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Scrutiny - Qualitative

A Physiotherapy Service Managers Perspective – Scrutiny & Viability Seamus Doherty Head of Physiotherapy Services WHSCT Vicki Quinn Consultant Physiotherapist – Orthopaedic ICATS WHSCT 27/06/13. Scrutiny - Qualitative. Non-Medical Prescribing (NMP)

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Scrutiny - Qualitative

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  1. A Physiotherapy Service Managers Perspective – Scrutiny & ViabilitySeamus DohertyHead of Physiotherapy Services WHSCTVicki QuinnConsultant Physiotherapist – Orthopaedic ICATS WHSCT 27/06/13

  2. Scrutiny - Qualitative Non-Medical Prescribing (NMP) • Should not be scrutinised in terms of a Training and Development opportunity • Is not well-matched to every physiotherapy service area Non-Medical Prescribing ‘requires a high level of expertise and should be an advanced practitioner’. World Congress Physiotherapy October 2012 • Is not suited to every physiotherapist ; even advanced practitioners Clinical outcomes, process outcomes, cost outcomes, service outcomes

  3. Quantitative - What We Know

  4. Physiotherapy NMP - Current

  5. Physiotherapy NMP - Prospective Clinical outcomes, process outcomes, cost outcomes, service outcomes

  6. Challenges • Service review – assessment of service need/value of NMP • NMP protocols / policies within ‘scope of practice’ in the respective Trusts • Robust Partnership & Support - Close working liaison with medical colleagues / stakeholders • Knowing your staff and medical champions of NMP - Consultant / GP mentors - Acute V’s Community • Constraints of the service (Parameters) - Clinical Management Plan; generic, individual patient - Formulary as per practitioner/mentor discussion with respect to ‘scope of practice’

  7. Benefit Analysis - Service Quality • Outpatient Respiratory Physiotherapy Service - Altnagelvin - Robust PT to Consultant relationship within the current service - PT practitioner keen to undertake NMP training to enhance the current service - Defined ‘scope of practice’; Respiratory Framework standard – Bronchiectasis - Rationalise the patient pathway; Modernisation & Reform - Optimisepatient management - LTC Case Management Approach Self-management Self-referral - Easily evaluated

  8. Conclusion (Perspective) • Low hanging fruit picked too early, before the need for it, can still rot. • NMP is a fundamentally different Training & Development opportunity for Physiotherapists – while an extension to their pre-existing knowledge and skills it requires its own set of foundations. • Proposals to implement NMP should be scrutinized in the context of holistic service development in advance of personal professional development . • There is clear potential for a shift to ‘right person’ management; reducing unnecessary need for GP visits or referrals to medical consultants while enhancing and integrating services from a patient-centredperspective.

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