First Contact Physiotherapy: Difference between revisions

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== Introduction ==
== Introduction ==
Musculoskeletal (MSK) conditions are among the leading causes of years lost to disability<ref>Steel N, Ford JA, Newton JN, Davis AC, Vos T, Naghavi M, Glenn S, Hughes A, Dalton AM, Stockton D, Humphreys C. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605509/ Changes in health in the countries of the UK and 150 English Local Authority areas 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016]. The Lancet. 2018 Nov 3;392(10158):1647-61.</ref>, with an annual loss reported at approximately 30 million working days in the UK<ref>Office for National Statistics (2017) Sickness absence in the UK labour market: 2016. Available from: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</ref>. The demand for MSK healthcare continues to rise as the number of General Practitioners (GPs) across the UK decline<ref>https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/pressures-in-general-practice-data-analysis#:~:text=September%202015%20to%20October%202022,-Partners&text=This%20has%20created%20a%20net,in%20the%20last%20year%20alone.</ref>. One of the solutions for this growing need is the employment of First Contact Physiotherapists (FCPs)<ref>Goodwin R, Moffatt F, Hendrick P, Stynes S, Bishop A, Logan P. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612276/#bib0005 Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight.] Physiotherapy. 2021 Dec 1;113:209-16.</ref> as 20-30% of all GP consultations are MSK in nature.<ref>Thomson J, Syme G. [https://www.gov.scot/publications/allied-health-professional-ahp-musculoskeletal-pathway-framework-national-minimum-standard/pages/2/ Allied health professional (AHP) musculoskeletal pathway framework: national minimum standards. Scottish Government;] 2014. <nowiki>https://www.gov.scot/publications/allied-health-professional-ahp-musculoskeletal-pathway-framework-national-minimum-standard/pages/2/</nowiki></ref>
Musculoskeletal (MSK) conditions are among the leading causes of years lost to disability<ref>Steel N, Ford JA, Newton JN, Davis AC, Vos T, Naghavi M, Glenn S, Hughes A, Dalton AM, Stockton D, Humphreys C. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605509/ Changes in health in the countries of the UK and 150 English Local Authority areas 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016]. The Lancet. 2018 Nov 3;392(10158):1647-61.</ref>, with an annual loss reported at approximately 30 million working days in the UK<ref>Office for National Statistics (2017) Sickness absence in the UK labour market: 2016. Available from: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</ref>. The demand for MSK healthcare continues to rise as the number of General Practitioners (GPs) across the UK decline<ref>https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/pressures-in-general-practice-data-analysis#:~:text=September%202015%20to%20October%202022,-Partners&text=This%20has%20created%20a%20net,in%20the%20last%20year%20alone.</ref>. One of the solutions for this growing need is the employment of First Contact Physiotherapists (FCPs)<ref name=":0">Goodwin R, Moffatt F, Hendrick P, Stynes S, Bishop A, Logan P. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8612276/#bib0005 Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight.] Physiotherapy. 2021 Dec 1;113:209-16.</ref> as 20-30% of all GP consultations are MSK in nature.<ref>Thomson J, Syme G. [https://www.gov.scot/publications/allied-health-professional-ahp-musculoskeletal-pathway-framework-national-minimum-standard/pages/2/ Allied health professional (AHP) musculoskeletal pathway framework: national minimum standards. Scottish Government;] 2014. <nowiki>https://www.gov.scot/publications/allied-health-professional-ahp-musculoskeletal-pathway-framework-national-minimum-standard/pages/2/</nowiki></ref>


== First Contact Physiotherapy Model ==
== First Contact Physiotherapy Model ==
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First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity.”
First Contact Physiotherapy is a primary care model where expert MSK physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity<ref name=":0" />. FCPs are mainly Extended Scope Physiotherapists (ESP) which are advanced physiotherapists with many years of experience and are typically under band 7 in the NHS grading system<ref>https://firstcontactpractitioner.org.uk/what-are-first-contact-practitioners/</ref>.
 
Benefits:
 
* immediate access to physiotherapy
* longer time with patients
* reduce GP workload
* 


== Case Studies ==
== Case Studies ==

Revision as of 16:16, 26 November 2022

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Introduction[edit | edit source]

Musculoskeletal (MSK) conditions are among the leading causes of years lost to disability[1], with an annual loss reported at approximately 30 million working days in the UK[2]. The demand for MSK healthcare continues to rise as the number of General Practitioners (GPs) across the UK decline[3]. One of the solutions for this growing need is the employment of First Contact Physiotherapists (FCPs)[4] as 20-30% of all GP consultations are MSK in nature.[5]

First Contact Physiotherapy Model[edit | edit source]

First Contact Physiotherapy is a primary care model where expert MSK physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity[4]. FCPs are mainly Extended Scope Physiotherapists (ESP) which are advanced physiotherapists with many years of experience and are typically under band 7 in the NHS grading system[6].

Benefits:

  • immediate access to physiotherapy
  • longer time with patients
  • reduce GP workload

Case Studies[edit | edit source]

References[edit | edit source]

  1. ↑ Steel N, Ford JA, Newton JN, Davis AC, Vos T, Naghavi M, Glenn S, Hughes A, Dalton AM, Stockton D, Humphreys C. Changes in health in the countries of the UK and 150 English Local Authority areas 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2018 Nov 3;392(10158):1647-61.
  2. ↑ Office for National Statistics (2017) Sickness absence in the UK labour market: 2016. Available from: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016
  3. ↑ https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/pressures-in-general-practice-data-analysis#:~:text=September%202015%20to%20October%202022,-Partners&text=This%20has%20created%20a%20net,in%20the%20last%20year%20alone.
  4. ↑ 4.0 4.1 Goodwin R, Moffatt F, Hendrick P, Stynes S, Bishop A, Logan P. Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight. Physiotherapy. 2021 Dec 1;113:209-16.
  5. ↑ Thomson J, Syme G. Allied health professional (AHP) musculoskeletal pathway framework: national minimum standards. Scottish Government; 2014. https://www.gov.scot/publications/allied-health-professional-ahp-musculoskeletal-pathway-framework-national-minimum-standard/pages/2/
  6. ↑ https://firstcontactpractitioner.org.uk/what-are-first-contact-practitioners/
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