledge and experiences in the pursuit of excellent patient care.
The CSP Scientific Committee is now inviting abstract submissions for platform
and poster presentations which relate to this years four programme themes:
001149
Leading change
Public health, prevention and wellbeing
Research into practice
Workforce development
001149 indd 1
13/01/2015 15 55
acts
erapy
Transforming lives, transforming practice

Abstracts should be submitted online at www.physiotherapyuk.org.uk
For more information and detailed guidance on the submission
of abstracts go to www.physiotherapyuk.org.uk
Deadline for entries: 5th February 2015, 12 noon.
BT Convention Centre, Liverpool
16-17 October 2015
001149 indd 2
13/01/2015 15 55
You can make a differen

Physiotherapy Works locally is a series of free events where
members can meet the CSP staff in their area. Book your place today
and find out how physiotherapy can be a solution to todays health and
care problems and how you can make a difference for your patients.
We welcomed more than 700 members to Physiotherapy Works locally
events in 2014, for a great networking experience, a huge amount of
learning and the chance to make pledges to help shape the future.
Support physiotherapy in dementia care

Ensure Physiotherapy Works informs every undergraduate module at Coventry University
Speak to my MP to see what he thinks about the wave of rehabilitation that the country needs
Encourage and support other techs and assistants to get involved with Physiotherapy Works
Spread the word to over 6,000 students!
Speak up for physiotherapy each and every day
Share informed physiotherapy info with GPs!!
Find a regional network leader (East Midlands)
Angela retired CSP member

Ann educator
Catherine MSK physiotherapist
Diana support worker
Jamie CSP staff
Karen clinical director
Lyn retired CSP member
Paula clinical manager
See more pledges online at:

www.csp.org.uk/
pledgephysioworks
s
e
t
a
d
w
Ne 015
for 2
2015 dates now available:
26
th
14
20th
31st
1st
16th
22nd
th
001205 indd 2
February
March
March
March
April
April
April
By attending, youll be able to:

Basingstoke
Newmarket
Manchester
Aberdeen
Glasgow
York
Powys
Meet CSP leads and local activists

Get up-to-date with the changing world of healthcare
Explore the difference that you can make to your
patients through new approaches
Make every contact count: know your service,
your population and the evidence
Feel equipped to promote your profession and
influence those that count.
16/01/2015 15 25
ence.
ist
The future is in our hands

Now is a critical time for physiotherapy
Qualified, student, and associate members ACT NOW - join one of our Physiotherapy
Works Locally events and take the first step towards building your future.
Book your free place and find out more at

www.csp.org.uk/physioworkslocally
or email physioworks@csp.org.uk
001205 indd 3
15/01/2015 10 16
WINE
NOONL
Ive just advertised my training

course with the CSP - Sorted!
- advertise to selected groups on iCSP?*

- want to advertise in Frontline too?
- want lineage or display?
- want to add a logo?
Its your choice. Do it all online now:
www.csp.org.uk/courseadverts
*interactiveCSP is the online discussion forum for CSP members.

Find our more at www.csp.org.uk/icsp or call 0845600 1394 for more information.
001170_Course Providers L_Advert_V4 indd 1
26/11/2014 14 41
Frontline
41
DIRECTORY
Noticeboard 42
ADVERTISING RATES FOR
COURSES AND CONFERENCES
Linage (per word) 1.00
(text using Frontline house style)
Make your lineage advert stand out:
add a shaded background or a box to increase
presence on page for an additional 15 or both
for an additional 25. A proof can be supplied
of your advert for an additional 10
Display 39.50 per single column cm. Complete
supplied artwork or we can typeset your advert for a

10% typesetting charge (minimum charge 50)
Colour options
Spot colour: included in SCC rate
Full colour: 350 extra
Deadlines 12 noon
A 25 per cent cancellation fee will be incurred
if an advert is cancelled later than 4 weeks
preceding the date of issue of Frontline.
Courses and Conferences 56
PUBLICATION DATES
Issue
date
Booking
deadline
Feb 4
Feb 18
Jan 19
Feb 2
Mar 4
Mar 18
Feb 16
Mar 2
Apr 15
Mar 30
NOTICEBOARD:
This section covers CSPs work at

region and country level and also offers
you the opportunity to advertise your
CSP recognised Professional Network
event free of charge. Reunions, info
exchange and obituaries are also
permitted within this section. Send
the information you wish to include to:
directory@csp.org.uk
PLEASE NOTE: Professional Network
notices are limited to 180 words
Please note The courses and conferences advertised in this section have not gone
through the CSPs formal recognition processes unless explicitly stated. Frontline
accepts advertisements in good faith and is not responsible for the content of
advertised events (except those delivered by the CSP itself). In the event of queries
or comments relating to a specific course or conference, please contact the relevant
organiser directly. Please see additional Guidance for Members in this section on
broader issues relating to CPD, competence and scope of practice.
To advertise your course call 0845 600 1394 or email: cspads@media-shed.co.uk
You and Frontline go together so well -
its another classic combo!

www.csp.org.uk
dir21jan indd 41
15/01/2015 13 49
Noticeboard
42 News from the CSP English Regional Networks,
branches and Country Boards
You can access more information at www.csp.org.uk/nations-regions
East of England
Twitter: @Physioeast
Contact: Carl Hancock: eastofenglandchair@csp.
org.uk
London
Twitter: @CSPLondon
Contact: Carole McCarthy: londonchair@csp.
org.uk
Forthcoming event
Physiotherapy Works locally - east of
England event
Date: Saturday 14 March, 9am 4pm
Place: Cambridge/Newmarket - details of venue
TBC
Regional Forum meetings: 2015

Monday 23 March, 4pm - 7pm
Monday 15 June, 4pm - 7pm at CSP London
offices, council room
Monday 21 September, 4pm - 7pm at CSP,
London offices, council room
Monday 7 December, 4pm - 7pm
Further dates:
Regional Conference and AGM
Date: Saturday 13 June, 11am 3pm
Regional Forums
Dates: Saturday 19 September,
Monday 7 December
English networks news

The 10 English regional networks organise
regional forums four times a year. All members
are welcome and encouraged to attend;
qualified, associate, students and retired
members. As well as access to study days
and conferences, getting involved with your
regional network is a good way to link up with
others, learn about opportunities and challenges
locally and be part of the wider physiotherapy
profession. Access your regional network web
pages at: www.csp.org.uk/nations-regions
They pull together a cross section of members
together to inform CSP policy, vision and strategy
as part of the governance. They influence their
localities and undertake developments/projects
within the regions. The ERNs report quarterly
to council and have the opportunity to highlight
activities in the region and any barriers to
progressing in this communication.
Where forum events do not have a venue these
are to be confirmed and will be advertised in
Frontline and on the website.
East Midlands
Twitter: @CSPEastMidlands
Regional forum meeting
Date: Tuesday 27 January, 5.30pm 7.30pm
Place: The Nuthall Pub and Kitchen, Nottingham
Road, Cinderhill, Nottingham NG8 6AX
This meeting is planned to identify a new core
team. The region are keen for members living or
working in the East Midlands Region to attend
and join their dynamic team for discussions with
a particular focus on; Committee roles discussion
and vote, Annual Reps Conference (APC), Key
messages from CSP, ideas from members for
future events, training opportunities etc.
The meeting will be followed by a meal and an
opportunity to discuss the East Midlands region,
members are welcome to just turn up for the
meeting, however, if you are able to stay for the
meal please email the chair to reserve your place.
Future regional forum meetings:
Dates: 2 March
26 May
2 September
23 November
Contact: Chair: eastmidlandschair@csp.org.uk
North West
Twitter: @northwestcsp
Contact: Jo Lishman: northwestchair@csp.org.uk
Physiotherapy Works locally - north west
event
Date: Friday 20 March 2015
Place: Manchester Metropolitan University venue to be confirmed
South Central
Contact: Amanda Pike: southcentralchair@csp.
org.uk
Report from regional forum meeting
3 December 2014
South central held a dynamic meeting to review
the region and ways of working. Discussions
focussed on; What does the network need to
stop doing? What does the network need to
start doing? and What does the network need
to continue to do?
It is time south central needs to choose its voice
and use its voice!
Further reports on this meeting will follow.
Future dates for your diary:
16 23 March quarterly regional forums
24 March Development day 10pm-4pm
followed by English network forum 4pm6pm
25 March CSP council meeting.
21 January 2015
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43
Noticeboard
CSP board news

Scotland
Scottish board met in Dunfermline on 2

December and welcomed Sue Rees (chair of
council), Ruth Jones (chair of Welsh board)
and Teresa Ross (chair of Northern Ireland
board) to our meeting. Here are some of the
key agenda items. If you have any queries
about any of these please get in touch with
your local board rep (listed on the Scottish
board pages of the CSP website)
NHS 24 and MSK redesign update
The board were pleased to have two key
members of this important workstream
join and update us at our meeting.
Fraser Ferguson (AHP co-ordinator for
NHS 24) presented the work that NHS
24 have recently undertaken involving
physiotherapists undertaking telephone
advice and triage in unscheduled care
provision. This pilot work has targeted
weekends, when the service is under
greatest pressure, and specifically
patients with low back pain. Initial results
are encouraging both in terms of hard
data and patient feedback. The three
physiotherapists have been dealing with
300 calls per month and have increased
the number of patients that are able to
be managed with self care from 14 per
cent (when dealt with by nurse led triage)
to 76 per cent. Currently, these are not
permanent posts, but the team are keen

to seek more physiotherapy hours and
permanent funds. There was discussion
around possible joint working across health
boards for such recruitment, and innovative
ways to workforce plan were considered.
Scottish board welcomed this pilot work
and was delighted to hear that a model that
they had championed for a number of years
was having effective impact. There are
plans to consider how such a model could
be used with chronic obstructive airways
disease in future and also the inception of a
physiotherapy support line for other NHS 24
clinicians.
Senga Cree (national programme lead for
MSK in Scotland) presented an update
on the AHP MSK redesign work. The
Musculoskeletal Assessment and Triage
Service (MATS,) that board were originally
briefed on in September 2011, now sits
within this framework which forms part of
the quality drive for MSK and orthopaedics.
board remain keen to see results and
hard data from the MATS work and we
understand this is currently being processed
with support from health economists and
will be published in spring 2015. Initial
feedback seems to suggest that the nonclinical call handlers used in this service
refer around 13 per cent of patients to self
management.
We did not receive an update on cost
effectiveness of the model at this stage.
MSK services in Scotland remain tasked with
a waiting time target of four weeks to be
achieved by March 2016. The MATS service
is now being offered as a possible solution
to health boards in trying to achieve this
goal - though this will have to be funded in
each board. Currently there is a great deal of
variance geographically in how close each
is to achieving this target. Scottish board
continues to follow this work closely and is
aware that the landscape is rapidly changing
and that governance structures have
changed. Sue Hayward-Giles, CSP assistant
director of practice and development,

formerly sat on the programme board for
this workstream, but Scottish board was
assured by Senga that they would have
seats on both the new governing boards.
There is a wealth of different projects
going on within this umbrella group, with a
large number of valuable resources available
to both patients and clinicians. Scottish
board remains firm in their belief that robust
data and strong leadership are key.
Learning champion project
Board are very pleased to be involved
in the work of this project and to have
representation on the CSP learning
champion steering group. Roisin Houghton
(new graduate rep to board) is hugely
enthusiastic about the potential for this
work to optimise quality of patient care
through CPD and keen to help develop
learning champions in the workplace
in Scotland. We hope Gwyn Owen CSP,
professional advisor will be able to join our
March meeting and share more with us
regarding is important work.
Student physiotherapy conference
Scotland 2014 (SPCS 2014)
The inaugural student physiotherapy
conference took place at Queen Margaret
University on 25 October. More than 200
physiotherapy students, educators and
academics attended the day, which aimed
to highlight how physiotherapists can
determine their own career pathways and
influence the future of the profession.
Workshops took place on cognitive
behavioural therapy, elite sporting
performance and starting a physiotherapyrelated business. The conference was
organised by four final year students
from Queen Margaret University - Katie
McGregor, Jason Chang, Andrea Christoforou
and Florence Cook. Plans are already
underway to hold an event at Robert Gordon
University, Aberdeen in 2015.
www.csp.org.uk
dir21jan indd 43
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Noticeboard
44 News from the CSP English Regional Networks,
branches and Country Boards
Scottish board induction session

