#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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Laura Finucane @LaurafinucaneB
Hi good evening Laura here UK in Surrey currently #physiotalk
Janet Thomas @JanetThomas47
I'm on the #physiotalk account tonight from a chilly Edinburgh
Laura Finucane @LaurafinucaneB
@physiotalk looking forward to this following on from @CSPSouthEast event today #FirstContactPhysio #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @CSPSouthEast yes was very good and some great discussions #physiotalk
Yvette @Yvette10440772
#physiotalk Hi am new to twitter and am a private physio working as an FCP
Scott Buxton @ScottBuxton_1
Good evening! My name is Scott and I'm a Physio working in a Frailty Team called @SquadRuh at the RUH in Bath @PTOTSLTDietAHPs #physiotalk
Laura Finucane @LaurafinucaneB
@Yvette10440772 welcome! brave start to twitter so good stuff! #physiotalk
KB @KBNeuroinfo
Hi from South Wales #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk we are currently running a pilot #FirstContactPhysio #physiotalk
Eily @eilymcc
@physiotalk Good morning from Melbourne, on my way to work on the train 🌎 #physiotalk
Scott Buxton @ScottBuxton_1
@_lewadam @physiotalk Don't just lurk! Your questions & contributions will be just as valuable as everyone else! #physiotalk
@AmandaHensman
@LaurafinucaneB @physiotalk I do a FCP service at 2 practices and West Cumbria is a pilot site #physiotalk
Laura Finucane @LaurafinucaneB
we have 3 FCP's working in 2 GP practices 4 sessions per week , 20 minute appointments #FirstContactPhysio #physiotalk
Laura Finucane @LaurafinucaneB
@AmandaHensman @physiotalk evening! #physiotalk #FirstContactPhysio
Scott Buxton @ScottBuxton_1
@physiotalk Just to help quantify things... how big is a local area? I'm aware of services in the county / neighbouring counties but am not near enough to know much about it #physiotalk
Scott Buxton @ScottBuxton_1
@LaurafinucaneB Laura, how long is each session typically? In my head i make it an AM or PM session of 4 hours? #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk running for a month seeing a variety of MSK conditions but dealing with the wider issues as well, some serious pathology picked up too #physiotalk #FirstContactPhysio
Eily @eilymcc
@physiotalk Within private practice, a physio will often be working as a primary contact. In Australia, a significant proportion of the physio community work in private practice and are often first to meet the patient #physiotalk
Joe Middleton @_JoeMiddleton
What is the difference between having a self-referral service vs. FCP? #physiotalk
@AmandaHensman
@LaurafinucaneB @physiotalk Have been running since 2014, MSK frailty, com0lex co morbidity, public health issues , investigation, on referral signposting, injecting ancvprescribing #FirstContactPhysio #physiotalk
Laura Finucane @LaurafinucaneB
@ScottBuxton_1 yes session is 4 wish hours an am or pm #physiotalk #FirstContactPhysio
Scott Buxton @ScottBuxton_1
@eilymcc @physiotalk It's really interesting hearing this as I think it clarifies the issues with clarity around the name of FCP. #physiotalk
Eily @eilymcc
@physiotalk Advanced practice is a growing area in Australia too, within the public health sector. Physio may be the first to see a patient in ED setting. Also physios working alongside consultants in OAHKS and neurosurg clinics... Though on referral from GP potentially? #physiotalk
Laura Finucane @LaurafinucaneB
@AmandaHensman @physiotalk we used @AmandaHensman to mentor our FCPs before they got going which was a great insight to what they were letting themselves in for! #physiotalk #FirstContactPhysio
@AmandaHensman
@LaurafinucaneB @physiotalk Mentorship vital for new services #physiotalk
Scott Buxton @ScottBuxton_1
@physiotalk @_JoeMiddleton In my mind a FCP is an alternative to a GP as in the expectation of the patient is that they receive the same standard of care and help to same accountability. #physiotalk
Laura Finucane @LaurafinucaneB
@eilymcc @physiotalk I think it is important to be clear about the different between first contact physio and first contact practitioner, this is often perceived as the same and it isn't #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
So, if I saw a FCP physiotherapist, they would potentially have to refer me to a physiotherapy service for ongoing management? #physiotalk
@AmandaHensman
