#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Good evening and welcome to tonights #physiotalk The topic tonight is on Primary Care and Community #MSK services post #COVID19 Thank you to @ChrisMartey who suggested the topic and questions being asked tonight.
Anna Spiteri @spiteri_anna
RT @physiotalk: Five minutes to go before tonights #physiotalk chat with @ChrisMartey focussed on Primary Care and Community MSK services p…
Anna Spiteri @spiteri_anna
RT @physiotalk: Primary Care and Community MSK Services: Post-COVID #physiotalk 15th June https://t.co/UtLzh7Kpkg
Anna Spiteri @spiteri_anna
RT @physiotalk: A reminder that we have collected the information from our #COVID19 #physiotalk tweetchats onto one page so that you can us…
physiotalk @physiotalk
@ChrisMartey As usual we will be tweeting out the questions, but look out for @ChrisMartey asking some follow up discussion points! #physiotalk
physiotalk @physiotalk
But before we start in earnest - the first question as always is... Say hello, let us know who you are and where you are joining in from! #physiotalk
Jane Mitchell @Janeomit
@physiotalk Jane from soggy Cornwall! #physiotalk
Janet Thomas @JanetThomas47
As usual I'm tweeting from Edinburgh on the @physiotalk account tonight. Weather report - East coast haar! #physiotalk
Corinne Birch @PhysioCorinne
#physiotalk Hello from Corinne FCP in North Somerset
Emma Bell @emmalucybell
@physiotalk Student physio from Northern Ireland #physiotalk
Anna Spiteri @spiteri_anna
@physiotalk Hello everyone. A very big hello to all of you especially if you have been working today. I am on the #physiotalk team tonight.
S-J Ryan @sjryan15
RT @physiotalk: Primary Care and Community MSK Services: Post-COVID #physiotalk 15th June https://t.co/UtLzh7Kpkg
physiotalk @physiotalk
A reminder to everyone tonight to use the #physiotalk hashtag in all of your tweets It is the only way to follow the discussion and make sure your tweets get seen!
Matthew Wyatt @MRWPhysio
@physiotalk Matthew from Sunny Croydon #physiotalk
Joel Lawrence Fernandes @joelferns70
Highlights the importance of patient centred care and promoting a shared decision-making in clinical practice #physiotalk
physiotalk @physiotalk
@AsharMPhysio Hi Just reminder to use #physiotalk in your tweets please!
First Physio @first_physio
@physiotalk #physiotalk
physiotalk @physiotalk
@GeorgeTherapies @Janeomit Hi Just reminder to use #physiotalk in your tweets please!
physiotalk @physiotalk
@Diane_Reid1 Hi Just reminder to use #physiotalk in your tweets please!
Matthew Wyatt @MRWPhysio
RT @physiotalk: Primary Care and Community MSK Services: Post-COVID #physiotalk 15th June https://t.co/UtLzh7Kpkg
physiotalk @physiotalk
@first_physio Hi Just reminder to use #physiotalk in your tweets please!
Aimee Robson @AimeeRobson4
@physiotalk Hi :) Aimee lurking from Newcastle #physiotalk
physiotalk @physiotalk
@AsharMPhysio Welcome. Please remember to add #Physiotalk to all your comments. I have it ready on copy and paste! #Physiotalk
Chris Martey @ChrisMartey
#PhysioTalk Hi from Bristol
physiotalk @physiotalk
@KatherineArmit1 Welcome. Remember the hashtag! #Physiotalk
Hannah Morley @HannahMorleynhs
Hi all. Hannah joining from Bristol. Work as FCP lead in Gloucestershire #physiotalk
physiotalk @physiotalk
@MRWPhysio Welcome - but how come you have sun and the rest of us are soggy / haar etc... #physiotalk
Sibyl Edward, D.P.T. @pasl_pt
Hi Everyone. Sibyl here. Tweeting from Saint Lucia in the Caribbean! #physiotalk
Matthew Wyatt @MRWPhysio
@physiotalk Sun always shines on Croydon 😉 #physiotalk
physiotalk @physiotalk
Great to see you all joining us tonight. Lets get started with the first of our 7 questions for tonights chat #physiotalk
Liz Oxley @OxleyElizabeth
@physiotalk Hi Liz from somerset #physiotalk
physiotalk @physiotalk
Q1 How are you managing with telephone and video consultations and do you, or your patients, have ‘video fatigue’ at all? #physiotalk
physiotalk @physiotalk
@pasl_pt Welcome! I suspect you don't have the East Coast haar (fog!) that I have... #physiotalk
Connect2Physio @Connect2Physio
RT @physiotalk: Good evening and welcome to tonights #physiotalk The topic tonight is on Primary Care and Community #MSK services post #C
physiotalk @physiotalk
@janeclarkey Hashtag reminder #Physiotalk
Melissa McDonnell @Mel_McDonnell7
@physiotalk I’ve found that some of my patients are quite enjoying describing their symptoms during a telephone assessment and that their description are much more accurate than my visual assumptions #physiotalk
Janet Thomas @JanetThomas47
@physiotalk I've only had to do a few phone calls to catch up with current patients (as our service is closed) but it is really quite tiring! I wouldn't like to do it all day :) #physiotalk
George Rogers @GeorgeTherapies
@physiotalk One of the most significant challenges has been getting patients on the Fylde Coast to agree to video consultations #physiotalk
Fiona Skelton @skelton_fiona
@physiotalk Fiona lurking from sunny Selby #physiotalk
physiotalk @physiotalk
@Mel_McDonnell7 That's sounds intriguing. How are your facilitating getting such good descriptions? #physiotalk
Hannah Morley @HannahMorleynhs
Video and tel fatigue definitely true. Full clinic today. Mostly phone calls...you don't get the same energy from tel contact as from f2f. Also less moving around & natural breaks. Take longer too #physiotalk
physiotalk @physiotalk
@GeorgeTherapies Anyone else finding this? People reluctant for this - or are other areas finding people are keen? #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@physiotalk For the physio, quite intense, can be a very comprehensive interaction, but long and missing hands on objective assessment. #physiotalk
physiotalk @physiotalk
@GeorgeTherapies How have you overcome this resilience @GeorgeTherapies? #Physiotalk
First Physio @first_physio
@physiotalk Virtual appointments and the various processes are becoming slicker! Patients who opt for them seem to really like them. Yet physio fatigue doing them is real!! #physiotalk
Katherine Armitage @KatherineArmit1
#physiotalk we have a massive uptake for video consultation, much preferred to telephone
Melissa McDonnell @Mel_McDonnell7
@physiotalk It can be hit and miss, and definitely depends on the type of patient. But when they’re willing to talk and describe so colourfully I’m happy to let them! #physiotalk
physiotalk @physiotalk
RT @HannahMorleynhs: Video and tel fatigue definitely true. Full clinic today. Mostly phone calls...you don't get the same energy from tel…
physiotalk @physiotalk
@Mel_McDonnell7 Perhaps a lesson we can all learn from even when back to F2F! #physiotalk
George Rogers @GeorgeTherapies
@physiotalk Trialling different admin scripts, promotion of benefits+++, keep trying! #physiotalk
First Physio @first_physio
@GeorgeTherapies @physiotalk Totally- there is a reluctance but those that take the opportunity have all reported as ‘better than they had thought’, ‘got loads more out of it than thought’ etc #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
@skelton_fiona We love lurkers. Most of us on started off as lurkers #Physiotalk
Sibyl Edward, D.P.T. @pasl_pt
@physiotalk Oh no! Just sun and blue skies! :) Nice to be here. This appears to be a great TweetChat. #physiotalk
Fiona Skelton @skelton_fiona
@physiotalk Some platforms easier than others . #physiotalk
Chris Martey @ChrisMartey
@physiotalk Interesting points. 'Zoom fatigue' has been coined of late too (https://t.co/DbyJ77xPf7), and there may be an issue around how patient's perceive their therapist virtually, compared to face-to-face perhaps? #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
RT @ChrisMartey: @physiotalk Interesting points. 'Zoom fatigue' has been coined of late too (https://t.co/DbyJ77xPf7), and there may be an…
Susannah Ashton @skashton
@physiotalk Susannah - Leicestershire #physiotalk
Emma Bell @emmalucybell
RT @ChrisMartey: @physiotalk Interesting points. 'Zoom fatigue' has been coined of late too (https://t.co/DbyJ77xPf7), and there may be an…
West Midlands CSP @WestMidlandsCSP
RT @physiotalk: Primary Care and Community MSK Services: Post-COVID #physiotalk 15th June https://t.co/UtLzh7Kpkg
physiotalk @physiotalk
Quite a few tweets without the hashtag A reminder to you all to put #physiotalk in all of your tweets - please!