December 2014
In the last year there has been a significant
turnover in board membership with almost
half the representatives changing.
A successful induction session for all
Board members was held following on
from our scheduled meeting in December
with key aims of supporting new members
and reviewing the purpose, strengths and
challenges for board in the year ahead.
Board have recognised that there is great
value in investing time in our membership
to maximise our effectiveness and
engagement.
Scottish board conference December
2014
The Scottish board conference entitled
Advancing practice, enhancing healthcare
took place on 3 December in Dunfermline.
The event was attended by almost 100
delegates from across Scotland. The day
opened with Sue Rees setting the scene
and outlining the vision for physiotherapy.
Sue Browning and Sue Hayward-Giles then
made the case for physiotherapy being
the answer with a mix of presentation
and interactive workshops. Ceri Sedgley
motivated delegates to think about

advancing practice and role development
for clinical practitioners. We had high quality
podium presentations from a wide variety
of clinical settings across the country all
of which had key take home message
for delegates regardless of your area of
practice. Over 30 poster presentations were
on display for delegates and the wealth of
great work going on is truly inspiring. Initial
informal feedback has been very positive
and once we have the formal evaluation this
will be shared with council. What was clearly
evident was that the delegates hugely
valued the opportunity to meet and interact
with both chair of council and key CSP
staff and to share ideas and network with
colleagues from across Scotland.
Learning outcomes of the event included:
Understanding the role of innovation in
driving quality and patient-centred care
Enhanced knowledge of service
improvement initiatives in Scotland
Enhanced skills to demonstrate the
impact of cost-effective physiotherapy
practice
Understanding national minimum
competency framework
Provision of tools to support members to
demonstrate standardised good practice

in their workplace
Relate practice to the Physiotherapy
Works programme.
Presentations from the event will be
published on the CSP Scotland webpage.
http://www.csp.org.uk/nationsregions/442/news
Northern Ireland
Northern Ireland board has had a very busy

last few months building up to its key event
of Physiotherapy Works on 27 November.
We are very proud to have had over 100
members attend the event that is 10 per
its good
to belong
See more on your

membership benefits at
www.csp.org.uk/benefits
21 January 2015
dir21jan indd 44
15/01/2015 15 05
45
Noticeboard
cent of our total membership. We also had

representation from all areas of membership,
students, associates, education, clinicians
from band 5 onwards, managers, CSP
board, private sector. This cross section of
membership was key to the success of the
day, the energy in the room was palpable.
There was strong leadership from chair of NI
board Teresa Ross, chair of council Sue Rees
and a very inspiring leadership story from
Jane Rankin, lead for oncology in NI.
We are working with the learning champion
CSP lead Gwyn Owen to grow and develop
learning champions across the region
and services. The areas highlighted
for development is in relation to user
involvement and ensuring members are fully
aware of the range of resources available to
them from the CSP on the website, through
twitter etc etc.
NI board are performing well in relation
to communication with and to members
through the use of email, iSCP, small sub
group meetings, policy officer reports etc.
There is always room for improvement and
Physiotherapy Works has encouraged more
lateral thinking and actions. The plan is to
set up NI board Twitter address and provide
master classes in its use.
The NI chair of board Teresa Ross has
attended the CSP and Scottish board
conferences and has been inspired by the
common ground of all three countries and
the need to share to grow each other and
not reinvent the wheel in each country. We
plan to hold a conference in 2016 to share
good practice within the region, showcase
innovation, evidence base, resilience etc
The plan is to build on momentum gained
within members to share their stories and
impacts. We recognise that these do not
have to be perfect, good enough is enough!
The region plans to develop elevator pitches
and selling of the professions offer to the
population, commissioners, trusts which

can be achieved through the introduction of
self-referral and the promotion of our role
in physical activity and how far reaching
this can be for prevention of ill health, the
management of long term conditions and
the recovery from illness and return to
independence.
For the first time in three years the board
has produced three ARC motions which
are being considered by ARC committee.
The board is proactively working on the
delegation for ARC in March 2016.
At Physiotherapy Works the CSP Falls
Prevention Economic Model was launched
with NI figures. The plan is for NI board to
host an event in January 2016 to share the
potential of this with leaders in the region.
The annual report is now due and NI board
are reviewing their achievements for
2014 and planning their objectives for
2015/2016.
The council approved constitution was
adopted in December 2014.
Physiotherapy Works event feedback
The event on 27 November was a huge
success with 100 out of 1200 members
present. NI produced a slide show to share
good practice of local service developments,
delivery, innovation. Members produced in
excess of 25 posters and the action now is
to develop these and produce abstracts for
Physiotherapy UK in Liverpool. We plan to
encourage members to use this innovative
practice to apply for Advancing Healthcare
awards by 26 January.
Members from all boards were enthused
and energised. We need to build on the
momentum gained. Everyone engaged in
the day, some out of comfort zone, thinking
beyond their normal boundaries, looking up
and out to identify more opportunities and
partners.
The AHP strategy work session was a big
success, as it stretched members to think,

discuss with other people they had not
met before, to share experiences, different
service models and to develop and expand
ideas.
Feedback from members post event
included statements such as:
Need to define our role more clearly
identify the so what factor, the unique
selling point, the impact for the audience
Develop the advocacy role especially
in children and learning disability and
rehabilitation service areas
Progress our role in public health areas,
prevention is a gift for physiotherapy
Elevator pitch development for key areas
to ensure the benefits, role and impact
of physiotherapy is optimised and shared
to achieve greatest outcome/success.
Regional physiotherapy messages:
Standardisation, sharing, learning, growing
together
Plan a mini Physiotherapy Works for
students and associates
Associates in the region feeling a bit
disenfranchised and losing identity/
role with the development of generic
rehabilitation roles
Need to sell ourselves to others, local
councils, third sector, MLAs, communities,
and to start sharing with these partners
and not just to the family/ourselves!
You can access more

information at
www.csp.org.uk/
nations-regions
www.csp.org.uk
dir21jan indd 45
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Noticeboard
46
professional networks notices
Association of Chartered
Physiotherapists in Neurology (ACPIN)
- South West Region
Multiple Sclerosis study day
We are proud to present this one day course
in conjunction with the MS Trust. Top
speakers from medicine, psychology, nursing
and physiotherapy disciplines will share
good practice and the latest research.
Speakers: Dr. T. Harrower, Jon Marsden,
Prof. D. Langdon, Lou Jarrett, Jenny Freeman,
Hilary Gunn, Esther Fox
Date: Tuesday 24 February 9am to 4.30pm
Place: The Watermark Centre, Leonards
Road, Ivybridge, Devon PL21 0SZ
Cost: 60 members 78 non members
Contact: Andy MacKellar for a booking form
on 07957 884143 (by text), email: physio@
uwclub.net or enquiries on: 01803 220998.
Physiotherapists in Neurology (ACPIN)
- Surrey and Borders
Evening Lecture ACPIN AGM and
contemporary physiotherapy practice for
people with ataxia: the perspectives of
clients and physiotherapists
Speaker: Elizabeth Cassidy, Brunel University
Physiotherapy BSc Programme Lead
Date: Tuesday 17 February at 7pm-8:30pm
Place: Physiotherapy Department, Royal
Surrey County Hospital, Guildford
Cost: Free for members, 4 non members
No booking required. Also on iCSP
Contact: Erica Morrison for further
information erica.morrison@nhs.net
Acupuncture Association of Chartered
Physiotherapists (AACP)
AACP Basic acupuncture foundation course
This course is designed to offer participants
with a level of knowledge, skill and
understanding that will allow them to practise
acupuncture in a safe and appropriate manner,
in a clinical setting.
Cost: 495 One years full membership of the
AACP with many benefits
To book: Contact Sarah Brand on tel: 01733
390007 or email: sec@aacp.uk.com
Dates: 24/25 January, 31 January/1 February
and 14/15 March
Place: Buckden
Dates: 21/22 February, 28 February/1 March

and 11/12 April
Place: Glyndwr
AACP grants
AACP have a number of grants available for
AACP members. For more information please
contact Mindy Cairns (AACP Research Advisor)
at: research@aacp.uk.com or see the AACP
website: www.aacp.org.uk
AACP CPD courses:
Contact: Sarah Brand on tel: 01733 390007
or email: sec@aacp.uk.com
Acupuncture update
Date: 7 February
Place: Peterborough
Tutor: George Chia.
Physiotherapists in Occupational
Health and Ergonomics (ACPOHE)
ACPOHE is the CSP professional network
for physiotherapists working in occupational
health and ergonomics. Registered members
of ACPOHE are physiotherapists who have
demonstrated specialist competency in the
fields of occupational health or ergonomics.
To find out more and join ACPOHE go to: www.
acpohe.org.uk Annual membership is 50 for
UK and Ireland and 65 for overseas.
Current available courses 2015
Office workstation ergonomics (DSE) Level 1
Date: 7-8 March
Place: Guildford
Cost: 280 members, 340 non-members.
Lunch not included
Manual handling - train the trainer and
risk assessment
Date: 20-21 March
Place: Wolverhampton
Lunch included
An introduction to occupational health
(This course is accredited by the CSP)
Date: 25-26-27 March
Place: Salisbury
Lunch included
Office workstation ergonomics (DSE) Level 1
Date: 13-14 June
Place: Guildford
Lunch not included
An introduction to occupational health
(This course is accredited by the CSP)
Date: 23-24-25 September
Place: Birmingham
Lunch included
Contact: For course information and to book
online: http://www.acpohe.org.uk/events
Chartered Physiotherapists Working
With Older People (AGILE)
Regional Study Days for 2015
Soft-touch trigger point treatment with
the older person
Speaker: Ed Wilson BA (Hons) MCSP, HCPC
Registered, MCTA, CMP
Content: These one-day interactive study
days provided through both lectures and
practical sessions are designed to:
Enhance a physiotherapists understanding
of pain management, with the use of
trigger points to relieve pain in the older
person.
Enable the physiotherapist to develop clinical
reasoning through interactive discussions
using case examples and a problem solving
approach with multi-pathology and in frail
older people.
Provides an excellent alternative technique
for needle-phobic patients presenting with
trigger points, plus no aggressive
techniques are used.
Dates for remaining regions:
14 March - AGILE (N. Ireland), Belfast.
Organiser/contact Gail McMillan at: gail.
mcmillan@belfasttrust.hscni.net
11 April AGILE (West), St Martins Hospital,
Bath. Organiser/contact Ruth Sampson at:
ruth.sampson@sirona-cic.org.uk
13 June AGILE (Scotland), Ninewells in
Dundee. Organiser/contact Fiona MacLeod at:
fiona.a.macLeod@nhslothian.scot.nhs.uk
Cost: 60 AGILE members. Places are limited
so applications will initially only be considered
for current AGILE members.
Functional fitness MOT for the older
person
Speaker: Bob Laventure, consultant on
physical activity and older people at the BHF
National Centre for Physical Activity and
Health, director of Later Life Training Ltd.
Dates for hosting regions:
28 February - AGILE (East), Nottingham.
Organiser/contact Katie Robinson at: katie.
robinson@nottingham.ac.uk
21 March AGILE (North), Sunderland.
Organiser/contact Jennie Bailey at: jennie.
bailey@sunderland.gov.uk
21 January 2015
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Electrophysical Agents and Diagnostic

