South East Coast

Increasing long-term participation in sports based activities in children and young people with acquired brain injury.

Participation in sports can play a key role in a child’s quality of life, development and learning (Willis, 2018). Children and young people (CYP) with acquired brain injury (ABI) face significant barriers in accessing sporting and leisure activities.  This reduces the likelihood of participation in regular sporting and leisure activities (Anaby,2018),  both in the recovery period and the later stages (Willis, 2018).

This is a quality improvement project that explores the implementation of a sports based group in a neurorehabilitation centre for CYP with ABI.

A Rapid Review of evidence for management of patients that frequently attend Emergency Departments with Chronic Pain.

Frequent attenders (FA) (defined as individuals that attend more than 5 times per annum) of ED have been reported to account for 13% of the total cohort. A common reason for presentation is chronic pain. Guidelines recommended that Frequent Attenders are identified, that case management may assist with involving other services and that multidisciplinary case conferences may aid patient engagement.

  • To critique evidence for case management of patients that frequently attend ED with chronic pain.
  • To utilise the evidence to support an innovative rapid access pathway to a pain rehabilitation service.

Does Patients' Perception of Improvement following a Pain Management Programme, Match Reported Minimally Clinically Important Differences?

Clinical outcomes for patients attending a pain management programme were evaluated to determine whether patients who rated an improvement on a Global Impression of Change Score, achieved mean changes in BPI that were consistent with 'acceptable' change, and to determine mean changes on other outcomes in this population. It is suggested that a mean change of 2.09 in pain interference, as measured by the Brief Pain Inventory (BPI), could be considered acceptable to patients. Currently data is unavailable for changes in pain acceptance.

NICE Guidance and Quality Standard Assurance Evaluation: a process redesign to improve effectiveness and efficiency.

NICE assurances processes which evaluate local clinical practice and services against NICE guidance, quality standards and interventions are important clinical effectiveness and quality improvement strategies. Trusts are required to undertake a local NICE assurance process and results of evaluations are reported centrally.

The aim of this project was to develop a more efficient, robust and meaningful approach to our NICE assurance process across our complex, multi-professional clinical division. Our division has over 30 different clinical services in acute and community settings across East Sussex. The objective was to create a single, unified and responsive approach across all our uni- and multi-professional services.

The effectiveness of hip strengthening exercises in the management of patellofemoral pain syndrome (PFPS) in females.

Patellofemoral pain syndrome (PFPS) is a common and often chronic knee condition with a high prevalence in females of working age. The regular presence of hip weakness in female patients with PFPS, has led to research emerging on hip strengthening exercises.

The aim of the systematic review was to examine the effectiveness of hip specific strengthening exercises on the management of patellofemoral pain syndrome (PFPS) specifically in females.

Secondly, to evaluate whether hip strengthening exercises should be identified as a primary treatment choice for managing PFPS in females.

Recorded Physiotherapy Webinars: Innovative provision of CPD to Physiotherapists working in busy independent sector, MSK clinical environments.

The purpose of this service evaluation was to help better understand the impact and value of running a Recorded Physiotherapy Webinar (RPW) programme to Nuffield Health Physiotherapists.

RPW's are a series of 20-40 minute presentations recorded with both visuals (PowerPoint) and audio (presenter's voice). They are delivered by subject matter experts from across Nuffield Health and aim to promote learning on clinical topics (i.e. ACL rehabilitation, Shoulder red-flags and Cervicogenic headaches).

A total of 14 self-selected RPW's are currently available and can be accessed from anywhere, at any time after the recording via a Learning Management System (LMS).

The effectiveness of circuit training on physical ability in palliative care.

Exercise and physical activity is increasingly being encouraged with palliative care patients due to emerging evidence suggesting the physical and psychosocial benefits to patients. This small, local audit analyses the changes in physical outcome measures of a group of patients undertaking a weekly circuit exercise group.

MSK self-management smartphone app in General Practice

To investigate if the GPEP musculoskeletal self management app;

  1. is an acceptable alternative source of information for patients.
  2. results in a reduction in physiotherapy/secondary care referrals, analgesia prescriptions, repeat attendances to general practice.
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