physiotalk @physiotalk
@Mel_McDonnell7 @MRWPhysio Hashtag reminder so everyone can follow the conversation and all your comments are included in the transcript #Physiotalk
George Rogers @GeorgeTherapies
@KatherineArmit1 😲 lucky you! #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@GeorgeTherapies @physiotalk As for children from poorer homes not having access to computers for school work, there are many adults who do not have internet access or iPads, etc. So, we should be conscious that this may lie behind some people declining, as that can afford to access care. #physiotalk
SPC @spc2430
RT @ChrisMartey: @physiotalk Interesting points. 'Zoom fatigue' has been coined of late too (https://t.co/DbyJ77xPf7), and there may be an…
Katherine Armitage @KatherineArmit1
@ChrisMartey @physiotalk I find Skype / teams/ zoom all day pretty tiring but like all things assume I will get used to this medium as time goes on.... the issue is going from 0-100, overnight #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@physiotalk I hope I’m doing this correctly? You reply to the question and include the #physiotalk?
Chris Martey @ChrisMartey
@physiotalk @Mel_McDonnell7 'if' back to F2F? #physiotalk
Janet Thomas @JanetThomas47
@JonnieMcC @GeorgeTherapies @physiotalk That's our concern for when our service restarts. Not MSK but older peoples Ax and rehab. Lack of IT /tech as well as possible reluctance to use #physiotalk
First Physio @first_physio
@JonnieMcC @GeorgeTherapies @physiotalk Generations that do not now how to use or have technology also may be forgotten #physiotalk
physiotalk @physiotalk
@JonnieMcC Yes! #physiotalk
physiotalk @physiotalk
@HannahMorleynhs Do you have tele conferencing facility like Attend Anywhere? #physiotalk
Katherine Armitage @KatherineArmit1
@GeorgeTherapies The consultations take longer via video. Do you find this too George? #physiotalk
Paula Deacon @paulawoods5
RT @ChrisMartey: @physiotalk Interesting points. 'Zoom fatigue' has been coined of late too (https://t.co/DbyJ77xPf7), and there may be an…
Sibyl Edward, D.P.T. @pasl_pt
@JonnieMcC @GeorgeTherapies @physiotalk This is my experience as well sometimes (for adults though). Some persons limit what can be viewed and they need to be comfortable inviting a PT virtually into their homes. #physiotalk
physiotalk @physiotalk
Time to move onto question two! #physiotalk
Aimee Robson @AimeeRobson4
@JanetThomas47 @JonnieMcC @GeorgeTherapies @physiotalk Or knowledge, skills, confidence, or health literacy (all and/or) #physiotalk
George Rogers @GeorgeTherapies
@ChrisMartey @physiotalk Interestingly our Head of Psychology has been noting some anecdotal evidence of improved therapeutic relationship building due to screen bringing you closer face to face as you may otherwise have been 🤷‍♂️ #physiotalk
physiotalk @physiotalk
Q2 What, if any, concerning clinical problems or issues have you encountered as these virtual roles have rolled on? #physiotalk
Peter Burns @PeterBu96033278
@physiotalk Pete - App & FCP North Hampshire 👋🏻 #physiotalk
Matthew Wyatt @MRWPhysio
@ChrisMartey @physiotalk @Mel_McDonnell7 Hybrid? #PhysioTalk
Janet Thomas @JanetThomas47
@AimeeRobson4 @JonnieMcC @GeorgeTherapies @physiotalk And with our client group issues such as cognitive processing, executive function, and even things like drier skin meaning touch screens less responsive! #physiotalk
Katherine Armitage @KatherineArmit1
@GeorgeTherapies Also having to balance waiting lists for telephone and video as limited trained staff and equit......new challenges #physiotalk
Chris Martey @ChrisMartey
@GeorgeTherapies @physiotalk That is interesting! #PhysioTalk
Melissa McDonnell @Mel_McDonnell7
@ChrisMartey @physiotalk I think we’ve found that there’s absolutely a place for telephone and video and now most of us are set up to give the patient the option, but I’d hate to think F2F is out of the window! #physiotalk
physiotalk @physiotalk
@GeorgeTherapies @ChrisMartey That's interesting! #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@JanetThomas47 @GeorgeTherapies @physiotalk Children and grandchildren have been very helpful in setting these things up. #physiotalk
Chris Martey @ChrisMartey
@MRWPhysio @physiotalk @Mel_McDonnell7 I reckon so #PhysioTalk
WSHT Emergency Floor Therapies @WSHFT_EFtherapy
@physiotalk Therapies team from Worthing #physiotalk
Hannah Morley @HannahMorleynhs
@physiotalk #physiotalk
physiotalk @physiotalk
RT @Mel_McDonnell7: @ChrisMartey @physiotalk I think we’ve found that there’s absolutely a place for telephone and video and now most of us…
physiotalk @physiotalk
@GeorgeTherapies @JonnieMcC hashtag to all comments including one word comments #Physiotalk
Fiona Skelton @skelton_fiona
@physiotalk Describing a movement or exercise particularly for the shoulder can be tricky when not f2f #physiotalk
Emma Bell @emmalucybell
RT @Mel_McDonnell7: @ChrisMartey @physiotalk I think we’ve found that there’s absolutely a place for telephone and video and now most of us…
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@first_physio @GeorgeTherapies @physiotalk We need to make sure that we ‘act in the patient’s best interests’, and pursue them, to meet their needs, whatever their limits to access are. #physiotalk
physiotalk @physiotalk
RT @physiotalk: Q2 What, if any, concerning clinical problems or issues have you encountered as these virtual roles have rolled on? #phys
Sibyl Edward, D.P.T. @pasl_pt
@physiotalk We are opening up slowly and scheduling face-to-face around much needed virtual sessions can be ticklish #physiotalk
physiotalk @physiotalk
@zobesy Don't forget the hashtag #Physiotalk to all comments even answers to comments
George Rogers @GeorgeTherapies
@KatherineArmit1 Some of the advice from the early adopters in Scotland was telephone for subjective and then jump on video for a short period for objective. Good logic but quite a lot of admin required I would imagine #physiotalk
physiotalk @physiotalk
@skelton_fiona Are you able to demonstrate or are you meaning just on phone consultations? #physiotalk
Corinne Birch @PhysioCorinne