Ultrasound (EPADU)
A study day looking at electrotherapy
and ultrasound Imaging in womens
health
Place: The Council Room, Chartered Society
of Physiotherapy, 14 Bedford Row, London
WCIR 4ED
Date: Wednesday 11 March Registration
9.30am 10am (close 4pm)
Cost: 40 for members of EPADU
professional network, 45 for CSP members,
50 for non-CSP members, 30 for
students, to include refreshments.
Confirmed lecturers include: Tim
Watson, Jane Dixon, Julia Herbert, Elizabeth
Carruthers and Kay Crotty, including
sessions on TENS in pregnancy and pelvic
floor activation.
Contact: To express your interest in
attending this day, and for further
information please contact: Sue Finley on
email: susan.finley45@yahoo.co.uk
Physio First
Lyn Watson two-day level 1 shoulder
physiotherapy course
Key note speaker: Lyn Watson
Date: Wednesday and Thursday, 25-26
March
Place: Grange Fitzrovia, 20-28 Bolsover
Street, London W1W 5NB
Tutor: Lyn Watson, shoulder physiotherapist,
BAppSc.Physio (Hons), Grad.Dip Manip Physio,
titled sports and manip physiotherapist, Prof.
Doc. (Physio) candidate
Cost: Early bird prices are as follows, only
available until 6 January:
Online: member: 280, non member: 320.
Standard: member: 290, non member: 330
If you are an intermediate private
practitioner looking for the clinical edge in
treating shoulder dysfunction, then this is

the must-do course for you for 2015. The
Lyn Watson level 1 shoulder physiotherapy
course offers a unique opportunity for
physiotherapists to gain extensive clinical
insight into the assessment, diagnosis,
treatment and management of the
shoulder girdle and progression of shoulder
rehabilitation.
This course provides the foundation for
the level 2 and 3 courses and is a required
prerequisite for these courses.
Contact: Education on 01604 684968
or email education@physiofirst.org.uk;
alternatively visit www.physiofirst.org.uk for
courses being held in 2015.
Physiotherapists in Sports and
Exercise Medicine (ACPSEM)
South region evening lecture series:
Current taping techniques for sport
course
Dates: 7-8 February
Place: University of Bristol
Tutor: Chris McNicholl
Cost: ACPSEM member 175, non-member
225, final year student 125
Peer learning / CPD pathway
Date: 10 December
Current soft tissue techniques for sport
Dates: Part 1 -15-16 November 2014
Part 2 - 7-8 February 2015
Place: Mile End Hospital, London E1 4DG
Tutors: Colin Paterson, Sian Knott, Sandy
Tubby
Cost: Members 200, non-members 260
Clinical reasoning in exercise and
performance rehabilitation
Place: EIS Manchester
Tutors: Lynn Booth, Phil Glasgow, Nicki Phillips,
Caryl Becker, Tim Sharp
Dates: Part 1 - 28 February and 1 March
Part 2 - 18-19 April
Cost: 200-260
Biennial conference 2015 - The young
athlete
Place: Brighton
Date: 9-10 October
Cost: Fees and topics tbc soon
Contact: Full details and bookings via:
physiosinsport.org
All courses may be paid for by installments by
contacting: admin@physiosinsport.org
British Association of Hand Therapy

(BAHT)
Level I: Introduction to hand therapy
Date: 4-6 March
Place: Derby
http://www.pulvertafthandcentre.org.uk/
Level III: BAHT Evidence based practice
course
Date: 22 April
Place: Nottinghamshire
Speaker: Jeremy Lewis
Contact: bahthandtherapy@gmail.com
Level II: The PIPJ
Date: 13-15 May
Place: Tooting, London
Contact: Helen Griffin, email: helenl.griffin@
stgeorges.nhs.uk
Taught by NES www.neshands.co.uk
Date: 6-8 July
Place: Nottingham
Contact: Liz Weedon, tel: 07733 238947,
email: elizabeth.weedon@circlepartnership.
co.uk
Level II: WRULD
Date: 30 September to 2 October
Place: Ashford, Kent
Contact: Michael Keane, email:
michaelkeane1@nhs.net
Taught by NES www.neshands.co.uk
Date: 25-27 November
Place: North London
Contact: www.neshands.co.uk
Noticeboard
7 November AGILE (West), Bristol. Organiser/

contact Kate Bennett at: kategahr@hotmail.
co.uk
21 November AGILE (Scotland), Dumfries.
Organise contact Katie Begg at: katie.begg@
nhs.net
For more details about individual course:
Please contact the organiser of the region
nearest you for an application form and
further information, or visit the AGILE website
on the events page for venue details: http://
agile.csp.org.uk/network-events
Physiotherapists in Reflex Therapy
(ACPIRT)
ACPIRT Reflex therapy 3rd foundation
course
Four weekends over six months. An exciting
opportunity for physiotherapists and
healthcare professionals to be inspired!
A course that will change how you treat your
patients. Learn to treat the body through
reflex points on the feet with a modality of
treatment akin to reflexology. Reflex therapy
can be used for a wide variety of patients and
integrated within your own healthcare setting.
A comprehensive training led by experienced
tutors providing the skills for safe and effective
practice, endorsed with the CSP quality mark.
Dates: 2015 26/27 September 2015, 31
October/1 November, 28/29 November.
March 2016 tbc
www.csp.org.uk
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Place: Hope Bowdler Village Hall, Hope

Bowdler, nr Church Stretton, Shrewsbury,
Shropshire
Cost: 1,200
Contact: For further information please email:
info.acpirtfoundationcourse@gmail.com
ACPIRT Annual Conference
Tissue Mobilisation with Sympathetic
Responses. In collaboration with CPMaSTT
(massage and soft tissue PN) joint conference
Date: Saturday 31 January
Place: Eynsham Hall Oxfordshire.
Speakers: Mick Thacker, Steven Tolan;
practical session: Loran Rowland, Gunnel Berry
Cost: 80 (B&B prices available on request for
weekend) non-members welcome, 10 extra.
Contact: Ingela Jacobs on tel: 01285 860819
or email: ingela@southcerney.com
Physiotherapists in Orthopaedic
Medicine and Injection Therapy
(ACPOMIT)
ACPOMIT is keen to support its members
CPD and to ensure current evidence and
best practice initiatives are disseminated
throughout the profession.
Research
We are therefore pleased to announce

that ACPOMIT members can apply for up
to 500 funding to help towards research,
conference attendance or to visit another
department with innovative practice.
Why not become a member today and
make use of this great incentive?
Contact: For more details see: www.acpomit.
co.uk or contact: info@acpomit.co.uk
Physiotherapists in Therapeutic
Riding (ACPTR)
ACPTR hippotherapy course for chartered
physiotherapists wishing to use the horse
within physiotherapy treatment.
ACPTR are delighted to announce that
this course has been accredited with Robert
Gordon University Aberdeen at SCQF level
11 (equivalent of Masters Level) with 15
SCQF (7.5 ECTS) transferable points for each
module.
Course dates and Structure 2015
Two sequential modules both four days long:
Equine Module
Assessment and selection of equines for
hippotherapy
Date: 30 January to 2 February

Hippotherapy Module
Delivery of best practice in hippotherapy
Date: 30 October to 2 November
Place: (For both modules) Clwyd Special
Riding Centre, Llanfynydd, Wrexham, Clwyd
LL11 5HN
Course costs: 1200 including nonrefundable registration fee of 50. (An extra
fee of around 110 is required should you
wish to gain MSc level credits through RGU)
Closing date for applications: 5 December
2014
Prerequisites:
- Chartered Society of Physiotherapy
membership
- Health and Care Professions Council
registration
- ACPTR membership
- One year postgraduate clinical experience
- Submission of the ACPTR Equine Skills
Record
- Required to register for the complete
course.
Horse riding experience: ACPTR recommend
applicants have basic horse riding skills in
addition to general equine experience.
For new researchers - How to do research,

get funding, get ethics approval
Access help from experts - Networking
and support
Research policy and priorities
Careers and training
Making the best use of research -
Dissemination and impact.
Kick start your research!

Check out the new web pages
www.csp.org.uk/research
21 January 2015
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Chartered Physiotherapists with an

Extended Scope of Practice (ESP)
ESPPN Spring spinal study day Managing complex spinal conditions in
ESP MSK practice
Date: Wednesday 18 March
Place: University of Salford, Media City Salford,
M50 2EQ
Keynote speakers to include: Dr Amit
Herwadkar, consultant neuroradiologist;
Anthony Freemont, professor of osteoarticular
pathology; Dr Neil Snowden, consultant
rheumatologist; Andrea Julius, ESP.
Cost: Members : 95 * Early bird offer only 80
until end January 15 * Non members: 120
Book early to avoid disappointment, go to:
www.esp-physio.co.uk/courses and complete
the online booking form
Contact: If you are interested in joining our
group go to: www.esp-physio.co.uk/ joinonline-now
Only 25. Any questions please contact:
admin@esp-physio.co.uk
Pelvic, Obstetric, Gynaecological
Physiotherapy (formerly the
Physiotherapists in Womens
Health)
Physiotherapy assessment and
management of pregnancy-related
musculoskeletal conditions
Date: 6-8 February
Place: London
Cost: 275 POGP member/affiliate; 345
non-member
management of female urinary
dysfunction
Date: 27 February 1 March
Place: London
non-member
management of ano-rectal dysfunction
Date: 6-8 March

Place: London
non-member
An update on the effects of prostate
cancer treatments on bladder, bowel and
erectile function (in collaboration with
Prostate Cancer UK)
Date: 13 March
Place: London
Cost: 40 POGP member/affiliate; 80 nonmember
Understanding pelvic organ prolapse
assessment and conservative
management
Date: 21 March
Place: Portsmouth
non-member
Pregnancy, birth and beyond a practical
physiotherapy approach
Date: 25-26 April
Place: Chippenham, Wiltshire
non-member
Contact: To request a copy of the information
pack for any of the above courses please email:
info@acpwhworkshops.co.uk
For further details of the POGP short course
programme please visit the POGP website at:
http://pogp.csp.org.uk/courses-events
Medico-legal Association of Chartered
Physiotherapists (MLACP)
Advanced Workshop for physiotherapy
experts
This workshop is for physiotherapists who
have experience in report writing who are
interested to learn more and to take their skills
to the next level.
You will have the opportunity to:
receive constructive feedback on your
report
practise your court room skills with a
barrister
learn how to build a working relationship
with your instructing solicitor
learn how to negotiate meetings of
experts; and
learn how to approach meetings with
counsel.
Date: 28 April, 9.30am 4.30pm
Place: The Bingham Room, The Honourable
Society of Grays Inn, 8 South Square, Grays Inn,
London WC1R 5ET
Course leader: Kate Sheehy