@physiotalk Pts get seen by the right person right place first time, rewarding job, chance to be part of primary care MDT, part of the community, chance to upskill to Advanced practice. What not to like? #physiotalk
KB @KBNeuroinfo
@physiotalk Care navigation, seeing the right person at the right time. Appropriate referral and signposting #physiotalk
Laura Finucane @LaurafinucaneB
@_JoeMiddleton or not, the idea is to try to get the patients to self manage where appropriate #physiotalk #FirstContactPhysio
Scott Buxton @ScottBuxton_1
@physiotalk @LaurafinucaneB @eilymcc Excellent question. To build on this can a physio (or FCP) be called an FCP if they work in a setting where GPs also work - take an urgent treatment centre as an example. #physiotalk
@AmandaHensman
RT @natbeswetherick:
Joe Middleton @_JoeMiddleton
Oh now I am even more confused!?!? #physiotalk
Scott Buxton @ScottBuxton_1
@IanTyrrell5 @physiotalk @_JoeMiddleton Nail. On. Head. This has been my issue all along! I am fearful that #FCP is being used as a branding exercise and potentially neglecting other areas of physio practice which can be the foundation within these roles. #physiotalk
Joe Middleton @_JoeMiddleton
RT @IanTyrrell5:
@AmandaHensman
@IanTyrrell5 @physiotalk @ScottBuxton_1 @_JoeMiddleton FCP advanced practice role, we also have an FCP paramedic, dieticians are developing their skills, also have developed FCP frailty not just MSK #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @eilymcc think its ok to call themselves a physio but the role is not seeing patients in same context - they are not being referred by GP for physio. Its about self management , signposting, identifying other issues etc #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
Good question. So far, a First Contact Physio (not practitioner) seems to work in primary care as an alternative to a GP, seeing MSK complaints but otherwise doing everything (and more that a GP can). Am I on the right track here? #physiotalk
@AmandaHensman
@PhysioCorinne @LaurafinucaneB @physiotalk Encouraging local FCPs to make a buddy system e.g. maybe Skype call for 20 mins a week, get yo know of her FCP services in the next county and arrange meetings, regional FCP events, asking experienced FCP to help #physiotalk
Scott Buxton @ScottBuxton_1
@AmandaHensman @IanTyrrell5 @physiotalk @_JoeMiddleton That's news I like hearing Amanda. Can I ask why the CSP haven't been so loud in shouting about non-msk FCPs? I presume it is for clarity of message? #physiotalk
@AmandaHensman
@LaurafinucaneB @physiotalk @eilymcc Not hands on physio, assessment diagnosis investigation case management on referral signposting in to all services managing complex co morbidity #physiotalk
Joe Middleton @_JoeMiddleton
Hang on. Is the amazing working being done by @thecsp about First Contact Practitioners or First Contact Physios, and are they different things? #physiotalk
Scott Buxton @ScottBuxton_1
@IanTyrrell5 @EMAHPInfo @physiotalk @_JoeMiddleton Got to be the same. Surely. Must be. Definitely are. Maybe? #physiotalk
Eily @eilymcc
@ScottBuxton_1 @physiotalk @LaurafinucaneB Interesting to learn about the differences between the UK and Australian public health care settings. Many GP clinics in Aus will have a physio on site too who can be seen independently from GP (primary contact) or on referral from GP. #physiotalk
@AmandaHensman
@physiotalk They are and marry up to Advanced practice competencies #physiotalk
Laura Finucane @LaurafinucaneB
@ScottBuxton_1 @IanTyrrell5 @physiotalk @_JoeMiddleton need to consider scope of practice, so yes focus would be on MSK but you are looking at the patient holistically, consider the multi morbidities etc. I see it as part of the patients journey, the front end & not neglecting our core physio, should be integrated #physiotalk
@AmandaHensman
@EMAHPInfo @physiotalk @IanTyrrell5 @ScottBuxton_1 @_JoeMiddleton @sarahwithers20 I don't agree with that #physiotalk
@AmandaHensman
@EMAHPInfo @physiotalk @IanTyrrell5 @ScottBuxton_1 @_JoeMiddleton @sarahwithers20 It is an advanced practice role and should fulfil all 4 pillars #physiotalk
Joe Middleton @_JoeMiddleton
RT @michangus:
Laura Finucane @LaurafinucaneB
@_JoeMiddleton picture aN AP who is more of a generalist rather than a specialist , does that help? #physiotalk #FirstContactPhysio
@AmandaHensman
@PhysioCorinne @fiona_rough @LaurafinucaneB @physiotalk You need me too come and help you! #physiotalk
Scott Buxton @ScottBuxton_1
@AmandaHensman @EMAHPInfo @physiotalk @IanTyrrell5 @_JoeMiddleton @sarahwithers20 Perfect! This means FCP = ACP albeit with a different letter first. #physiotalk
