Lessons learnt and outcomes delivered from participation in Parkinson's UK physiotherapy audits

Purpose

Parkinson´s UK is the national charity for people with Parkinson´s. Starting in 2011 they have led four audits of physiotherapy services across the United Kingdom.

Our older peoples physiotherapy department has a cohort of people with Parkinson´s who are seen in outpatient settings. We have participated in all four audits allowing us to track our improvement and service changes.

People with Parkinsons reported an increase
in their ability to contact a Physiotherapist (from 33% to 46%) and their rating of the service as ´Excellent´ (from 16% to 46%).

Where responses have indicated an issue,
such as being given enough information on diagnosis (from 41% to 38%) we are able to respond within our action planning

Approach

An audit tool is provided by Parkinsons UK and completed within a set time frame. In the past two audits there has also been a patient reported experience measure (PREM) which people attending the service have returned anonymously. The completed tools are sent to Parkinson´s UK who provide a report showing the services results alongside the aggregated national results.

Following each audit a local service planning meeting is held. Clinical and service developments are discussed and agreed and an action plan and implementation strategy developed.

The audit aims to establish if physiotherapy services are providing quality services for people with Parkinson´s, taking into account recommendations made in evidence-based guidelines.

As a participating service our aims are:

  • To benchmark our service against the national results
  • To ascertain changes in the local service building from each audit cycle

To utilise the results to establish areas requiring improvement.

Outcomes

In all four audits our patient demographic has been within 5% of national figures, allowing benchmarking with some degree of confidence to the overall results.

  • Our waiting times from referral to treatment were over a fortnight quicker than national averages
  • We matched or exceeded national results with providing an intervention or goal plan
  • We had 100% compliance with using relevant outcome measures

The changes made in service delivery after the first PREM, such as establishing a multi disciplinary assessment clinic for those newly diagnosed, resulted in improvements. People with Parkinsons reported an increase in their ability to contact a Physiotherapist (from 33% to 46%) and their rating of the service as ´Excellent´ (from 16% to 46%).

Where responses have indicated an issue, such as being given enough information on diagnosis (from 41% to 38%) we are able to respond within our action planning

Implications

Taking part in nationally organised audits is an effective method of reviewing clinical practice and service outcomes.

We have used the results to develop services that are effective, responsive to local needs and that meet relevant guideline requirements.

Funding acknowledgements

This work was not funded.

Additional notes

This work was presented at Physiotherapy UK 2019.