Cost: 150
Closing date: 28 March
Speakers: Gavin Irwin, barrister, Dyers
Chambers; Josephine Robinson, solicitor (and
formerly chartered physiotherapist); Brian
Simpson, distinguished service award chartered
physiotherapist; Kate Sheehy, chartered
physiotherapist
Contact: For programme details and an
application form please go to the MLACP
website: http://mlacp.org.uk
Noticeboard
Assessment: Continuous formative

assessment of practical skills.
Extensive written assignments following
each module. Summative assessment of
practice in hippotherapy module.
Contact: Application requests and enquiries to
course coordinator Dr. Valerie Cooper, at email:
cooperhome@btinternet.com or write to: 27
Abbotshall Road, Cults, Aberdeen AB15 9JX.
Chartered Physiotherapists in Mental

Health (CPMH)
CPMH Midlands branch study day
A study day has been arranged by the CPMH
midlands branch, covering the topic of pain.
This is a full day with many speakers
including a key note speaker Professor Patricia
Schofield who is chair of the British Pain
Society Pain in Older Adults, Special Interest
Group and chair of IASP subcommittee on
education (Pain in Older Adults SIG) and is
leading the BPS/BGS collaborative working
group on pain.
Date: Thursday 26 February
Place: Derby Kingsway Hospital DE22 3LZ at
the Research and Development Centre, (free
parking)
Contact: To book or for more information
please contact: Lauren Fordham on tel: 01332
623700 x33270 or email: lauren.fordham@
derbyshcft.nhs.uk
Physiotherapists in Respiratory Care
(ACPRC)
ACPRC Conference
Walking in the steps of the patient:
Integrating theory and practice
Date: 2425 April
Place: Cheltenham Park Hotel, Cheltenham
GL53 8EA.
Cost: Members 120 for both days (100 for
two days early bird rate closes 31 January
2015) 80 for one day. Non-members 240
for two days or 160 for one day.
Optional conference dinner: 24 April. 15 for
members, 25 for non-members.
Time: 9.30am-5pm Friday 24 April, 9.30am4pm Saturday 25 April.
Programme includes: Friday:
Involving people in... .research and service
redesign. patient and clinicians experiences
www.csp.org.uk
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50
Frontline
Physiological response to exercise
Scaling Everest response to activity in
hypoxic conditions.
Saturday:
Living with... patients experiences of living
with respiratory conditions
Working with... charity organisations - BLF
The on-call challenge mission impossible?
Different people, different perspectives
Contact: For the most up to date conference
programme and more details visit: www.acprc.
org.uk
The Association of Chartered
Physiotherapists Interested in
Vestibular Rehabilitation (ACPIVR)
Study day and AGM
Updates: Vestibular migraine and paediatric
vestibular rehabilitation
Speakers: Dr Barry Seemungal, Dr Louisa
Murdin, Dr Marousa Pavlou and Professor Rose
Marie Rine
The lectures will cover the following topics:

Fundamentals of vestibular perception
Vestibular migraine: management,
medication, differential diagnosis
Case examples
Paediatric vestibular rehabilitation:
assessment and rehabilitation.
Refreshments and lunch provided.
Date: Saturday 25 April
Place: Basement Lecture Theatre, The Clinical
Neuroscience Centre, The National Hospital
for Neurology and Neurosurgery, 33 Queens
Square, London WC1N 3BG
Cost: 90 ACPIVR members, 130 nonmembers
Contact: david.herdman@gstt.nhs.uk
Physiotherapy Pain Association (PPA)
Sleep and pain: Managing the interactions
Date: Saturday 21 March
Place: Cossham Memorial Hospital Bristol
One-day course introducing physiotherapists
to theory and practice of the cognitive

behavioural approach of sleep and pain
problems
Tutors: Andrew Green and Alex Westcombe
Cost: PPA members 90 and non members
100
Contact: ptecourses@gmail.com
Website: http://ppa.csp.org.uk
Cognitive behavioural approach in the
Management of pain - Introductory course
Date: 18-19 April
Place: BUPA, Basinghall St, London
Two-day course introducing physiotherapists
to theory and practice of the cognitive
behavioural approach
Tutors: Dr Pete Gladwell and Emma Knaggs
Cost: PPA members 200 and non members
220 - Early bird discount - 10% book by 21
February
Contact: ptecourses@gmail.com
Website: http://ppa.csp.org.uk
21 January 2015
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51
info exchange
Clinicians opinions on the benefits and
limitations of rebound therapy
Do you have experience in using rebound
therapy? If yes, then we need your help.
We are undertaking an online survey
of clinicians views on the use of rebound
therapy. The study aims to investigate current
clinical use in order to inform future research
and practice.
The online survey will take no longer than
10 minutes to complete
To take part in the survey please email me
for the survey link at: mcyjw4@nottingham.
ac.uk
The survey will be available until the end
of January. Your input is greatly appreciated
Marjan Blackburn and Jemma Woyda University of Nottingham
Did you know what to expect when you

qualified?
Are you a Band 5 physiotherapist (or
equivalent)? Have you been working for
0-1 years? If so, are you interested in taking
part in qualitative research to discuss your
experiences in your first job?
Interviews and focus groups will take part
in the London area so if you are living there, or
are willing to travel, and fit the criteria above,
please contact us via our project supervisor
Jacqueline Potter, email: j.potter@uel.ac.uk
Information will be provided on receipt.
A pilot randomised control trial (RCT)
to investigate the effects of a dynamic
elastomeric fabric orthosis (shorts) in
athletes with pelvic/groin pain, across
selected clinical and performance
measures
A PhD study (ethical approval from Plymouth
university) is looking to recruit athletes with
pelvic/groin pain, to evaluate the effect of
a customised orthosis (in the form of Lycra
shorts) on measures including the ASLR,
squeeze test, multiple single-leg hopstabilisation test, and broad jump.
The orthosis was developed from the
results of an athletic pelvic belt study, and
has been evaluated as a series of single case
studies (n = 8). A pilot RCT will commence in
January 2014 to build upon the patient profile
of those who respond best, and to ascertain
effects upon power and athletic balance.
For further information on becoming
involved and/or requesting a participant
information pack, please contact the
investigator: Leanne Sawle (chartered
physiotherapist), email: l/sawle@
dmorthotics.com Tel: 07801 332355.
Examination of rehabilitation needs
screening approaches in forensic settings
We are currently exploring current
approaches and future opportunities in
screening for rehabilitation needs in forensic
populations (prisons, secure settings and
community).
We would like to hear from AHPs, nurses,
doctors and associated colleagues about
how you screen for rehabilitation needs, if
there are any tools you use, and about your
experiences of the screening process.
We have a particular focus on:
physical health
mental health
learning disability
developmental needs.
If you have information you can share
with us or for more details about our project,
please email: FV-UHB.rehabscreening@nhs.
net
Please let us know also if you would be
willing to complete our short survey and we
will send this to you by email.
With thanks, Donald McLean,
physiotherapist, team co-ordinator, Reach
Forth Valley, Stirling Community Hospital,
Stirling.
Noticeboard
Chartered Physiotherapists in
Massage and Soft Tissue Therapy
(CPMSTT)
Fundamentals and clinical application of
massage and soft tissue therapy courses
Dates and places: Saturday 21 and Sunday
22 March, Stoke on Trent
Saturday 6 and Sunday 7 June, Stirling
Saturday 13 and Sunday 14 June, Crystal
Palace
Saturday 20 and Sunday 21 June, Wigan
Cost: 220. Student or unemployed members
160
Tutor: Bob Bramah
The course is open to physiotherapists,
assistants and students who wish to
Revise and develop expertise in massage and
soft tissue therapy
Build on the fundamentals of massage,
current research, clinical effectiveness and
evidence based practice
Learn adaptations for specific effect including
release of myofascia and trigger points
Develop expertise in manual therapy.
Participants have the opportunity to learn
practical skills from specialist physiotherapist
with emphasis on care of the patient; self
care of the physiotherapist and palpation skills
applied in realistic conditions.
Contact: To book contact Bob Bramah email:
cpmasttcourse@googlemail.com or call; 07968
307717
retirement groups news/events
Yorkshire and Humber retirement

group
Happy new year to all our members . Our
next meeting will be on Tuesday 24 March in
Harrogate. Please meet at 11am in the station
cafe for a coffee before we head off to visit the
Royal Pump Room Museum. We shall then have
lunch at the oldest pub in Harrogate. Please let
me know if you are able to join us and may be
bring a new member along too! I look forward
to seeing you all again and catching up.
Judith Saunders
judith6072@hotmail.co.uk
Chartered Society of Physiotherapy
Retirement Association (CSPRA)
CSPRA wishes to all its members a
heathy and peaceful 2015. We are looking
to an exciting New Year, and wish to involve
members in some interesting projects.
Karen Middleton together with Catherine
McLoughlin and Betsan Corkill came and
addressed members at the study day held
at Bedford Row on 1 December. Members
have let us know how valuable the day was,
and appreciated meeting Karen Middleton
in her new role. There will be a full report of
the day in the spring newsletter; due out
February/March.
Please let me have your articles ASAP
for the spring newsletter. We have had
some excellent contributions; could write
something about your retirement you would
like to share with other members? The
newsletter will be sent out electronically to
members with email; and posted to those
www.csp.org.uk
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52
Frontline
without this facility. Back numbers can be
found on iCSPRA. Please send your articles
to me Lyn Ankcorn Editor, email: ankcornl@
csp.org.uk tel: 07798 525822. Postal
address: 23 Swarthmore Road, Selly Oak,
Birmingham B29 4NQ.
Judith Saunders, local groups coordinator, is keen to offer help to anyone
wishing to start a new group in your area.
New groups are being formed look at
Frontline Noticeboard. Her contact email is:
judith6072@hotmail.co.uk Judith recently
helped start a Western Australia group!
If you are retiring/approaching
retirement,why not join the CSPRA? Please
contact the CSP enquiry handling unit:
enquiries@csp.org.uk tel: 020 7306 6666.
Should you wish to discuss this first with
a committee member contact Chris Foster,
email: chris@nagdragon.eclipse.co.uk or Lyn
Ankcorn, secretary, at: emailankcornl@csp.
org.uk We would be pleased to hear from
you.
reunions
if you are interested. So far we have over

20 people attending!
West Middlesex Hospital School of

Physiotherapy 1975 - 1978
Reunion?? I have now contact with 14
students/physiotherapist from our set, but
some are still missing. Are you one of us,
or do you know someone who graduated
from West Middlesex 1978? Of so, please
contact Lars Andersen on email: la-and@
online.no
St Marys Hospital, School of

Physiotherapy 1982 - 1985
It will be 30 next years summer since
we qualified, so well overdue for a get
together! If you would be interested in
a reunion next summer please email me,
Diane Samuels (nee Collyer) at: dianesam@
sky.com or Denise Watson (nee Collins) at:
denisemwatson@btopenworld.com Once
we know how many are interested and
where everyone is based we can decide
the best place to meet.
Manchester Royal Infirmary 1984 1987

