1. Laura Meadows- Speciality Lead MSK Paul Hood- ESP Physiotherapist Helen Fort- ESP Physiotherapist

2. Our thoughts on FCP so far: Planning Implementation Outcomes The future

3. Influencing on the difference of FCP
Similar to other roles
Very new role- do we have the right training?

4. Learning from other pilot sites
Planned care team/STP
GP practice manager
GP data team
Physio team
GPs- mentoring
Learning from other pilot sites
All came together in about 3 weeks after a planning meeting

5. Thoughts prior to implementation
Clinical:
Reasonably confident in managing the various presenting complaints as previous role in primary care
Unsure as to how GPs would view us
Some concerns over how easy it would be to discuss with GPs (time/availability etc.)
Data
New notes system (system one)
Managerial
Ensure staff safe to work in FCP
SOP
Effect on Out-patient waiting list
Backfill and sustainability
Experienced ESP to do the pilot

6. What we are doing Part of the FCP national pilot.
Working for 1 practice in Leicester Forest East which has 2 separate premises.
14.5K population size
Pilot started on 7/12/18
Two 3 hour sessions a week
Initially 30 min appointments- will reduce this to 20 mins once established

7. Outcome so far as 22/01/19 58 contacts 23 advice and discharge (40%)
19 referred onto physiotherapy (33%)
6 transferred to GP for analgesic prescription (10%)
3 referred to secondary care (5%)
3 referred to podiatry (5%)
3 referred for XRAY (5%)
1 sent for blood test (2%)

8. Reflections on FCP so far…
Diagnosing/managing presenting conditions probably as expected (more foot conditions than expecting!)
Patients expectations ?treatment from me?
GPs been very supportive & are keen to have us there
Really useful being able to discuss analgesia with GPs (analgesia advice - not in my previous role)

9. Reflection on FCP so far..
Very easy to communicate with GPs
“task” message in system one to usual GP/urgent - on call GP
Catch GP between patients or discuss over phone with GP on call
System one – easy to use (once you know you need to click save!)
Few misunderstandings – reception booking patients in - already seen GP & advised physio self referral not FCP

10. The future… Workforce planning and development Long term funding
Sustainability
Locality model?
Monitor effects on out-patient referral demand