The Falls Assistant toolIn 2011 in Scotland, approximately 8% of older people who fell received multifactorial assessment (MFA) and intervention delivered by NHS services. Our aim is to reach 20% by implementing the Falls Framework for Action for Scotland. Tests of opportunistic screening have demonstrated low uptake of MFA; many people don't want - or need - formal intervention from NHS services. A growing number of people over 60 use the internet (59%) with Scotland increasingly investing in technology solutions to improve health and well being. NHS 24's Smartcare Programme, provided the opportunity to explore the
Class format to improve the management of total knee replacement in an out-patient settingHistorically patients at North Manchester General Hospital received traditional 1:1 Physiotherapy treatments post total knee replacement (TKR). Literature suggests a class environment can be more cost effective and yield improved results. Therefore a TKR class was set up in 2015. This summary highlights the findings from the first year demonstrating clinical outcomes, patient satisfaction and cost-effectiveness.
Working with complex persistent painTo describe the role of an Advanced Physiotherapy Practitioner (APP) working within a multidisciplinary team with people with complex persistent pain in acute hospital, outpatient and community settings. To describe relevant physiotherapy skills required in these settings To describe the clinical outcomes of the service
Grampian Home Oxygen ServiceThis project is an example of multiprofessional working that provides a safe service for patients whilst making cost savings. The new service was established in 2011 to manage Home Oxygen across Grampian. The multi-professional team provides all home oxygen (except for paediatric and cluster headache) based on a clinical need and risk management approach, and liaises with secondary and primary care. The revised service has demonstrated monthly cost improvements of £15 – 20k per month. A web based prescribing system has been introduced this year by the contractor which offers easy access to
Development of Botulinum Toxin-A service in Fife, ScotlandI wanted to highlight the cost savings gained following a review and change of service delivery to children with focal spasticity in a district general hospital. The purpose of the review and change was to improve the service we provided to children and their families in terms of timeliness on intervention, proximity to home and follow-up with known clinicians. Although the data is from 2014, we continue to inject less that 10% of our children under a general anaesthetic compared to 78% in 2009. This service is led and delivered by a physiotherapist working in an extended role – initially