@physiotalk #physiotalk as I am unable to see patients yet there have been some concerning patients eg potential CRPS, worsening neurology but I have been able to book f2f with PPE in the green zone. I am finding I am following more people up to ensure some things are resolving
Matthew Wyatt @MRWPhysio
@JonnieMcC @first_physio @GeorgeTherapies @physiotalk Could remote access for some/ many/ majority improve access for the groups who cannot access via remote? #physiotalk
George Rogers @GeorgeTherapies
@physiotalk @ChrisMartey Nice research piece for someone! #physiotalk
Peter Burns @PeterBu96033278
@physiotalk Meeting the needs of non English speaking patients has been a challenge, we now have interpreter service up and running but not yet used. #physiotalk
physiotalk @physiotalk
@HannahMorleynhs Don't forget the hashtag even if you are responding to a comment. #Physiotalk
Hannah Morley @HannahMorleynhs
@GeorgeTherapies @ChrisMartey @physiotalk #physiotalk
Melissa McDonnell @Mel_McDonnell7
@PhysioCorinne @physiotalk Yes we’ve taken the same approach in regards to worsening neurology + risk assessed with the patient #physiotalk
Chris Martey @ChrisMartey
I've attempted this in 30' appointments. Very worthwhile IMO but also rather pressured. And yes, the admin and general logistics of it #PhysioTalk
physiotalk @physiotalk
@PeterBu96033278 That sounds complicated for a virtual clinic consultation. Wondering how those with other communication issues are also managing? #physiotalk
Fiona Skelton @skelton_fiona
@physiotalk On phone consultation if the Pt hasn’t a device etc But we are finding phone consultations v useful to complete the core subjective Ax and triaging whether a f2f is required so reducing the f2f time required #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@MRWPhysio @first_physio @GeorgeTherapies @physiotalk Phoned someone today, her and partner have Nokia 3310 era phones, so going to assess in their back garden. #physiotalk
physiotalk @physiotalk
@JonnieMcC @JanetThomas47 @GeorgeTherapies Yes and sometimes older children can act as interpreters too! In the area of North London that I work in this is extremely helpful #Physiotalk.
physiotalk @physiotalk
Heading towards half way through - so better move onto our next question #physiotalk
physiotalk @physiotalk
Q3 Do you have any worries or fears for the longer term care and management of MSK patients currently impacted by COVID-19 waiting lists, cancellations, virtual consultations, etc? #physiotalk
Diane Reid @Diane_Reid1
@physiotalk ooh forgot the #physiotalk 🤦‍♀️
Chris Martey @ChrisMartey
Thanks, Corinne, we're having similar tricky cases too. Worsening neurology is a particular point of interest for me and part of the reason for asking this Qu.2 #PhysioTalk
Emma Bell @emmalucybell
@physiotalk I have found this article informative about the need for rehab & awareness of resources that need to be provided to patients before and after Covid-19. #physiotalk #righttorehab https://t.co/ebfDC6bYTG
George Rogers @GeorgeTherapies
@physiotalk Finding the right level for group education and exercise virtually! We are no Joe Wicks so far... #physiotalk
Hannah Morley @HannahMorleynhs
@ChrisMartey We have tried to stick to 20min. Same as our f2f. How long are other people's slots? #physiotalk
physiotalk @physiotalk
RT @ChrisMartey: Thanks, Corinne, we're having similar tricky cases too. Worsening neurology is a particular point of interest for me and p…
Liz Oxley @OxleyElizabeth
@physiotalk #physiotalk I have had a few patients with red flags and deteriorating neurology. I have brought 1 patient in to assess f2f with PPE. Some difficulties with patients that are hard of hearing.Had 1 patient whose daughter phoned as father suffering repeat falls and going ‘off legs’
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@physiotalk @JanetThomas47 @GeorgeTherapies ...and this is the unexpected positive is that family members become more involved and engaged possibly increasing the likelihood of independent self management as well as having many ears to listen and develop the understanding of the condition, etc. #physiotalk
physiotalk @physiotalk
@Diane_Reid1 Hashtag reminder #Physiotalk
physiotalk @physiotalk
@HannahMorleynhs @ChrisMartey That sounds like a challenge! Love to hear what other people are doing with time slots #physiotalk
Emma Bell @emmalucybell
@physiotalk Also this article (linked below) informative about the importance of staying active during lockdown. The results of reduced levels of activity can impact physical & mental health, which may overwhelm the NHS, when resources will be needed to focus on Covid-19 rehab.#physiotalk
Corinne Birch @PhysioCorinne
@HannahMorleynhs @ChrisMartey #physiotalk I have also stayed to 20' appts although some take longer, others shorter. It always seems to balance out
Emma Bell @emmalucybell
@physiotalk https://t.co/FNuYDyXHwz #physiotalk
Hannah Morley @HannahMorleynhs
@PhysioCorinne @physiotalk We are following up more too. Helps to reassure pt too. There is no physio or ortho for us to refer onto atm so also seeing more that would normally go to them from GPS #physiotalk
Diane Reid @Diane_Reid1
@ChrisMartey Yes, I have the same concern #physiotalk
George Rogers @GeorgeTherapies
@HannahMorleynhs @ChrisMartey We are looking at a hybrid of 40 min NP telephone/video consultations and 30 min f2f to allo for objective, treatment, cleaning, etc #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@OxleyElizabeth @physiotalk That’s a worry, about potentially missing it. But history is key, so family engagement can help to get a clearer history #physiotalk
Emma Bell @emmalucybell
@physiotalk One more ... This is an article on the CSP answering questions on post viral fatigue syndrome (PVFS) in covid-19. #physiotalk https://t.co/gDwcI3x0Ub
Corinne Birch @PhysioCorinne
@physiotalk #physiotalk my biggest concern is the inevitable longer waits for orthopaedic surgery which will put more pressure on us in Primary Care to help manage patients pain and disability
Melissa McDonnell @Mel_McDonnell7
