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

3. 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

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

6. One of our Goals for
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

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

8. 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

9. 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.

10. 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.

11. 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!

12. 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

13. 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.

14. 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.

15. 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?

16. 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

17. 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

18. 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”

19. 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

20. 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