We are having a re-union of the 19841987 intake at Manchester Royal Infirmary
to celebrate 30 years since we started our
training. We are meeting at The Devere
Venue, Cheadle House for afternoon tea
from 2pm-5pm on Saturday 7 February
2015. Please contact Claire Shenton (nee
Taylor) email: graham.shenton@tiscali.co.uk
St Marys Paddington Class 19711974

Anyone out there from class 1971-1974,
would love to meet and catch up. Contact
by emailing: lesrust@gmail.com
a d v e r t i s e m e n t
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by the Financial Services Authority You can check this out on the Financial Services register by visiting www fca org uk, under register number 225058,
or by phoning the FCA on 0800 111 6768 CSP Plus is managed on behalf of CSP by Parliament Hill Ltd CSP is an Introducer Appointed Representative
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dir21jan indd 52
For more information, call a LifeSearch

advisor on 0800 804 6814 (quoting CSP)
or log on to CSP Plus via www.csp.org.uk
15/01/2015 15 07
53
Cardiff School of Physiotherapy
1974 1977/8
Updated email address
Its 40 years since we embarked on our
physiotherapy careers when we all met in
Cardiff to start our training. If anyone is
interested in a reunion in Cardiff please
get in touch so that we can reminisce
and catch up on what everyone has been
doing. Contact Helen Tyler (nee Leaman)
at: helen.tyler@wales.nhs.uk
Bristol UWE 20-year reunion 1992-5
Anyone interested in meeting in Bristol for
a 20 reunion in spring 2015? I have set
up a group Facebook page called Bristol
Physio reunion 1992-5. Please join and
share in the discussion of choosing a
venue and date, or you can contact me on:
janine_browne@hotmail.com
Woodlands (Royal Orthopaedic
Hospital) School of Physiotherapy,
Birmingham. Set 49
It is 35 years since we qualified! Would
you be interested in meeting up with
Janet, Tessa, Elaine, Annette and Lynn? If
so, please contact Lynn Clark (Deeley) via:
trevor@trevorclark.net
School of Physiotherapy, Withington
Hospital Manchester 1973
Lenia from Nicosia, Cyprus would like to
get in touch with friends from the school
of physiotherapy, Withington Hospital
Manchester 1973 intake. Email address:
elenidracopoulou@gmail.com
St Marys Hospital London Set E
1974-1977
I would like to arrange a reunion of us
old crocks. Hopefully a venue in London
sometime this summer/autumn. If you
know others that are unlikely to read this
please let them know. Contact Sharon
Standen (nee Edwards) on tel: 01843
601806 or email: standen56@hotmail.
co.uk if you are interested.
The London Hospital 1977-1980
2015 will be our 35 year anniversary since
qualifying. Jane Nicklin and Wendy Hendrie
(nee Dickerson) are hoping to organise
a reunion in London - time and place to
be decided. Please contact us if you are
interested in joining us. It would be great

if we could track everyone down so please
let people from our year group know if
you are still in touch. Jane and Wendy
can be contacted at: mscentrenorwich.
wendyhendrie@gmail.com and: jane.
nicklin21@btinternet.com
Wolverhampton School of
Physiotherapy. Class (including
staff) of 1987-1990
Updated email address
25 years (really?) since we qualified. If you
are interested in a reunion in the summer,
2015, please email Carolyn McQuliian at:
carolynmcqu@tiscali.co.uk Perhaps a
venue in Wolverhampton or Birmingham
areas. Any other ideas welcome.
Queen Elizabeth School of
Physiotherapy 1966-1969
September set
Anyone interested in meeting up after 45
years this year since we qualified ?
Some of us are still in contact. Please
email Janet Whittaker (nee Warner) at:
rodgerwhittaker@btinternet.com or
Sheila Wood (nee Staite) at: woodsheila@
btinternet.com Please mail us to arrange a
catch up!
Pinderfields Hospital/Huddersfield
Uni Reunion 1997-2000
It will be 15 years since we qualified and
were let loose on the world. To celebrate
I am organising a meet up/meal out/few
drinks in Wakefield. No fixed details yet I
am just trying to get all the guys together.
We have 22 of us already it would be great
if we could track everybody down. So
please get in touch! Thanks. Kate Mooney
(nee Adams), email: gizmooo@hotmail.com
Northern Ireland School of
Physiotherapy - Belfast 50th
anniversary reunion
All physiotherapists who commenced
training at the Northern Ireland School
of Physiotherapy during the year 1964,
please take note.
Believe it or not, it is now 50 years
since we became physiotherapy students
and we are planning a reunion of the
two sets of physiotherapy students this
summer.
We hope to have a dinner party

celebration in the Crawfordsburn Hotel,
Co Down, in late summer or early autumn.
We will decide on a date to suit as many
people as possible.
Please pass this information on to
anyone else you know who may wish
to attend. Partners and friends are very
welcome as some people will have to
travel from abroad and may wish to make it
a celebration trip.
If you are interested in attending,
please contact Jenny Archer at email
address: jarcherphysio@aol.com or tel:
02891 270932 for further information.
Newcastle Polytechnic 1978-1981
It is a very, very long time since we
qualified at Newcastle Polytechnic in
1981 (32 years!). Before we all decide
to retire how about meeting up? If you
are interested, contact Sally Wilson (nee
Gillespie) via email: sally.wilson@ntw.nhs.
uk
Sheffield Polytechnic 1978-1981
Some of us already meet occasionally
and we wondered about extending the
party. As a starting point, please let me
know if youre interested. Nikki Adams
(originally Bramson), email: n.adams@
adamsneurophysio.org.uk
Tel: 01924 782149.
Bath School of Physiotherapy (BSOP)
Reunion
Ex-students and members of staff of the
former BSOP are invited to join our closed
Facebook group, where a reunion is being
organised, together with memories and
photographs being shared.
Teesside Polytechnic 1985-88
Its 25 years since we qualified. If you
are interested in meeting up to celebrate
contact Christine McGlone (nee Wallace)
on tel: 0191 387 5804, or email: christine_
mcglone@sky.com Look forward to hearing
from everyone.
West London School of
Physiotherapy
John M B Long would like to hear from
ex-students who were there in the 1950s.
Email: jmblongahotmail.com
www.csp.org.uk
dir21jan indd 53
16/01/2015 07 55
Noticeboard
54
Frontline
Salford School of Physiotherapy,
Hope Hospital 1974-77
Its a long time since we left Salford. If you
are interested in a reunion or just a catch
up by email, please get in touch with Jane
Heyer at: janeheyer@rocketmail.com
The Middlesex Hospital School of Physiotherapy 1986 - 1989
Edinburgh Royal Infirmary 1963-66

Anyone out there still working? Fancy
meeting up? Email me on: madelinesg14@
tiscali.co.uk or tel: 01992 586659.
Withington Hospital School of
physiotherapy Spring 1971 - 1974
It is 40 years since we qualified and it
would be lovely to catch up with the rest
of the set and find out what others have
been doing. If anyone else would like to
try to meet up sometime later this year,
please get in touch with either myself
(Anne Downes) at: anne@worstead.co.uk
or Morwith Minter (nee Davies) on tel:
01225 866594.
Our reunion took place in London at a pub at Kings Cross Station on 13 December - 25 years
since qualifying and I think we still look great! So much to catch up on, lots of laughs and
happy memories. Anyone else out there please get in touch as we plan to meet again at
some point. Use the Facebook group: www.facebook.com/groups/1576871349204843/
or via Tracy Tomlinson (nee Allen) at: physio@moggy.me.uk
Manchester Royal Infirmary 1972
Thinking of
having a reunion?
Need to contact
old friends via the
Noticeboard?
The 1972 set from MRI met in York in October for another very enjoyable weekend joined as
always by partners and a couple of honorary members. Next year will mark 40 years since
we all qualified so look out Manchester we will be back!
Set 50 Oswestry School of Physiotherapy
Email: directory@
csp.org.uk
Dont forget... after
your reunion has
taken place, send
Frontline a photo
and tell us about it!
Set 50 had a great weekend together back in Oswestry during October. Most of the set were
able to come along at some point in the weekend. We visited some of the old haunts and had
a reminiscing wander round the Robert Jones and Agnes Hunt Orthopaedic Hospital. It was
great that we were able to pick up after 23 years apart and the chat didnt stop from the
moment we arrived till the sad farewells were said.
We are now looking for the final two missing physiotherapists from Oswestry School of
Physiotherapists Set 50. You know who are go on make the effort and join in in 2016 for
our 25th anniversary. Just contact Helen on: helenbalcombe@hotmail.co.uk
21 January 2015
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55
CSP Equality and

Diversity Networks
welcome members of
the CSP who are disabled,
from black minority ethnic
(BME) groups, or are
lesbian, gay, bisexual
or transgender (LGBT)
For more details go to:
www.csp.org.uk/
equalitynetworks
or email:
keatings@csp.org.uk
Courses
Guidance for members
Members have a responsibility to limit
their practice to those areas in which
they have established and maintained
their competence. Completing a course
may not be sufficient to establish
personal competence in a new area,
while members are responsible for
undertaking CPD to maintain their
competence in all areas of their current
practice.
Members should explore individual
courses suitability and value (including
their quality, intended outcomes
and whether they include formal
assessment of learning) for meeting
and demonstrating fulfilment of their
personal learning needs. Members
should also think about the broader
ways in which they can address their
learning needs. These include dayto-day practice, self-directed and
mentored learning, and professional
networking and peer review.
It is important that members
evidence their learning: maintaining
a record of CPD is a regulatory
requirement of the Health and Care
Professions Council (HCPC), while
recording the education and training
undertaken to support progression into
a new area of personal practice is a
condition of CSP professional liability
insurance (PLI) cover.
A course being advertised in
Frontline does not necessarily mean
that it is relevant to all members, has
gone through a quality assurance
process (courses advertised in the
magazine are not formally recognised
by the CSP unless explicitly stated), or
that its topic area falls within the scope
of UK physiotherapy. In addition to
issues of competence, including an
Noticeboard
JOIN UP!
area within personal and collective

scope of practice depends on the
context in which it is practised, how
it is integrated into physiotherapy
activity, how it is promoted as a service
delivered by a physiotherapist and
how its physiotherapeutic value is
demonstrated.
Some areas ordinarily sit outside the
scope of UK physiotherapy. However,
they may be undertaken by CSP
members as part of extended activity.
Members should ensure that this is with
the agreement of their employer and/or
explicitly as a service delivered outside
their activity as a physiotherapist; is
supported by appropriate education
and training; and is covered by
insurance from a source other than
the CSP. Courses advertised in
Frontline may be relevant to members
extending their activity in this way.
Further guidance and support:
CSP ePortfolio:
www.csp.org.uk/ePortfolio
CSP Code of Professional Values and
Behaviour: www.csp.org.uk/code
Frontline CPD series (published in
each issue)
HCPC CPD requirements:
www.hpc-uk.org/aboutregistration/
standards/cpd
www.csp.org.uk
dir21jan indd 55
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complementary therapy
elderly rehab
Courses &
Conferences
56
ACUPUNCTURE
TREATMENT
OF HEADACHES
& MIGRAINE
A CHANNEL
PERSPECTIVE.
ADAPTED TAI CHI