@HannahMorleynhs @ChrisMartey We’ve generally stuck to 30 mins as usual with the option of 60 if we feel it’s necessary. Majority take between 20-30 though imo #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@GeorgeTherapies @HannahMorleynhs @ChrisMartey Lots of short ones, or fewer long ones? #physiotalk
physiotalk @physiotalk
RT @PhysioCorinne: @physiotalk #physiotalk my biggest concern is the inevitable longer waits for orthopaedic surgery which will put more pr…
Chris Martey @ChrisMartey
This is always a good debate in #MSK and #FCP, how long should you get? What's the optimum time needed to deliver high quality, effective care, I wonder? Does anyone have a non-negotiable lower limit? @thecsp @LarryKoyama @CSP_FCP #PhysioTalk
physiotalk @physiotalk
#physiotalk
Emma Bell @emmalucybell
RT @PhysioCorinne: @physiotalk #physiotalk my biggest concern is the inevitable longer waits for orthopaedic surgery which will put more pr…
Hannah Morley @HannahMorleynhs
@physiotalk Thinking about potential waits for elective pts in ortho is worrying. These pts will need some way to managed pain and disability whole waiting for intervention. I wonder if opiate prescriptions or requests from pts will increase? #physiotalk
Andrew Cuff @AndrewVCuff
@GeorgeTherapies @KatherineArmit1 Horses for courses - telephone ample and convenient for most; specific use of video to add value when needed. Can’t think of much you need to see in person if video available. #PhysioTalk
Liz Oxley @OxleyElizabeth
@JonnieMcC @physiotalk Yes, luckily I was working with a very supportive GP who I discussed the case with and passed onto her to speak with the daughter and arrange the necessary tests/visit as necessary. #physiotalk
First Physio @first_physio
@GeorgeTherapies @physiotalk This week potential slipped femoral epiphysis in 7 year old...10 wks ago with Joe Wicks lateral lunge. Waiting for x-ray results ☹️ #physiotalk
George Rogers @GeorgeTherapies
@physiotalk Speaking to a @ClareLongton about rheumatology patients, major potential problems following patients not being able to access appropriate pharmacology treatment early enough #physiotalk
Matthew Wyatt @MRWPhysio
@physiotalk On plus side some may have self managed rather than have had low value/ warranted interventions? #physiotalk
Matthew Wyatt @MRWPhysio
#physiotalk
physiotalk @physiotalk
@ChrisMartey @thecsp @LarryKoyama @CSP_FCP I feel a poll coming on.... #physiotalk
Emma Bell @emmalucybell
RT @GeorgeTherapies: @physiotalk Speaking to a @ClareLongton about rheumatology patients, major potential problems following patients not b…
Fiona Skelton @skelton_fiona
@OxleyElizabeth @physiotalk Yes difficult with elderly, hard of hearing , we have also spoken with spouses, family members with consent #physiotalk
physiotalk @physiotalk
RT @ChrisMartey: This is always a good debate in #MSK and #FCP, how long should you get? What's the optimum time needed to deliver high qua…
Hannah Morley @HannahMorleynhs
@AndrewVCuff @GeorgeTherapies @KatherineArmit1 Sometimes it is tgsg dimple or pt has a really simple question. We had tel slots before covid for those pts... Checking about meds, asking for specific exs or how to get ref somewhere. Definitely recommend keeping those changes #physiotalk
Corinne Birch @PhysioCorinne
@AndrewVCuff @GeorgeTherapies @KatherineArmit1 #physiotalk but sadly not every patient has the use of a smart phone or tablet and they are often the most vulberable
Diane Reid @Diane_Reid1
@physiotalk I am concerned of the longer waiting lists, not being able to offer symptomatic ease in the form of injection Therapy and concern that some of the vulnerable patients’ won’t want to travel in on public transport #physiotalk
physiotalk @physiotalk
RT @AndrewVCuff: @GeorgeTherapies @KatherineArmit1 Horses for courses - telephone ample and convenient for most; specific use of video to a…
George Rogers @GeorgeTherapies
@JonnieMcC @HannahMorleynhs @ChrisMartey A bias towards longer virtual appointments and a gradual easing back in of appropriate f2f appointments #physiotalk
Melissa McDonnell @Mel_McDonnell7
@physiotalk Ortho waiting times, in particular joint replacements. Likely to hit the group hardest who’ve had to shield or have been out and about less during this time and therefore becoming deconditioned. #physiotalk
Andrew Cuff @AndrewVCuff
#PhysioTalk - movement breaks! So welcomed and needed during long days with the laptop.
Matthew Wyatt @MRWPhysio
@ChrisMartey @thecsp @LarryKoyama @CSP_FCP Depends on what you want to achieve We have focused on; Do It Once, Do It Well rather than poor or multiple consultations #physiotalk
Hannah Morley @HannahMorleynhs
@PhysioCorinne @AndrewVCuff @GeorgeTherapies @KatherineArmit1 There is something to be said for those most in need finding it hardest to access care #physiotalk how is everyone managing langague barriers on tel or video?
Benoy Mathew @function2fitnes
RT @AndrewVCuff: #PhysioTalk - movement breaks! So welcomed and needed during long days with the laptop. https://t.co/7vuUCaRjrL
physiotalk @physiotalk
@JennyC_Physio #Physiotalk hashtag reminder :)
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@ChrisMartey @thecsp @LarryKoyama @CSP_FCP Good research needs a long term follow up. Take the time to explain, educate, empower and you bump into them in 5 years time and they have it under control. Other option is the revolving door of 6 sessions or annual reviews, etc. #physiotalk
Andrew Cuff @AndrewVCuff
@PhysioCorinne @GeorgeTherapies @KatherineArmit1 Agree - a lot of transformation has rightly harnessed technical solutions. How do we reach those that don’t have video capacity to ensure equitable access for things further down the link like virtual rehab groups? #PhysioTalk
Emma Bell @emmalucybell
RT @Mel_McDonnell7: @physiotalk Ortho waiting times, in particular joint replacements. Likely to hit the group hardest who’ve had to shield…
physiotalk @physiotalk
When running a virtual physiotherapy appointment in MSK or FCP - how long is your treatment slot? #physiotalk Choose the closest option!