@AmandaHensman
@ScottBuxton_1 @IanTyrrell5 @physiotalk @_JoeMiddleton It's coming Scott working with other physios I'm the UK around frailty models and other AHPs #physiotalk
@AmandaHensman
@ScottBuxton_1 @physiotalk @_JoeMiddleton It's not an alternative, it compliments the primary care team #physiotalk
Joe Middleton @_JoeMiddleton
@natbeswetherick @ScottBuxton_1 @AmandaHensman @IanTyrrell5 @physiotalk @scottbuxton @thecsp @EMAHPInfo But don't those roles already exist, with the drive coming from the advanced clinical practice 'movement'? #physiotalk
Scott Buxton @ScottBuxton_1
@natbeswetherick @AmandaHensman @IanTyrrell5 @physiotalk @_JoeMiddleton @scottbuxton @thecsp @EMAHPInfo Thanks Natalie 👌👍 Starting to all make sense. What do you think the time frame is for the FCP vision? #physiotalk
Joe Middleton @_JoeMiddleton
@AmandaHensman @ScottBuxton_1 @IanTyrrell5 @physiotalk In primary care only? #physiotalk
@AmandaHensman
@PhysioCorinne @fiona_rough @LaurafinucaneB @physiotalk I have got a car...am popping into see the Cornish FVP team and GPS in a couple of weeks and they are further away #physiotalk
Joe Middleton @_JoeMiddleton
RT @SallyThinks:
Joe Middleton @_JoeMiddleton
@michangus @fiona_rough @physiotalk CATS? #physiotalk
@AmandaHensman
@ScottBuxton_1 @natbeswetherick @IanTyrrell5 @physiotalk @_JoeMiddleton @scottbuxton @thecsp @EMAHPInfo you can DM me if you like re frailty Scott #physiotalk
Scott Buxton @ScottBuxton_1
@physiotalk UTC = urgent treatment centre Cats = fluffy domesticated pets which sometimes scratch your furniture. #physiotalk
KB @KBNeuroinfo
RT @AmandaHensman: @ScottBuxton_1 @physiotalk @_JoeMiddleton It's not an alternative, it compliments the primary care team #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk advanced clinical reasoning and advanced clinical reasoning ...:) #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
@physiotalk @ScottBuxton_1 When it doesn't have Emergency Medicine Doctors, and usually isn't 24/7. ED is now the preferred term over A&E. #physiotalk
Laura Finucane @LaurafinucaneB
@physiokatiek @physiotalk its coming! but its only part go the jigsaw puzzle #physiotalk #FirstContactPhysio
@AmandaHensman
@jobK2 @LaurafinucaneB @physiotalk @eilymcc Absolutely , yes. The FCP elearning that Neil langridge has led will be out in May, has 8 modules to help understand and develop physios into AHPs roles. One module is manageing complex co morbidity in a time limited consultation #physiotalk
Joe Middleton @_JoeMiddleton
@AmandaHensman @ScottBuxton_1 @natbeswetherick @IanTyrrell5 @physiotalk @scottbuxton @thecsp @EMAHPInfo Is that an open invitation Amanda? :) #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk I knew you would ask that!! think broadly, deal with complexity, systems thinking #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
But all within GP practices, yes? #physiotalk
@AmandaHensman
@physiotalk @LaurafinucaneB a lot of years of expericence, lots of support and mentorship, using the core capability framework, enrolling on the masters module for FCP at UCLAN, doing the FREE e-learning FCP module which will be live on the HEE website in may #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @AmandaHensman @jobK2 @eilymcc through @NHS_HealthEdEng and CSP #physiotalk #FirstContactPhysio
KB @KBNeuroinfo
RT @AmandaHensman: @physiotalk @LaurafinucaneB a lot of years of expericence, lots of support and mentorship, using the core capability framework, enrolling on the masters module for FCP at UCLAN, doing the FREE e-learning FCP module which will be live on the HEE website in may #physiotalk
Scott Buxton @ScottBuxton_1
@AmandaHensman @physiotalk @LaurafinucaneB I'll keep my eyes peeled for that module. #physiotalk
@AmandaHensman
RT @LaurafinucaneB: @physiotalk @AmandaHensman @jobK2 @eilymcc through @NHS_HealthEdEng and CSP #physiotalk #FirstContactPhysio
Laura Finucane @LaurafinucaneB
@ScottBuxton_1 @AmandaHensman @physiotalk hopefully May but it will be well advertised #FirstContactPhysio #physiotalk
@AmandaHensman
@physiotalk @LaurafinucaneB The plan is for it to be wider #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @AmandaHensman no it will be far reaching and even looking to going global #physiotalk #FirstContactPhysio
Scott Buxton @ScottBuxton_1
@Mel_McDonnell7 @physiotalk I think the GP mentorship will be essential. I hear primary care can feel lonely at times. #physiotalk
@AmandaHensman
