#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
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
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
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
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
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:
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
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
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
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
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
Scott Buxton @ScottBuxton_1
@AmandaHensman @EMAHPInfo @physiotalk @IanTyrrell5 @_JoeMiddleton @sarahwithers20 Perfect! This means FCP = ACP albeit with a different letter first. #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
Joe Middleton @_JoeMiddleton
RT @SallyThinks:
Joe Middleton @_JoeMiddleton
@michangus @fiona_rough @physiotalk CATS? #physiotalk
Scott Buxton @ScottBuxton_1
@physiotalk UTC = urgent treatment centre Cats = fluffy domesticated pets which sometimes scratch your furniture. #physiotalk
KB @KBNeuroinfo
RT @AmandaHensman:
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
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
Laura Finucane @LaurafinucaneB
@physiotalk @AmandaHensman @jobK2 @eilymcc through @NHS_HealthEdEng and CSP #physiotalk #FirstContactPhysio
KB @KBNeuroinfo
RT @AmandaHensman:
Scott Buxton @ScottBuxton_1
@AmandaHensman @physiotalk @LaurafinucaneB I'll keep my eyes peeled for that module. #physiotalk
Laura Finucane @LaurafinucaneB
@ScottBuxton_1 @AmandaHensman @physiotalk hopefully May but it will be well advertised #FirstContactPhysio #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
Eily @eilymcc
@physiotalk This might be on interest, Advanced Practice Physio framework in Australia... #physiotalk https://t.co/EtzZYAYXl1
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
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
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
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
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 content from Twitter.