Katherine Armitage @KatherineArmit1
@PhysioCorinne @AndrewVCuff @GeorgeTherapies In Somerset as a whole, we have now developed a much longer wait for video consultation as almost everyone would pick that over telephone #physiotalk
physiotalk @physiotalk
RT @MRWPhysio: @ChrisMartey @thecsp @LarryKoyama @CSP_FCP Depends on what you want to achieve We have focused on; Do It Once, Do It Well ra…
Matthew Wyatt @MRWPhysio
@Mel_McDonnell7 @physiotalk or they have been out walking like every other member of the population appears to have been and avoided the op? #physiotalk
Hannah Morley @HannahMorleynhs
@MRWPhysio @ChrisMartey @thecsp @LarryKoyama @CSP_FCP Prior to tel and vid our consult times were v managable but just wondered if as none had changed consult time length since moving yo telehealth. #physiotalk
physiotalk @physiotalk
@ClareLongton @GeorgeTherapies Hashtag reminder #physiotalk
physiotalk @physiotalk
Next question coming up... #physiotalk
Matthew Hall @theMatt_Hall
RT @AndrewVCuff: #PhysioTalk - movement breaks! So welcomed and needed during long days with the laptop.
physiotalk @physiotalk
Q4 What guidance have you found most useful in supporting your virtual MSK practice? #physiotalk
Benoy Mathew @function2fitnes
RT @AndrewVCuff: @GeorgeTherapies @KatherineArmit1 Horses for courses - telephone ample and convenient for most; specific use of video to a…
Emma Bell @emmalucybell
@physiotalk This was a guide to rapid remote consultations produced by the CSP #physiotalk https://t.co/Ku5b9amyZ5
Katherine Armitage @KatherineArmit1
@HannahMorleynhs @ChrisMartey Is this for FCP or MSK in departments Hannah? #physiotalk
Liz Oxley @OxleyElizabeth
@physiotalk Waiting lists are an obvious concern. Patients who need surgery for potentially deteriorating conditions such as CTS especially. We are going to have a huge backlog of CSIs as well as so many patients are constantly asking when we will re-start them #physiotalk
Fiona Skelton @skelton_fiona
@GeorgeTherapies @KatherineArmit1 Depending on which platform you use. AccuRx is more in the moment and can easily switch from call to VC. Attendanywhere AA better for booked appointments.#physiotalk
physiotalk @physiotalk
RT @KatherineArmit1: @PhysioCorinne @AndrewVCuff @GeorgeTherapies In Somerset as a whole, we have now developed a much longer wait for vide…
Hannah Morley @HannahMorleynhs
@MRWPhysio @Mel_McDonnell7 @physiotalk Knee injuries from jumping around living room with a popular 9am workout 🤷‍♀️ #physiotalk
physiotalk @physiotalk
RT @emmalucybell: @physiotalk This was a guide to rapid remote consultations produced by the CSP #physiotalk https://t.co/Ku5b9amyZ5
Melissa McDonnell @Mel_McDonnell7
@MRWPhysio @physiotalk Mixed bag again. Difficult in the countryside where there’s no pavements in areas and they don’t feel confident to go out alone. But this of course isn’t a true picture of all of our patients, some have probably been out multiple times a day #physiotalk
physiotalk @physiotalk
@ClareLongton @GeorgeTherapies Hashtag reminder #Physiotalk
Steve Nawoor @stevenawoor
@ChrisMartey @MRWPhysio @thecsp @LarryKoyama @CSP_FCP Can’t take credit for that one @ChrisMartey #Physiotalk .... @MRWPhysio at his best 😉 https://t.co/t6ha7nTbHC
Matthew Wyatt @MRWPhysio
@physiotalk We focused on lots of short and regular in-house CPD. Shared ideas, top tips, case studies Lead by the brillant @ashjamesphysio and @stevenawoor #physiotalk
Hannah Morley @HannahMorleynhs
@KatherineArmit1 @PhysioCorinne @AndrewVCuff @GeorgeTherapies When you say a longer wait fo you mean you have a wasiting list in fcp? #physiotalk
First Physio @first_physio
@physiotalk @PhysioFirstC information and regional zoom meeting to discuss on the ground how implementing #physiotalk
Jenny Chamberlain @JennyC_Physio
@GeorgeTherapies @KatherineArmit1 #physiotalk yes AccuRx is easier for switching form video to tel- especially if pts try to use the video link and have connection probs!
Janet Thomas @JanetThomas47
@physiotalk We used the Scottish guidance - just need to find it now to tweet it out! #physiotalk
Hannah Morley @HannahMorleynhs
@KatherineArmit1 @ChrisMartey FCP is and continues at 20min video, f2f or tel. But increased to 30min for f2f with ppe having already done subj on tel. #physiotalk
physiotalk @physiotalk
RT @physiotalk: Q4 What guidance have you found most useful in supporting your virtual MSK practice? #physiotalk
physiotalk @physiotalk
@ClareLongton @GeorgeTherapies @RheumatologyUK Hashtag reminder on all comments and replies to comments please #Physiotalk :)
Clare Longton @ClareLongton
@physiotalk @GeorgeTherapies @RheumatologyUK #physiotalk Apols! Just eating dinner when saw my name pop up
Matthew Wyatt @MRWPhysio
@HannahMorleynhs @KatherineArmit1 @ChrisMartey Any time for cleaning room in between? We are doing 30mins F2F with 10mins clean time between #physiotalk
Chris Martey @ChrisMartey
@JanetThomas47 @physiotalk https://t.co/R1kPU4vYgn #physiotalk
Steve Nawoor @stevenawoor
@MRWPhysio @physiotalk @ashjamesphysio We have all had to learn, adapt at rapid pace.! Sometimes for the better & some we need to reflect on, but the new world will bring opportunities that allow us to collaborate with patients & a multi-professional workforce to support/enhance primary care models #physiotalk
Tochi Igwe @Tochiie__
RT @9jaPhysio: Assuming wrong position such as bending forward when lifting objects from the floor can put a great deal of stress on the l…
ÀKÀNKÉ🤸🏼 @Titilope__xo
RT @OxleyElizabeth: @JonnieMcC @physiotalk Yes, luckily I was working with a very supportive GP who I discussed the case with and passed on…
physiotalk @physiotalk
RT @stevenawoor: @MRWPhysio @physiotalk @ashjamesphysio We have all had to learn, adapt at rapid pace.! Sometimes for the better & some we…
physiotalk @physiotalk
RT @ChrisMartey: @JanetThomas47 @physiotalk https://t.co/R1kPU4vYgn #physiotalk
ÀKÀNKÉ🤸🏼 @Titilope__xo
RT @Mel_McDonnell7: @ChrisMartey @physiotalk I think we’ve found that there’s absolutely a place for telephone and video and now most of us…
Hannah Morley @HannahMorleynhs
@MRWPhysio @KatherineArmit1 @ChrisMartey Yes. Very limited f2f offer and only in room specific for this. Lots to think about here. Great primary care team supporting. #physiotalk
Steve Nawoor @stevenawoor
@AndrewVCuff @ChrisMartey @MRWPhysio @thecsp @LarryKoyama @CSP_FCP #Physiotalk #DrBravestone #MiniRock 🤣🤷🏽‍♂️ https://t.co/hnyPW5pyIf
physiotalk @physiotalk
Moving on from virtual consultations... Next question coming up #physiotalk
physiotalk @physiotalk
Q5 Are you for or against returning to face-to-face consultations post COVID, and what are the pros and cons around your opinion? #physiotalk
physiotalk @physiotalk
@ClareLongton @GeorgeTherapies @RheumatologyUK We've all forgotten the hashtag. I even forget it sometimes and I'm on hashtag duty...#Physiotalk
Mike Smith @PhysioLocker
@physiotalk Guidance has been difficult to navigate as often arrived a few days late.... NHSE provided a sensible framework in early community services guidance, but lots since has been open to interpretation #physiotalk
Matthew Wyatt @MRWPhysio
@HannahMorleynhs @KatherineArmit1 @ChrisMartey Yep, we are bringing in very few. Concerned how much PPE, admin, screening, cleaning is going to add to F2F, even when more of an option. How much will you really achieve F2F. Might be better sticking to remote for majority? #physiotalk
Hannah Morley @HannahMorleynhs
@physiotalk I think a mix. We already offered a mix but can now add in video as option. Might be difficult for care navigators to get to grips with 3 doff appt types? Any thoughts or experiences on this? #physiotalk
Jenny Chamberlain @JennyC_Physio
@HannahMorleynhs @ChrisMartey @physiotalk #physiotalk !!