EXERCISES
1 day course for Physiotherapists,

Occupational Therapists, Assistants,
Technical Instructors, students and
other health professionals.
Tutor: Rosalind Smith MCSP,
Senior Tai Chi Instructor TCUGB
The course covers the
demonstration and use of effective,
relaxing exercises suitable for
chronic pain, falls, arthritis,
rheumatology, neurological,
palliative care, mental health,
pulmonary and cardiac rehab clients
including a discussion of specific
case studies.
Fee: (including course notes) 90
14th Mar Reading
18th Apr Bridge of Allan
16th May Bristol
6th Jun Milton Keynes
17th October Manchester
For details/application forms, or
information on hosting a course
please contact: Ros Smith. MCSP,
Advanced Instructor TCUGB,
Tel: 01900 829545
Email: taichiexercises@gmail.com
www.taichiexercises.co.uk
Leeds 9th March,

Birmingham 30th March
1-day workshop on the
treatment of headache/migraine
incorporating use of specific
acupuncture channels.
Course consists of
a synthesis of:
Focused needling practice
Case history analysis
Simple steps to formulate
effective treatment strategies.
Small class sizes, hands-on
with plenty of practice and
supervision.
Cost 125
Tutor: Teresa Syed MBAcC
Teresa is an experienced
Acupuncturist, Freelance
Lecturer, Mentor/Supervisor
For more details contact Teresa
T: 0113 267 2067/
07726 512868
E: enquiries@
acupunctureandcpdleeds.
co.uk
FOUNDATION
ACUPUNCTURE
COURSE CHESHIRE
M-Level accredited Foundation

Acupuncture course with Jennie
Longbottom MSc MMEd FCSP
MBAcC. 5 day course to allow you
to practice Acupuncture and
Needling. Comprehensive
coverage of both traditional
and western acupuncture.
Dates: Mar 13th 15th and
April 18th 19th.
Venue: Wilmslow Physio 20A Grove
Street Wilmslow SK9 1EB
Cost: Early-bird offer of 475
if payment is made (or NHS
arrangements made) by Feb 13th.
495 after this date.
Contact: 01625 530794 /
info@wilmslow-physio.co.uk
THE
MULTIDISCIPLINARY
APPROACH TO THE
REHABILITATION OF
THE LOWER LIMB
AMPUTEE
The course is designed for

therapists and nurses who work
with amputees on a regular basis.
The course covers post-op care;
prosthetic considerations for all
levels; aims of gait re-education and
training. There are several practical
sessions to assess and interact with
amputees. There is the opportunity
to participate in the full 4 days of
the course or just selected days
e.g. 1,2 or 3
Dates Mon 27th April Thurs
30th April 2015
Venue Douglas Bader Centre,
Queen Marys Hospital, Roehampton
Lane, London SW15 5PN
Cost 400, Cheques made payable
to St Georges Healthcare NHS
Trust
Further details and application from:
Sara Smith, Amputee Therapy Team
Lead, Douglas Bader Centre, Queen
Marys Hospital, Roehampton Lane,
SW15 5PN
Sarah.smith2@stgeorges.nhs.uk
020 8487 6139
Closing date 13th March 2015
electrotherapy
LASER THERAPY
TRAINING 2015
Theory, dosage, safety,

contraindications, regulations,
hands on training.
Edinburgh, 27 Jan; Newcastle,
28 Jan; London, 21 Feb.
Cost: 200. Course Leader:
James Carroll FRSM. 01494
797100, www.thorlaser.com
Register online - Early Bird
Discounts available
advertise your course Email: cspads@media-shed.co.uk

21 January 2015
dir21jan indd 56
15/01/2015 12 15
electrotherapy
57
manual therapy
Shoulder Course Level 1

13-14 June, 320 (including lunch),
The Royal London Hospital
Principles of Shoulder
Rehabilitation 15 June,
30 (including refreshments),
The Royal Free Hospital
Sporting Shoulder Workshop
17 June, 160 (including lunch),
Shoulder Course Level 2
20-21 June, 320 (including lunch),
For more details and to book
go to: http://www.central-health.
com/physio-courses-seminars/lynwatson-shoulder-course
OSTEOPATHIC &
CHIROPRACTIC
TECHNIQUES FOR
PHYSIOTHERAPISTS
Courses &
Conferences
LYN WATSON
SHOULDER COURSES
Graduate certificate in manipulative

therapy
Practical hands on Grade 5 HVT
course. For SI J, Lumbar,Thoracic &
cervical spine. Assessment,
contraindications & safe HVT
techniques taught for everyday
physiotherapy practice.
90% hands on course.
Venue & dates 2015
Central London
March 7th & 8th,14th,15th & 21st
Manchester March 30th - April 3rd
Early bird 600
booked 6 weeks ahead.
Usual fee 800.
Contact Robbie Goodrum on
07541838651
robphysio-osteopath@hotmail.co.uk
www.robbiegoodrum.com
Goodrum seminars 2015
its good
to belong
with so many
membership
benefits and
services
manual therapy
the latest
physiotherapy
news
features and jobs

delivered direct to me
in Frontline magazine,
advertise your
course
Email Media Shed:

plus a weekly e-news

bulletin and a suite of
specialist newsletters.
It keeps me
in touch.
PHYSIO
MANAGER
www.csp.org.uk
dir21jan indd 57
15/01/2015 12 15
Courses &
Conferences
58
manual therapy
INTRODUCTION
TO MYOFASCIAL
RELEASE (PART 1)
WITH JOHN ANNAN
Crewe (31st Jan-1st Feb)
London (7th-8th Feb)
Surrey (18th-19th Apr)
Milton Keynes (16th-17th May)
Southampton (6th-7th June)
Visit www.physiouk.co.uk/
release or call 0208-787-5963
MULLIGAN UK
COURSES: WANT TO
USE NAGS/SNAGS/
MWMS?
Warrington (21st-22nd Feb)
Middlesex (21st-22nd Mar)
Surrey (16th-17th May)
Bath (20th-21st June)
Visit www.physiouk.co.uk/nags
or call 0208-787-5963
FANCY A
2-DAY COURSE
WITH SHIRLEY
SAHRMANNS TEAM?
MSI Systems: Introduction to
Concepts and Application
Manchester (1st-2nd Aug)
Surrey (4th-5th Aug)
bloom7 or call 0208-787-5963
miscellaneous
DIANE LEE: EVENING

ON THE DRA
(LONDON, 10TH FEB)
Explore Dianes collaborative
research with Paul Hodges and
assessment/rehabilitation
with Diane Lee, Maria Elliott
and Jenny Burrell.
Visit www.physiouk.co.uk/diane
or call 0208-787-5963
Sarah Keys Problem Back Masterclasses

Levels 1&2 Practicals at University of Salford
Presented as Theory Webinars followed by 2-day Practical
sessions
March 19th & 20th 2015, Salford, Greater Manchester
Laser Therapy
Training 2014
Please refer to advert in
Electrotherapy section
EVENING
LECTURE: WHAT
IS MANIPULATION
AND HOW DOES IT
WORK?
Practice manipulation or want to

know more?
London (18th March)
manips or call 0208-787-5963
THORACIC OUTLET
SYNDROME
Assessment, Treatment and

Differential Diagnosis (1-day course)
Surrey (21st Feb)
Warrington (16th May)
upperlimb or call 0208-787-5963
advertise your course

call 0845 600 1394
or email:
This intensive exposure to the Sarah Key Method provides

a wide and highly comprehensive insight into the clinical
management of lower back pain. Join her in March!
Discount for Frontline readers Register and save 50.
Call 0161 295 3000 quoting Frontline to book your
space or email Paul Bolton, P.bolton@salford.ac.uk
ADVANCED
WORKSHOP FOR
PHYSIOTHERAPY
EXPERTS
28th April 2015 The Bingham

Room, The Honourable Society
of Grays Inn, 8 South Square,
Grays Inn, London, WC1R 5ET
150.00
For further details visit
www.mlacp.org.uk
JANUARY 26TH
2015 AZTEC
HOTEL AND SPA,
ALMONDSBURY
BRISTOL BS32 4TS
March 2nd 2015

NVCO London N1 9TL
Physiotherapists and OTs are
now the chosen profession to
undertake mobility assessments
of applicants for Blue Badges and
other concessionary travel permits.
Access Independent are a company
that has contracts to provide this
service in over 20 Local Authorities.
This day is designed to provide an
OT with the knowledge required
to undertake these assessments,
covering the criteria and the reality
of applying it. We hope to use this
day to recruit Physiotherapists as
potential assessors.
E-mail: Stephen.naylor@
accessindependent.co.uk or
telephone to discuss
01223 229091.
advertise
your
course
Call: 0845
600 1394
MLACP
INTRODUCTION
TO MEDICO LEGAL
WORK
Tuesday 17th March 2015

Irwin Mitchell Solicitors, Imperial
House, 31 Temple Street,
Birmingham, B2 5DB
60 MLACP Members /
95 non-members
For further details
email info@mlacp.org.uk
or visit www.mlacp.org.uk
21 January 2015
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59
paediatrics
FUNCTIONAL
NEUROLOGICAL
SYMPTOMS
An introduction to understanding
the diagnosis and treatment
approaches
Date: Thursday 16th to Friday
17th April 2015
Venue: Lecture Theatre,
33 Queens Square, National
Hospital for Neurology and
Neurosurgery, Russell Square
WC1N 3BG
This two day introductory course
provides therapists and nurses
with an overview of functional
neurological symptoms covering
topics including pathophysiology,
assessment, treatment and other
key management issues.
A broad perspective on this
disorder is presented by medical
professionals with a special interest
in this field including a neurologist,
neuropsychiatrists, specialist nurse,
cognitive behavioural therapist,
occupational therapists and
physiotherapists.
This course aims to combine
theoretical knowledge with practical
application using video case studies
and workshops to help consolidate
learning. The course is suitable for
qualified healthcare professionals
practicing across all clinical settings.
Fee: 250 including lunch and
comprehensive delegate pack
To book onto the course please go
to our website:
www.uclhcharitycourses.com
for further information please
contact:
Alkida Domi, 02034483476
therapy.courses@uclh.nhs.uk
SPASTICITY
MANAGEMENT A
MULTIDISCIPLINARY
APPROACH
advertise
your
course
Call: 0845
600 1394
Friday 27 February 2015, 9am

4.45pm
Clinical Neurosciences Centre,
33 Queen Square, London,
WC1N 3BG
The Study day will include
lectures on:
Assessment of the individual
with spasticity
Provision of education and
self-management
Physical management of
spasticity
Oral medication, focal and
intrathecal therapies
Fee: 75 including lunch and
comprehensive delegate pack
To book onto the course please
go to our website:
www.uclhcharitycourses.com
for further information please
contact:
Alkida Domi, 02034483476
therapy.courses@uclh.nhs.uk
Courses &
Conferences
orthopaedic and
rheumatology
HAVE YOU BEEN

WAITING FOR THIS?
KINESIOLOGY TAPING FOR NEURO

PHYSIOs developed by two ACPIN
members and ROCKTAPE UK.
London March 15th
www.Rocktape.net
pain management
advertise your
course
Email Media Shed:

Laser Therapy
Training 2014
www.csp.org.uk
dir21jan indd 59
15/01/2015 12 16
Courses &
Conferences
60
sports medicine
its good
to belong
INTEGRATING
STRENGTH &
CONDITIONING
WITH THE
REHABILITATION
OF RUNNERS
Edinburgh (7th Feb)

Surrey (14th-15th Mar)
London (18th-19th Apr)
Manchester (23rd-24th May)
See www.physiouk.co.uk/
strength1 or call 0208-787-5963
ADULT HIP: THE

