Innovations

The aims of this report were:

• to provide a large, transparent dataset from which other organisations can benchmark clinical outcomes
• to provide the first documented large-scale musculoskeletal (MSK) physiotherapy outcomes evaluation using the MSK Health Questionnaire (MSK-HQ)
• to compare clinical outcomes of MSK physiotherapy with NHS England average clinical outcomes associated with surgical procedures.

Population health and prevention is a major priority of the recently formed Greater Manchester Health and Social Care Partnership and is an area in which physiotherapists can make a positive contribution. The Physiotherapy MSK services within the Bury Care Organisation, have successfully developed a MECC model of practice into their service pathways. This quality improvement, uses evidence based behaviour change principles to support patients in making positive lifestyle changes which can impact on their physical and mental health and wellbeing. It also aims to support Trust staff to become more active and promotes health and wellbeing within the wider communities.

To improve the health and wellbeing of individuals accessing Doncaster and Bassetlaw Teaching Hospitals musculo-skeletal outpatient physiotherapy department through the implementation of NICE clinical guidelines CG189 and support physiotherapists to 'make every contact count'

To evaluate the management of Paediatric back pain in the physiotherapy led clinic at Southampton University Hospital NHS Foundation Trust by evaluating patient experience having a physiotherapist as 'first contact' (through questionnaire) and evaluating outcomes (measured by MYMOP and Roland Morris scores)

The Stroke Early Supported Discharge (ESD) service enables accelerated discharge to service users providing seven days a week specialist rehabilitation and social support in the community to mild and moderately impaired stroke survivors. Service provision is focused around time specific goals and will consider the needs and ability of their carers. The main focus is to save bed days and improve patient outcomes and goals in the community setting.

The main aims and objectives is to demonstrate the outcomes particularly in relation to physiotherapy with ESD input in patients who have had a mild to moderate stroke.

Prehabilitation has been shown in clinical trials to improve fitness, improve quality of life, reduce complications, reduce hospital length of stay and improve recovery. It is not currently standard of care in routine clinical practice. This prospective observational study reports the outcomes of a newly introduced prehabilitation service for patients undergoing major abdominal surgery for cancer.

Tennis elbow is a common painful condition that may affect daily function and ability to work. Physiotherapy is the most commonly used primary intervention but there is a wide range of treatment options within the umbrella of physiotherapy. Our aim was to report which treatments are currently used by physiotherapists in a UK National Health Service setting.

Patients surviving critical illness are at high risk of developing psychological problems after discharge, with as many as 10% developing symptoms of post-traumatic stress disorder (Wake & Kitchener, 2013), positively correlated with length of intensive care unit (ICU) stay. NICE recommends commencement of rehabilitation as soon as clinically possible in this group. Diaries have been shown to assist patients with fragmented delusional memories and difficulty recollecting their experience, and are hypothesized to work similarly to cognitive behavioural therapy. Factors including lack of awareness, time constraints and the non-compulsory nature has led to inconsistent staff engagement with the patient diary system at Medway Maritime Hospital.This project aimed to increase provision, consistency and overall multidisciplinary team (MDT) engagement with diaries for patients admitted to ICU for over 72 hours.

Hip fracture is a leading cause of morbidity in people over 60 years old. People experiencing hip fracture require rehabilitation, often from a number of teams, throughout their recovery period. Communication between these different teams poses a challenge to the continuity of care. Communication between professionals delivering care is essential to ensure safe and effective care, continuity of treatment and rehabilitation planning. We used data from the national 'Hip Sprint' audit to understand the flow of information across the hip fracture pathway.

Following the building of a local state of the art hydrotherapy facility a local umbrella charity Bolton Neuro Voices approached SP Therapy Services to design and deliver a 5 week hydrotherapy programme to persons living with a neurological conditions in Bolton and the surrounding area.

The brief was to be safe, inclusive and effective and to be within a specific budgetary and time constraints of a specified charity bursary. In addition we needed to provide sufficient evidence to enable future applications for bursary funding.