physiotalk @physiotalk
@JennyC_Physio @HannahMorleynhs @ChrisMartey Hashtag reminder #Physiotalk :)
George Rogers @GeorgeTherapies
@physiotalk The team @NESnmahp were brilliant with their webinar series #physiotalk
Sibyl Edward, D.P.T. @pasl_pt
@physiotalk Q5. I am thinking more of telehealth than ever b4 with f2f. We are doing just that but of course with such strict protocols and guidelines! Feeling that Staff would need periodical Mental uplifts. #physiotalk
Emma Bell @emmalucybell
@physiotalk As a student I would be curious to how hands on assessment & manual therapy techniques would be implemented over the phone/ video. Would patients not be able to access as good resources that are provided within orthopaedic gyms or within the hospital? #physiotalk
Hannah Morley @HannahMorleynhs
@MRWPhysio @KatherineArmit1 @ChrisMartey Exactly. Very specific reasons to bring f2f but this us in alignment with GPS as well. Evolving picture #physiotalk
Steve Nawoor @stevenawoor
@PhysioLocker @physiotalk Agree with @PhysioLocker and I think we all took a lot from the great work from @trishgreenhalgh et al who was quick to offer direction with the approach to virtual consultations too 🙏🏼 #physiotalk
Janet Thomas @JanetThomas47
@ChrisMartey @physiotalk Found it! Link in @Ahpscot blog page for more details #physiotalk https://t.co/BPtZy6gCuh
Jordan Hoer @HoerJordan
RT @physiotalk: Primary Care and Community MSK Services: Post-COVID #physiotalk 15th June https://t.co/UtLzh7Kpkg
physiotalk @physiotalk
RT @stevenawoor: @PhysioLocker @physiotalk Agree with @PhysioLocker and I think we all took a lot from the great work from @trishgreenhalgh
Jenny Chamberlain @JennyC_Physio
@physiotalk @HannahMorleynhs @ChrisMartey We also don’t yet know pts perceptions of video consults - has anyone got data on outcome from pts yet? This may differ from data previously collected with greater restrictions to other options for appts #physiotalk
Mike Smith @PhysioLocker
@PhysioCorinne @physiotalk Agree, difficult discussion to have with a patient, when you reached the point of referring them on, suddenly to have them back when they may feel you have reached the ceiling. Similar challenge in SPOA services #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
RT @JanetThomas47: @ChrisMartey @physiotalk Found it! Link in @Ahpscot blog page for more details #physiotalk https://t.co/BPtZy6gCuh
Chris Martey @ChrisMartey
Great thought, Emma. Let's see people's opinions on this... #PhysioTalk
Hannah Morley @HannahMorleynhs
@physiotalk One great example...manual worker attended appt from work site... Diagnosed and self mgt advice by vid call and pt d I don't need any time off work. Great to keep these efficiencies and pt centred choices #physiotalk
Matthew Wyatt @MRWPhysio
@physiotalk Pro - some stuff needs to be done F2F - seen, touched, felt Cons - PPE, cleaning, screening, risk ax - going to consume resource and cause massive inefficiency Not for or against - see those who can be seen remotely (90%?) and then bring in only those who need it #physiotalk
physiotalk @physiotalk
Linked to our last question as well - next question coming up! #physiotalk
Chris Martey @ChrisMartey
@PhysioLocker @PhysioCorinne @physiotalk Good points. And nice to 'see' you again, Mike #PhysioTalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@HannahMorleynhs @physiotalk Sometimes remote consultations ‘are’ in the patients best interests. #physiotalk
physiotalk @physiotalk
Q6 Post-COVID, do you anticipate you will continue with many aspects of the current way of working and why? #physiotalk
physiotalk @physiotalk
RT @MRWPhysio: @physiotalk Pro - some stuff needs to be done F2F - seen, touched, felt Cons - PPE, cleaning, screening, risk ax - going to…
First Physio @first_physio
@physiotalk A mix, but my view is we need to be clear on what we are: knowledgable, medically trained professionals that need to be face to face with patients building relationships and trust to change behaviours #physiotalk
Matthew Wyatt @MRWPhysio
@HannahMorleynhs @KatherineArmit1 @ChrisMartey Evolving picture indeed! But don't see it changing anytime soon! Vaccine? #physiotalk
Clare Longton @ClareLongton
@physiotalk #physiotalk I agree a mix. In some respects it’s enabled me to introduce a remote aspect to patient monitoring that we previously struggled to set up and in others it is impossible to glean subtle almost subclinical findings clinically
Chris Martey @ChrisMartey
RT @physiotalk: Q6 Post-COVID, do you anticipate you will continue with many aspects of the current way of working and why? #physiotalk
physiotalk @physiotalk
RT @ClareLongton: @physiotalk #physiotalk I agree a mix. In some respects it’s enabled me to introduce a remote aspect to patient monitorin…
Hannah Morley @HannahMorleynhs
@emmalucybell @physiotalk I my experience very little MT used in FCP. Lots of advice, reassurance, signposting, exercise advice. On the phone its almost easier because pts know t h eyre going to get self mgt advice and that's what they're expecting. #physiotalk
ÀKÀNKÉ🤸🏼 @Titilope__xo
RT @MRWPhysio: @physiotalk Pro - some stuff needs to be done F2F - seen, touched, felt Cons - PPE, cleaning, screening, risk ax - going to…
Corinne Birch @PhysioCorinne
#physiotalk overall I see a place for all types of interaction dependent on patient wishes. F2F for those who want to be seen, tele/video for those who find it difficult to take time off work & email enquiries for those who just want advice
physiotalk @physiotalk
@ClareLongton #Physiotalk Great you've added the hashtag. Good to add it at the beginning :)
Diane Reid @Diane_Reid1
@physiotalk #physiotalk
Matthew Wyatt @MRWPhysio
@first_physio @physiotalk Can a lot of that not be done remotely? Particularly if patient chooses/ perfers remote? Not sure we know the answer? #physiotalk
physiotalk @physiotalk
@JennyC_Physio @HannahMorleynhs @ChrisMartey I think this is an interesting question. Is it too soon yet to know what this mass shift to video consultations will mean for patient outcomes? #physiotalk