DIAGNOSTIC
CHALLENGE...
Is it FAI, Labral tear or Ligamentum

Teres Injury?
London (8th Mar)
Manchester (10th May)
Norfolk (5th July)
See www.physiouk.co.uk/hips1
or call 0208-787-5963
RUNNING 2015
Traumatic Sports Knee Injuries

- Investigation, Treatment,
Rehabilitation and Prevention
Keynote speaker: Frans Bosch
March 18th - Kettering
Conference Centre, Northants
www.professionalevents.co.uk
01625 521236
jackie@professionalevents.
co.uk
Laser Therapy
Training 2014
womens health
DIANE LEE: EVENING

ON THE DRA
(LONDON, 10TH FEB)
Explore Dianes collaborative
research with Paul Hodges and
assessment/rehabilitation with
Diane Lee, Maria Elliott and Jenny
Burrell. Visit www.physiouk.
co.uk/dra or call 0208-787-5963
with so many
membership
benefits and
services
advice for my
professional
development
and practice
Reduced fees at CSP events,
free access to world-class CPD
e-Portfolio tools, quick response
phone suppport from the
enquiring handling unit and
professional advice service.
i could
even
save
the cost of my
membership on
everyday
purchases
by using
CSPplus.
P H Y SIOt H e r a PI S t
advertise your course

Email: cspads@media-shed.co.uk
dir21jan indd 60
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Frontline
61
RECRUITMENT
General
62
Sales and
Services 63
Agencies
RECRUITMENT
ADVERT RATES
RECRUITMENT
ADVERT SIZES
ADVERTISING
DEADLINES
DISPLAY/SEMI-DISPLAY
Single column CM rate 44.50
Extras
Setting charge
10% gross of the ad
COLUMN WIDTHS
Single column
42mm
Two columns
89mm
Three columns
136mm*
Four columns
183mm
* 15% surcharge applies
ALL DEADLINES 12 NOON
FULL PAGE
Bleed area
Trim size
Type area
(minimum charge 50)
Spot colour
All SCC rates include spot
colour as standard
Full colour
350 extra
3-column surcharge
10% gross of the ad
Bleed or special position
15% gross of the ad
LINAGE
WXH
221 x 288
213 x 280
183 x 245
ARTWORK
Display
Artwork to be supplied as
high resolution PDF files.
Linage
64
ADVERTISE IN
FRONTLINE...
simply call
Issue
date
Booking
deadline
0845 600 1394
Feb 4
Feb 18
Jan 19
Feb 2
Mar 4
Mar 18
Feb 16
Mar 2
cspads@
media-shed.co.uk
or email
Deadlines for artwork

are Wednesday
12 noon after
booking deadline.
Private practices only (cost per word)
Non-members
Members
Extras
Shading
Boxed
Boxed & Shading
1.55
1.15
15 extra
15 extra
25 extra
Semi-display
Copy should be sent by email.
10% typesetting fee,
minimum charge 50.
All advertising rates subject to VAT
You and Frontline go together so well -
its another classic combo!

rec21jan indd 61
15/01/2015 13 50
Recruitment
62
Every day is different due to the variety of patients we
see through working in a number of different services.
This creates excellent opportunities for clinical and
professional development in different clinical specialties
Connect physiotherapist working in the local community
and for our occupational health services.
At Connect we pride ourselves on hiring dedicated,
motivated specialists, and right now we are looking for
more. We are currently looking for:
MSK Physiotherapists looking to work in one or more of
the following areas:
Community Services
Occupational Health
Passionate about improving lives

If you would like to find out more or sign up to receive
regular updates from Connect, please contact us to
enquire. You can complete an online application via our
website
www.connectphysiotherapy.co.uk
Physiotherapist Team Leader

Exeter Ref: 415-JS14-696ED
Salary: Band 7 30,764 - 40,558 pa pro rata
Hours: 37.5 Hours per week currently Mon - Fri,
potential weekends and unsocial hours
The Exeter Community Rehabilitation Service requires an inspirational and selfmotivated physiotherapist with wide-ranging clinical experience and excellent
leadership skills.
You will be responsible for the day to day operational line management and
clinical supervision of physiotherapists working within the in-patient ward at Exeter
Community Hospital (ECH) and the two Community Rehabilitation Teams; based at ECH
and at Mardon Neurological Unit.
The Exeter Community Rehabilitation Service provides high quality and effective care for
patients. The integration of Health and Social Care is a key agenda in order to maximise a
seamless person centred approach. We aim to enable people to leave hospital in a timely
way, to prevent people being admitted to hospital by meeting their immediate needs at
home and to provide timely assessment and rehabilitation at home.
The ideal candidate will have experience of managing staff, proven ability of complex
case management and have excellent communication skills. You will have a degree
level Physiotherapy professional qualification and have good time management and
organisational skills. Youll be a team player working closely and collaboratively with
the Exeter Occupational Therapy Team Leads and the Exeter Therapy Manager.
You will provide robust clinical supervision and appraisals for band 6 physiotherapists
and deliver training as appropriate. We actively encourage, and offer, excellent learning
and development opportunities for all our staff.
Line management will be provided by the Exeter Therapy Manager. Clinical supervision
will be provided for by the NDHCT Physiotherapy Professional Lead for the Community.
Please contact Sue Campling, Exeter Therapy Manager to discuss the post
and/or to arrange a visit on 07794 632484 or sue.campling@nhs.net
Closing Date: This job advert will close as soon as sufficient applications
have been received
Interview Date: TBC
Applicants are requested to apply online in the first instance
at www.jobs.nhs.uk using the job reference number.
Working towards equal opportunities
Why not advertise on Job Escalator today?
www.northdevonhealth.nhs.uk
An entry on Jobescalator will allow you to reach the

12,500+ CSP members registered to Job Escalator,
helping you to reach quality applicants.
If you want your listing to stand out, you can also:
web services
- Highlight your job for 99, which also gives it a

leg up towards the top of the pile
- Upload your company logo to appear beside your
vacancies for 99.
- Make yours job of the week on the jobescalator
home page that's 99 too
- Compliment your listing with a banner ad from 35
CPM
21 January 2015
rec21jan indd 62
15/01/2015 12 12
63
Recruitment
Looking for a job?

Register on Job Escalator today for
physio jobs that find you
Job Escalator provides:
Patient Safety, Governance and Therapies
Physiotherapy Department
2x Band 5 Rotational Physiotherapists
Limited Term Appointment for 2 years

Band 5 Annex T- 24,535 - 31,208 per annum
Ref: DOH&-000385
An opportunity exists for an enthusiastic and self-motivated
Physiotherapist to join our team.
These posts are suitable for both newly qualified and
experienced Band 5 physiotherapists as funding through Annex
T is available to progress to a Band 6 level within this post.
- Free service for CSP members looking for jobs

- Allows you to search for jobs by keyword,
employer, salary or location
- Receive e-mail updates for relevant jobs based
on your search criteria
- Save applications and searches or watch
vacancies
Advanced Specialist Medical Physiotherapist
Band 7 - 33,254 - 43,716 per annum

Ref: DOH&-001039
An opportunity has arisen for an enthusiastic and self-motivated
Band 7 Physiotherapist to join our team.
This post would suit a dynamic, forward thinking
Physiotherapist who wishes to join a very experienced team
of therapists treating medical in-patients at Nobles Hospital.
The successful candidate will be the clinical lead and manage
a variety of in-patients on the general medical wards, MAU
and CCU.
Advanced Specialist Musculoskeletal

Physiotherapist
Band 7 - 33,254 - 43,716 per annum

(Part time - 26.25 hours per week)
Ref: DOH&-001038
An opportunity exists for an enthusiastic and motivated
Musculoskeletal physiotherapist to join our physiotherapy team.
The post holder will manage MSK patients within the Isle of
Man physiotherapy self-referral service. This caseload will
include the treatment of a wide variety of MSK conditions
and liaising with the wider orthopaedic and pain management
physiotherapy teams.
Advanced Specialist Womens Health

Physiotherapist
Band 7 - 33,254 - 43,716

Ref: DOH&-000728
An opportunity exists for an enthusiastic and motivated
Womens Health Physiotherapist to join our Physiotherapy
team.
The post holder will manage womens health patients within
a variety of settings including both inpatient and outpatients.
The caseload will include both ante/post natal care and
urogynaecological outpatients.
More details of the duties of these posts can be obtained from
Ruth Cooil, Physiotherapy Manager on Tel No: 01624
650678.
Closing date for applications is 09 February 2015.
Please note a police check will be required for these posts and
a charge of 44.00 may be payable.
For more information and to apply online please visit
www.gov.im/jobs
rec21jan.indd 63
advertise in Frontline... 0845 600 1394
15/01/2015 12:12
Recruitment
64
GUIDELINES FOR RECRUITMENT ADVERTISING IN THIS SECTION The linage recruitment section of Frontline is for the use of small private practices only. The definition
of a small private practice for these purposes is: CSP-member-owned, operating from a single privately-owned premises and employing no more than two physiotherapists
(or 2 FTE). We regret that we are unable to accept linage advertising for posts within private or NHS hospitals. WORD LIMITS Linage advertisements up to 75 words will
be charged at the current cost per word, as stated in our rate card. Words above that maximum will be charged at 1.50 each plus VAT.
private work available
Full and Part-Time Private Practice,

Poole, Dorset Due to expansion we are
recruiting for a full-time and two part-time
musculoskeletal positions across our locations
in Bournemouth and Poole. We are looking
for proactive, motivated and hard-working
individuals to join our existing team. We offer
flexible working hours and excellent rates
of pay, treating a varied musculoskeletal/
Sports Injury caseload. Please contact :peter@
lilliputhealth.co.uk for further information.
Exeter and Surrounding Areas
Exciting part-time opportunities. Join a
dynamic physiotherapy team. Work within an
existing team or start a new clinic, we have
the opportunities. Full details visit: www.
amsphysio.co.uk/careersnow or call tel: 01392
412515.
Senior Musculoskeletal
Physiotherapists 24,000GBP to 34,000GBP
Connect Physiotherapy - Tyne and Wear (North
East) Full details on: www.jobescalator.com
Self-employed Musculoskeletal
physiotherapists required at
Stratford Branch Must be able to work
independently, four to five days per week
(hours negotiable). Average monthly salary
1800-2000 per month. Please Contact
Krystle on tel: 020 8550 9224 or email your
CV to: info@physioworksltd.com
RUNCORN, CHESHIRE - PRIVATE
Musculoskeletal experienced hands-on
physiotherapist required on self-employed basis.
Flexible working hours from 12-35 per week.
Email: vicki@premierphysio.com
Birmingham B15 Chartered physiotherapist
required to work part-time, in a small, wellestablished private practice on a self-employed
basis. Applicants must be HCPC and CSP registered
with evidence of CPD, recognised by major PMI
companies (Bupa etc.) with at least three years
comprehensive postgraduate experience, having
had an enhanced DBS check, holding a current
driving licence, and having a legal right to live and
work in the UK. Apply via email with CV to:

physiotherapypractice-jobapplication@yahoo.co.uk
Susan Pattison Therapy Services
Community Neuro Physio (West
Yorkshire) Looking for professional
satisfaction and a work life balance? Are you
resourceful, adaptable and relish the challenge of
working with complex neurological conditions?
Would you like the back up of a friendly
management team and CPD opportunities? Join
us at: http://www.neurologicalphysio.co.uk/jobapplication-form/
Part-time self-employed
musculoskeletal physiotherapist
required for our Chigwell, Woodford.
Minimum two years musculoskeletal experience,
acupuncture an advantage. Please send CV to:
robert@spineplus.co.uk
CHORLEY, LANCASHIRE An opportunity to
join expanding physiotherapy clinic with team
ethos. Part-time experienced musculoskeletal
physiotherapist required for evening and daytime
work. Minimum five years qualified. Please email
full CV to: admin@a6physio.co.uk or tel: 01257
230140.
BUCKINGHAM Outpatient musculoskeletal
physiotherapist, with five years postgraduate
experience, sought for part time self-employed
work within small friendly practice. Email CV to:
angela@buckinghamphysio.com
Senior Physiotherapist/Occupational
Health Manager Full-time job opportunity
based in Cheshire/Staffordshire. Salary: 28k
40k. Call tel: 07813 607055 or email: rick@
ctchealthcare.co.uk for more information
MNC - Manchester Neurotherapy and
Neurological Teaching Centre are
looking to recruit another full-time dynamic and
enthusiastic neurophysiotherapist to join our great
team. The successful applicant would be someone
who primarily wants to develop their clinical skills
with neurological patients. MNC is a renowned
centre of excellence which specialises in therapy
based on the Bobath concept. Therefore we
require someone who has some experience and
interest in the Bobath concept at a postgraduate
level. We have a very cohesive team and there are
opportunities for working jointly with patients and

also clinical supervision to develop skills. Since the
Neurological Teaching Centre is part of MNC, our
staff have ample opportunity to attend some of
the many course we run. For further information
or to arrange an informal visit please contact:
sarah@mncweb.co.uk or tel: 0161 793 0003.
www.mncweb.co.uk
Opportunity for a part time,
self-employed Musculoskeletal
physiotherapist at large, well -established
physiotherapy and Pilates practice in north Leeds.
Flexible hours, clinics and classes to include some
evening/Saturday work. Pilates qualification
essential. Email CV and covering letter to: info@
physiofitleeds.co.uk.
HERTFORDSHIRE, HATFIELD Self-employed,
musculoskeletal physiotherapist required.
Part-time hours available: daytime, evening and
weekend. Suitable for someone requiring extra
hours or NHS physio gaining experience in private
sector. Contact Gill on tel: 07940728135. www.
physio23.co.uk
South Derby/Staffordshire Flexible
musculoskeletal job in well-equipped private clinic.
Training and admin support provided. Acupuncture
skills preferable but not compulsory. All applicants
will be considered. Please email CV and contact
details to: southderby@outlook.com
Band 6 NEURO-PHYSIOTHERAPIST 2.5 days
18.5 hours per week Salary 28,828 - 33,730
per annum (pro-rata). Integrated Neurological
Services (INS) is a well-established and highly
regarded charity, based in west London. We
provide multidisciplinary long term rehabilitation,
education and emotional support to people with
neurological conditions. INS is looking for an
experienced physiotherapist to join the team. You
will provide evidence-based, long-term community
support for people with neurological conditions
both individually and in groups. You will be part of
a specialist team including other physiotherapists
and will liaise with other professionals outside
the organisation. INS has a strong commitment
to ongoing education and training; there will be
opportunities to develop both clinical and nonclinical skills. Closing date: Monday 9 February
2015. For further information and an application
pack contact us on tel: 020 8755 4000 or email:
21 January 2015
rec21jan.indd 64
15/01/2015 12:12
65
Part-time/Full-time experienced
Musculoskeletal physio needed for busy
and expanding private physio practice. Potential
to extend to a full-time role. Pay level dependant
on level of experience. Please contact Paul at our
Ruislip practice on tel: 01895638841 or send CVs
to: thephysio@ruislipphysio.com
Beaconsfield Physiotherapy and
Sports Injury Clinic require a part-time
self-employed associate for a busy, friendly,
musculoskeletal practice. Negotiable hours.
Applications and CV to: mail@ashberryphysio.co.uk
or call tel: 01494 681314.
Great opportunity for a part-time, flexible
musculoskeletal physiotherapist and also a
community physiotherapist to join a friendly, busy
clinic in London N14. Would suit local person with
excellent clinical and interpersonal skills. In-house
CPD. Please send CV and covering letter stating
availability to: info@oakwoodphysio.co.uk
practice for sale

Partnership for sale - Dorset Rare
opportunity for a dynamic physio wishing
to get ownership experience alongside an
existing partner. Up to 51 per cent shares on
offer depending on skills and experience of the
its good
to belong
with so many
membership
benefits and
services
rooms to let
Physio room with bed to hire Available
evenings and weekends. Bookable on a daily
or weekly basis. Cost 30 per day. Matthew
Arnold Sports Centre/Lifestyle fitness Staines,
Middlesex. Call Roland on tel: 07748 215053.
Email: cspads@media-shed.co.uk
Part-time private musculoskeletal

physiotherapist required for one or more
clinics in Somerset: Taunton, Wells, Burnham on
Sea or Weston Super Mare. Flexible working hours.
Pay dependent on experience. Please email CVs to:
enquiries@centralsomersetphysio.co.uk
MANCHESTER Two profitable private practices,

six rooms and three rooms. Established over 30
years. Owner retiring. Scope for expansion. Email:
physiotherapy@live.com.
advertise in Frontline...
Four hours per week/fortnight

positions available Nationally Locations
include: Warrington, Cardiff, Thurrock, Larbert,
Eastbourne. Join our team offering on-site
workplace musculoskeletal services to clients
in numerous locations around the country.
We require self-employed physiotherapists
with musculoskeletal experience, excellent
communication skills and an interest in delivering
services on-site in the workplace. Please send
your resume and a short covering email (including
the location you are interested in) to: jobs@
backinactionuk.com for more information.
successful candidate. Continue your clinical

work, help run a small team and contribute to the
further growth and business development of the
clinic. Please send expressions of interest with
reasons why you think you would be suitable to:
justingolding181@gmail.com
Recruitment
admin@ins.org.uk Registered charity No. 1107273

Website: www.ins.org.uk
advice for my
professional
development
and practice
Reduced fees at CSP events,
free access to world-class CPD
e-Portfolio tools, quick response
phone suppport from the
enquiring handling unit and
professional advice service.
i could
even
save
the cost of my
membership on
everyday
purchases
by using
CSPplus.
P H Y SIOt H e r a PI S t
www.csp.org.uk
rec21jan.indd 65
15/01/2015 12:12
3
minutes with...
Kayleigh Clitheroe
WORKING FOR AN AWARD-WINNING SOCIAL ENTERPRISE GAVE KAYLEIGH
CLITHEROE SCOPE TO DEVELOP A THERAPY AT HOME PROJECT IN LANCASHIRE
Tell us about your role
I qualified as a physiotherapist six years
ago and work for Spiral Health at Bispham
hospital nurse led therapy unit near
Blackpool. In 2012 we were the first social
enterprise to take over an NHS hospital.
Although were not part of the NHS,
were commissioned by the acute trust
to provide rehabilitation and most of our
patients come from Blackpool Victoria
hospital. We have a wide range of patients
including orthopaedic, falls, amputees,
stroke and respiratory. We see patients
daily, implementing treatment plans or
leading classes in the gym. I also assist
in discharge planning, co-ordinating and
training and am a member of the business
development group.
How did you free up bed nights?
Last April the acute trust asked us to
devise a way to free up bed nights for
the busy Easter period. Our organisation
is owned by its staff and this means our
managers are keen to hear our ideas and
work alongside us to make these happen.
We developed a service called therapy at
home that allowed suitable patients to be
discharged home earlier than predicted,
receiving ongoing physiotherapy at home
up to six times each week. Enabling quicker
patient discharges allowed more patients
to be transferred from the hospital.
What was achieved?
During the four-week trial period, 13
patients took up the offer of our service,
reducing the length of stay from an
average of 18 nights to 12. I then visited

them at home, working with them on
individual treatment plans, on average
four visits for each patient. None of the
patients needed to be readmitted and only
one was referred for ongoing community
therapy. The service saved 72 bed nights,
which equates to 20,000 or, potentially,
300,000 if run for a full year. The biggest
benefit for me was the positive feedback
from patients who much preferred
receiving their treatment at home. Spiral
Health has just been voted as Lancashires
Social Enterprise of the Year. The judges
said this initiative was one of the reasons
we won.
Is the service ongoing?
Our big news is that we have just been
awarded a six-month contract with the
acute trust to re-start the service from
next week. Christmas was a fantastic time
to be re-starting this service as everyone
wants to be home for the festive season.
This is a chance to really hone the service
and hopefully expand to a bigger caseload
to benefit more patients. To help with this
we have added a technical instructor post
which has been offered as a secondment
opportunity to our healthcare assistants
which is a great opportunity for their
development too.
Would you encourage others to
follow your lead?
Yes, definitely. I think this initiative helps to
promote physiotherapy in a positive light.
We are leading change and developing to
meet new service and patients needs.

I learnt new skills around the business
side of the project as I developed the
service model and set up the paperwork,
policies and audit something which would
normally be done at a higher management
level. It has helped to develop my
confidence to work independently, dealing
with complex issues for patients and
adapting treatments to be more functional
within a home environment. Dealing with
wider members of the multidisciplinary
team was an excellent way of networking
and learning about additional resources
available to patients.
What would be your ideal job
and how will you get there?
I would really like to combine my love
of rehabilitation with the functional
treatment and goals that community
work allows. In future, I hope to introduce
a community service for Spiral Health,
providing physiotherapy for patients on
allowing the business to become more
self sufficient and reducing referrals to
community services.
I particularly enjoy neurological
physiotherapy and feel this type of
scheme could work well for this patient
group or on an outpatient basis and am
looking to develop my skills further to
enable this. This six-month project will
allow me to build an evidence base and
support for future projects and trials. fl
Kayleigh Clitheroe is a
physiotherapist with Spiral Health
21 January 2015
66_FL_21_Jan_3 mins.indd 67
15/01/2015 15:09
Student Members
Are you planning a UK or overseas
Elective Placement for 2015?
If so, why not apply for the CSP Charitable Trusts
Education and Development Placements Award.
You could receive up to 700 towards eligible costs.
Please visit www.csp.org.uk/charitabletrust for more information.
All applications are submitted via the CSP ePortfolio and are
assessed by the CSP Educational Awards Panel.
The next deadline is 23 March 2015.
Comments from previous successful
applicants:
Being granted the Education & Development Placements award
has been a massive help financially to me when planning my
elective placement! The award was the equivalent to working
20 shifts at my part time job, I have been able to use this time
to focus on my university work and to complete my dissertation
making life a lot more stress free in this important and busy time
of my education. Cant say thanks enough!! James Sharp
The Education and Development Placement

award granted me the amazing opportunity
to spend an elective placement abroad where
I was able to gain knowledge to assist me
in my future jobs. When I heard I had been
successful I was ecstatic as without this
award I would not have been able to take
part in such an amazing experience which
will greatly benefit my future practice.
Sarah Bishop
It was amazing to hear that Id been granted an award

as it made a massive difference to my placement costs...
it really makes you think about what you want out of
your elective, and how you can use that knowledge
to help others further their learning, and I feel that I
actively contribute more as a student because of this
placement and the focus that the (award) provided.
Gail McAndrew

001183.indd 1
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