RT @LaurafinucaneB: @ScottBuxton_1 @AmandaHensman @physiotalk hopefully May but it will be well advertised #FirstContactPhysio #physiotalk
@AmandaHensman
RT @LaurafinucaneB: @physiotalk @AmandaHensman no it will be far reaching and even looking to going global #physiotalk #FirstContactPhysio
Eily @eilymcc
@physiotalk This might be on interest, Advanced Practice Physio framework in Australia... #physiotalk https://t.co/EtzZYAYXl1
@AmandaHensman
@fiona_rough @physiotalk @LaurafinucaneB I believe that other universities are looking at doing it too #physiotalk
@AmandaHensman
RT @PhysioCorinne:
@AmandaHensman
@PhysioCorinne @jobK2 @LaurafinucaneB @physiotalk @eilymcc You will be fully intergrating in my presentation...will need a notebook and pen, get ready to do a time limited consultation ;) #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk brilliant question, not really..we need to look at developing the workforce, need to train FCP, flex the workforce , we need to integrate core physio as so important and AP and FCP not possible without core physio #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
RT @IanTyrrell5:
Laura Finucane @LaurafinucaneB
@michangus @physiotalk completely agree Michelle. #physiotalk #FirstContactPhysio
@AmandaHensman
RT @LaurafinucaneB: @physiotalk brilliant question, not really..we need to look at developing the workforce, need to train FCP, flex the workforce , we need to integrate core physio as so important and AP and FCP not possible without core physio #physiotalk #FirstContactPhysio
@AmandaHensman
@LaurafinucaneB @physiotalk absolutely!!! definately a symbiotic relationship! #physiotalk
KB @KBNeuroinfo
RT @LaurafinucaneB: @physiotalk brilliant question, not really..we need to look at developing the workforce, need to train FCP, flex the workforce , we need to integrate core physio as so important and AP and FCP not possible without core physio #physiotalk #FirstContactPhysio
Joe Middleton @_JoeMiddleton
@physiotalk Haven''t MSK & Orthopaedic interface services been doing that already? #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk we need to avoid this happening , best model IMO is having FCP working in physio dept as well as AP so we grow our workforce and support #physiotalk #FirstContactPhysio
@AmandaHensman
RT @EMAHPInfo:
@AmandaHensman
@EMAHPInfo @physiotalk @thecsp It will take time, but possible to do in stages, not p[ossible to solve immediately! Will an increase in student places, the ball has started rolling from grass roots for forward planning #physiotalk
Scott Buxton @ScottBuxton_1
@physiotalk @jimmypeo17 Juicy question. Tactically left until the end 😉 I'm going to go out on a limb and say 7 to 8a pathway. #physiotalk
@AmandaHensman
@ScottBuxton_1 @physiotalk @jimmypeo17 Most definately! This is written and supported by the NHSE long term plan and in the GP 5 year frsamework #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @jimmypeo17 band 8 , band 7 trains post we are worth it !! #physiotalk #FirstContactPhysio
Scott Buxton @ScottBuxton_1
@physiotalk @michangus @LaurafinucaneB I'm going to guess... Clinical Assessment Triage Service? #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @michangus clinical assessment and treatment service #physiotalk #FirstContactPhysio
@AmandaHensman
@physiotalk thank you #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk @LaurafinucaneB @michangus I mean, you make a really good point there!!! #physiotalk
Laura Finucane @LaurafinucaneB
@physiotalk @michangus depends, AP would work in a CATS as triage role essentially #physiotalk thanks for curating !
KB @KBNeuroinfo
RT @physiotalk:
Joe Middleton @_JoeMiddleton
Thanks @physiotalk I think things are a little clearer, but can't help but feel that FCP just joins the melting pot of confusion that is ACP. Will do some reading of the resources shared tonight and see how I get on! #physiotalk
Laura Finucane @LaurafinucaneB
@helschez @michangus @physiotalk agree but we are in control of some of that IMO #physiotalk #firstcontactphysio
Laura Finucane @LaurafinucaneB
@jobK2 @AmandaHensman @physiotalk @eilymcc @neiljlangridge has a paper accepted....#physiotalk
Laura Finucane @LaurafinucaneB
RT @AmandaHensman: @physiotalk @LaurafinucaneB a lot of years of expericence, lots of support and mentorship, using the core capability framework, enrolling on the masters module for FCP at UCLAN, doing the FREE e-learning FCP module which will be live on the HEE website in may #physiotalk
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