Hannah Morley @HannahMorleynhs
@emmalucybell @physiotalk You're question about hands on ax is more difficult... Hard to explain how to do some tests over the phone. But then does help make clinical reasoning leaner. Only ask for what you really want to know #physiotalk
physiotalk @physiotalk
@PhysioLocker Hashtag reminder #Physiotalk :)
James Armstrong @PhysioArmstrong
RT @ChrisMartey: Cuppa in hand and tweetdeck at the ready. Looking forward to tonight's #PhysioTalk discussions
physiotalk @physiotalk
#physiotalk
PCRMM Society @pcrsociety
RT @JanetThomas47: @ChrisMartey @physiotalk Found it! Link in @Ahpscot blog page for more details #physiotalk https://t.co/BPtZy6gCuh
George Rogers @GeorgeTherapies
@physiotalk From a patient perspective I had a telephone consultation with a gastroenterologist last week, spent longer talking to him/ asking questions than I would in clinic, and didnt have to wait 30-90 minutes waiting! Positive experience #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@HannahMorleynhs @emmalucybell @physiotalk Advice - but guess it’s much more than just advice? Teaching anatomy, pathology, pharmacology. Explaining diagnostics, course of disease, biopsychosocial models, etc... 😁 #physiotalk
Aimee Robson @AimeeRobson4
@physiotalk @andypbennett79 @NHSEngland Splat hashtag🤦‍♀️ #physiotalk
physiotalk @physiotalk
RT @PhysioCorinne: #physiotalk overall I see a place for all types of interaction dependent on patient wishes. F2F for those who want to be…
Corinne Birch @PhysioCorinne
@MRWPhysio @first_physio @physiotalk #physiotalk I agree we can deliver high quality advice & guidance on management remotely
physiotalk @physiotalk
Final question coming up! #physiotalk
physiotalk @physiotalk
@PhysioLocker #Physiotalk :)
PCRMM Society @pcrsociety
RT @JennyC_Physio: @GeorgeTherapies @KatherineArmit1 #physiotalk yes AccuRx is easier for switching form video to tel- especially if pts tr…
Daniel Gerber @DanNotOsteopath
@PhysioLocker @physiotalk A5 Hearing impaired is possibly worse with F2F. Face masks stop lip reading. Tech can adapt, you can type as well as watch? #physiotalk
physiotalk @physiotalk
Q7 Those surviving and recovering from COVID-19 will have a combination of needs and require rehabilitation. What are your thoughts around this? #physiotalk
physiotalk @physiotalk
RT @DanNotOsteopath: @PhysioLocker @physiotalk A5 Hearing impaired is possibly worse with F2F. Face masks stop lip reading. Tech can adapt,…
Matthew Wyatt @MRWPhysio
@HannahMorleynhs @physiotalk 100% its stressful and resource (time and £) intense going to health appointments I personally hate going/ taking the kids. Day off work, travel (including lots of spare time if traffic/ train late/ clinic), waiting around etc Look at GP@Hands success?! #physiotalk
Jenny Chamberlain @JennyC_Physio
@physiotalk @HannahMorleynhs @ChrisMartey There will certainly be additional factors to just the use of video in a pandemic that might affect outcomes. But good to collect data ASAP so we can evaluate- what do people think? #physiotalk
physiotalk @physiotalk
#physiotalk
Chandini Rao @chandini_rao
RT @GeorgeTherapies: @physiotalk Speaking to a @ClareLongton about rheumatology patients, major potential problems following patients not b…
First Physio @first_physio
@MRWPhysio @physiotalk Absolutely, and certain patients will prefer this and others should be encouraged to recieve physio in this way to encourage a self management approach. But for me a screen will never match human interaction in person, the casual chat, the human touch #physiotalk
physiotalk @physiotalk
Can THIS be done remotely? What is the challenge with potentially increased needs alongside a change in service provision... #physiotalk
Mike Smith @PhysioLocker
@DanNotOsteopath @physiotalk Very true! Good point. Also worth considering the booking process for this patient group, as it can be more challenging than the consultation at times. #physiotalk
Sibyl Edward, D.P.T. @pasl_pt
@physiotalk Q7. #physiotalk So much research and research will be key going fwd.
Hannah Morley @HannahMorleynhs
@JennyC_Physio @physiotalk @ChrisMartey We are looking at pt satisfaction survey. Be good to combine once we all have data #physiotalk
S-J Ryan @sjryan15
RT @physiotalk: Q5 Are you for or against returning to face-to-face consultations post COVID, and what are the pros and cons around your…
Chris Martey @ChrisMartey
I really think this will have a huge impact on primary care and musculoskeletal services. This recent NHSE publication certainly raises many good points to consider https://t.co/WxZ4TyfwEh #PhysioTalk
physiotalk @physiotalk
RT @ChrisMartey: I really think this will have a huge impact on primary care and musculoskeletal services. This recent NHSE publication c…
physiotalk @physiotalk
@AimeeRobson4 @andypbennett79 @NHSEngland Yes absolutely @AimeeRobson we will retweet your plug with the #Physiotalk hashtag #Physiotalk
Matthew Wyatt @MRWPhysio
@physiotalk Physio/ rehab best profession to be core to this! MDT approach as needed, but rehab (functional scaling) going to be key Time for physio/ rehab to step up #physiotalk
George Rogers @GeorgeTherapies
@HannahMorleynhs @JennyC_Physio @physiotalk @ChrisMartey What questions are you asking? Pure FFT or something more detailed #physiotalk
Matthew Wyatt @MRWPhysio
RT @MRWPhysio: @physiotalk Physio/ rehab best profession to be core to this! MDT approach as needed, but rehab (functional scaling) going t…
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@physiotalk @JennyC_Physio @HannahMorleynhs @ChrisMartey #physiotalk I know it’s different, but I manage a counselling service (not to do with MSK), and preCOVID introduced a telephone counselling service. Research indicates benefits of telephone are equivocal to face to face. A fair bit of MSK research will be required to explore this
physiotalk @physiotalk
That is the #physiotalk hour up But please continue to keep chatting using the #physiotalk hashtag! There were lots of great points and questions for you to keep on considering!
