Student placements in private practice; the case for and against!

Who is Physio First? A Professional network of the CSP A Trade Association of private physiotherapists all self employed either as sole traders or in small businesses Not large employers in Independent practice

Our Intent 2013-17 (reaffirmed 2017-20) To Champion evidence based cost effective private physiotherapy with Physio First members in the changing healthcare marketplace

One of our Goals for 2018-19 To research and if cogent establish a viable business case to: facilitate Physio First Quality Assured Practitioners’ to provide third year under graduate physiotherapy students interested in private practice to gain clinical experience with them persuade such students to become Student Members of Physio First and thereafter be listed as contacts for Physio First members to consult about work opportunities

The Current Situation Individual practitioners have individual relationships with individual universities or education providers. Does this work? Could this change or be improved?

How do we meet our Goals? Doing things “with” members not “for” members No free gift or give away benefits just 2 way engagement in our big 5! Marketplace information Private trusted LinkedIn forum Practice Profiling surveys and reports Data for Impact scheme and individual reports 5. Quality Assured Practitioner Scheme

Other communication tools Our 3 main vehicles of education; Our quarterly Journal Our annual conference Our education courses All exist to support our members to achieve or maintain QAP status.

Standardised data collection: “Demonstrates efficient, timely and equitable service where it truly exists” “Combined with outcome measures, it gives evidence of quality physiotherapy in Private Practice” Source – Manual Therapy – Development and use of standardised data collection tools to support and inform musculoskeletal practice Standardised Data Collection (SDC), if carried out rigorously, offers clinicians an excellent opportunity to show how efficient, timely and equitable their services are and combined with validated/reliable outcomes can also give some evidence of effectiveness.

Which parts of our analysed data form our QAP baseline for quality? Goal achievement Outcome of referral Number of treatments FPS* score on initial and discharge *Functional Physical & Subjective score Time between referral and commencement of treatment PLUS the use of a validated PROM!

What is the draft definition of “Quality Physiotherapy” in the private sector All of the quality healthcare models are based on the need for quality standards to be set Suggestion: Patient safety Clinical Effectiveness Patient experience Efficiency* Efficiency as an activity measure for number of sessions to achieve safe, effective services with a positive patient experience

A Quality Assured Practitioner (QAP) is Someone who has inputted data, using the Physio First DfI tool and a validated PROM which demonstrates quality private physiotherapy as about to be defined by all the major stakeholders in the private sector and supported by the CSP To involve patients in the longitudinal evaluation of their experience of physiotherapy utilizing Proms and Prems After many, many years of deliberation over many, many PROMS the R&D Sub Committee decided that we do recommend the use of a PROM as it gives the patient perspective in a way that cannot be captured by other means. Data collection + the use of a PROM is indeed best practice.   We ask our participants to use a PROM of their choice for the time being whilst we work further on the logistics of recording these outcomes alongside the anonymised data.

A Quality Assured Practitioner (QAP) is Someone who has inputted data, using the Physio First DfI tool and a validated PROM which demonstrates quality private physiotherapy as defined by Physio First in collaboration with the UoB Which is likely to exceed well above the marketplace common standard To involve patients in the longitudinal evaluation of their experience of physiotherapy utilizing Proms and Prems After many, many years of deliberation over many, many PROMS the R&D Sub Committee decided that we do recommend the use of a PROM as it gives the patient perspective in a way that cannot be captured by other means. Data collection + the use of a PROM is indeed best practice.   We ask our participants to use a PROM of their choice for the time being whilst we work further on the logistics of recording these outcomes alongside the anonymised data.

Why is this relevant to PBL opportunities? The art of the possible? Are our QAPs or practitioners working towards QAP the ideal people to offer PBL opportunities to Universities and their students?

The advantages for students and universities? Guarantee that the practitioners have demonstrated their quality by meeting quality standards and are collecting outcome data Real experience of data collection to demonstrate quality treatment The exposure to business and self management skills

The advantages for the practitioners Can fulfil CSP “duty” to support the next generation of physiotherapists Will make relationships with students thinking about private practice as a career Will gain skills as work place educators

The challenges Physio First members will need; Common paperwork as far as this is possible Accessible training to support them as work based educators A business case in terms of “shared reward”

The issue of consent and insurance Over 80% of our average members’ patients are not insured – so our target market is the uninsured self-paying public! The question here remains one of consent. Student membership of CSP would be a requirement Where there are insured patients there are still a range of learning opportunities available

Brand “Physio First” Recognisable as the “go to” organisation for private practitioners Our brand is; Our Culture Our consistent style, tone, look and feel Our Team approach