Emma Bell @emmalucybell
@physiotalk This article(linked below)suggests that an MDT is essential.Researchers warn of Post Covid ICU https://t.co/TYWfvao19y turn patients will need access to physical rehab to return to their functional ADLs,rehab for their mental health & support provided for their carers.#physiotalk
Chris Martey @ChrisMartey
Absolutely! Big push from @thecsp around this too, we're in the right place to make a big difference #RightToRehab #PhysioTalk
Emma Bell @emmalucybell
@physiotalk https://t.co/GJm11B0rh1 #physiotalk
physiotalk @physiotalk
Thank you to @ChrisMartey for suggesting tonights chat! #physiotalk
Hannah Morley @HannahMorleynhs
@physiotalk We haven't seen many post covid yet and service is full capacity already. Maybe post covid pts not identifying as mostly msk at care navigator and going to gp instead? Anyone getting many come through? #physiotalk
physiotalk @physiotalk
RT @ChrisMartey: Absolutely! Big push from @thecsp around this too, we're in the right place to make a big difference #RightToRehab #Ph
Diane Reid @Diane_Reid1
@physiotalk I’m sure we will continue with a mixed case load of virtual/video and the option of F2F. I anticipate that we will continue to learn and refine the virtual processes along the way . #physiotalk
Matthew Wyatt @MRWPhysio
Unless we have all de-skilled with passive Rx, ESP skills and FCP 😉 Physio should be rehab centered #RehabAPP #physiotalk
Emma Bell @emmalucybell
@physiotalk @MelroseStewart1 raised the point that it sense to spend millions of pounds saving people’s lives with covid-19 in ICU if they are then denied the rehabilitation they need to improve their quality of life. I think every government official needs to hear this. #physiotalk
physiotalk @physiotalk
@GeorgeTherapies My son had his follow up dental appointment at Guys and St Thomas' Hospital on Attend Anywhere. Saved an hour trek across London #Physiotalk
physiotalk @physiotalk
@ChrisMartey We will collect the transcript later on tonight - so keep chatting! Just remember to use the #physiotalk hashtag otherwise your tweets won't be in the transcript
Chris Martey @ChrisMartey
@physiotalk My pleasure indeed #PhysioTalk, thanks for the platform to discuss an area I'm passionate about
Emma Bell @emmalucybell
@physiotalk AHPs, doctors, nurses, healthcare leaders & students must stand together & advocate for the #righttorehab, to improve patients QoL post-Covid. To hold the government accountable for providing these resources we must educate them & others. #physiotalk
Daniel Gerber @DanNotOsteopath
A5 slight detour...recent conversation as @GlasgowNotOsteo with @Trisha_the_doc and someone else who has hearing problems. Best thing we can do? Ask how we can help them hear better...horses fir course and all. #physiotalk
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@HannahMorleynhs @emmalucybell @physiotalk #physiotalk Some people will ‘just’ give advice, but most of us ‘hopefully’ do a lot more than that, and probably do ourselves down by ‘just’ describing it as advice. 😁
Emma Bell @emmalucybell
@physiotalk Joining the CSP’s #rehabmatters campaign could be a good way to educate others about wby rehab is so important and promote the need for resources post-Covid. #physiotalk
Ash James 💭 @ashjamesphysio
@physiotalk The great @muirgray Just tweeted this #PhysioTalk https://t.co/PrZIhHLHA5
Chris Martey @ChrisMartey
@HannahMorleynhs @physiotalk Great question, Hannah, we've not had many, if any, post-COVID yet either. I wonder if others have? #PhysioTalk
Jenny Chamberlain @JennyC_Physio
@physiotalk My view is FTF consults are always going to have their place. Eg spinal neurology tests and complex patients. But increasing accessibility is a big plus. Also crucial will be encouraging & maintaining self management when services move forwards #physiotalk #healthbeliefs
physiotalk @physiotalk
RT @ashjamesphysio: @physiotalk The great @muirgray Just tweeted this #PhysioTalk https://t.co/PrZIhHLHA5
physiotalk @physiotalk
@PhysioLocker @first_physio @MRWPhysio #Physiotalk
George Rogers @GeorgeTherapies
@physiotalk And I think this needs to be a big consideration moving forwards, not just that we as physios would like to see our patients f2f, but what is best for the patients. Surely some DNA rate benefits also #physiotalk
Mike Smith @PhysioLocker
@physiotalk @first_physio @MRWPhysio Sorry! Second warning #physiotalk
physiotalk @physiotalk
#Physiotalk
Hannah Morley @HannahMorleynhs
Thanks all. Good to catch uo and hear snout all other services & experiences. Thanks @ChrisMartey fit hosting. Signing out 🙋🏼‍♀️#physiotalk
Emma Bell @emmalucybell
RT @ashjamesphysio: @physiotalk The great @muirgray Just tweeted this #PhysioTalk https://t.co/PrZIhHLHA5
Daniel Gerber @DanNotOsteopath
@PhysioLocker @physiotalk Another great point, that will apply differently to different groups #physiotalk
Emma Bell @emmalucybell
RT @ChrisMartey: Absolutely! Big push from @thecsp around this too, we're in the right place to make a big difference #RightToRehab #Ph
Emma Bell @emmalucybell
RT @ChrisMartey: I really think this will have a huge impact on primary care and musculoskeletal services. This recent NHSE publication c…
physiotalk @physiotalk
@skelton_fiona #Physiotalk
Ash James 💭 @ashjamesphysio
Keeping staff in communication with one an other and working through problems together has been key to maintaining high levels of clinical reasoning while working remotely and not having the same opportunities as when you are in a physio department with each other #TheAcademy
Fiona Skelton @skelton_fiona
@physiotalk Sorry #physiotalk I was too keen to press reply 😀
Dr Jonnie McCrea #blacklivesmatter @JonnieMcC
@ChrisMartey @thecsp #physiotalk ... but, let’s make sure it’s clinically effective and cost effective. Remember enlightenment thinking: “Logic & reason vs Opinion & belief” and keep to the the Scottish version of the enlightenment too! 🏴󠁧󠁢󠁳󠁣󠁴󠁿 😂🤣😄
First Physio @first_physio
RT @MRWPhysio: @physiotalk Physio/ rehab best profession to be core to this! MDT approach as needed, but rehab (functional scaling) going t…
Jenny Chamberlain @JennyC_Physio
@physiotalk From an msk #fcp role our skills around chronic condition management, pacing, functional rehab and pain management might apply. Not seen any yet. I think there might also be a fear/ anxiety component. Look forward to reading the research! #physiotalk
Mike Smith @PhysioLocker
@physiotalk Where should these patients be seen? I imagine there is not capacity in domiciliary services for all of these patients? Perhaps first piece of work is looking at which services can work differently to support the post Covid patients? ?MSK ?Outpt Resp? #physiotalk
PCRMM Society @pcrsociety
RT @PhysioCorinne: #physiotalk overall I see a place for all types of interaction dependent on patient wishes. F2F for those who want to be…
physiotalk @physiotalk
#physiotalk
Chris Martey @ChrisMartey
Thanks for joining everyone #PhysioTalk Great to see many new and old faces - Physio is definitely a small world, ey? Make sure you keep an eye out for the transcript and take these conversations through to your local teams 👍🏾 #VirtualCare #MSK #FCP #APP
physiotalk @physiotalk
@EliTipneyPT @MRWPhysio #Physiotalk hashtag reminder :)
physiotalk @physiotalk
@emmalucybell @HannahMorleynhs #Physiotalk
Gemma Passmore @RLIPaedsPhysio
@ClareLongton @physiotalk #PhysioTalk I agree Clare - I said today that actually some of my x-bay work could be done by video with face to face when needed but it would save hours of travel and ensure better equity of service.
#PhysioTalk content from Twitter.