Physiotherapy in the Community

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Introduction

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Background

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Organisational Structure

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Current Organisational Structure – Lines of Accountability

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Scope of Services 

Acute Back Pain Service

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Assessment & Rehabilitation Centre (ARC)

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Back Care & Manual Handling

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Community Rehabilitation Unit (CRU)

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Domicillary Physiotherapy

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Emergency Chest Service

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Environmental Controls

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Intermediate Care Services: Community Rehabilitation Teams (CRTs)

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Intermediate Care Services: Rapid Response

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Jasmin Court

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Learning Disabilities (Adult)

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Musculoskeletal

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Older Adult Mental Health & Adult Mental Health

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Orthopaedic Screening

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Physical Disability Therapy Team

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Pulmonary Rehabilitation

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Women’s Health

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Staffing

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Illustrations

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Contacts for Further Copies of the Service Profile

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Introduction The aim of this service profile is to describe as clearly as possible a highly complex service. It should be a reference document for anyone wishing to know more about different aspects of the Community Physiotherapy Service – or a starting point for accessing more detailed information. Any information is only as accurate as it is current and all our services are evolving and growing almost on a daily basis. Students will be placed with in these services and are given the phone number of the therapist coordinating students in that area. They may also contact student coordinator John Firth at our main office on 2716363 in case of difficulty or general enquiries. We would ask that students contact us well in advance of their placement as travelling community staff are often harder to contact than hospital staff. We would ask that you contact the coordinator for your placement 3 weeks prior to your placement. We look forward to seeing you.

Background There have been physiotherapists working within the community i.e. outside traditional hospital environments since 1982 in Sheffield. Originally only 6 physiotherapists were involved in what was then a ground breaking approach – establishing a domiciliary service for vulnerable adults. The original community physiotherapy service focused on supporting older people in their own home, developing therapy programmes which adapted and used the physiotherapists techniques, making treatment relevant and appropriate to real life situations. Since those early beginnings the service has grown beyond all recognition. With the push to deliver services closer to patients and, through GP fundholding initiatives, GP practices chose to commission their own musculoskeletal physiotherapy services delivered in the primary care clinics of GP practices. This reduced the need for patients to travel to outpatient clinics at acute hospital sites and allowed much closer relationships between GPs and physiotherapists to develop. Another great boost to community physiotherapy services arose in the mid 1990’s with the push to find alternatives to lengthy inpatient hospital rehabilitation programmes – thus reducing pressures on hospital beds. New multi-disciplinary community rehabilitation teams were created which established new and SERVICE PROFILE PHYSIOTHERAPY SERVICES

alternative models of intensive and effective therapy outside of the hospital setting. This group of services now known collectively as “intermediate care” teams rely on the leadership and professional input of physiotherapists working closely with other therapy and nursing colleagues. There are many other areas where physiotherapists have extended the scope of their practice or have developed specialist roles, for example, in orthopaedic screening, women’s health and physical disabilities. In these areas new services have grown up and made vital contributions to the patients and the health care community. In the 21st century it is no longer unusual to receive physiotherapy or rehabilitation programmes within a community setting – it is more and more becoming the norm. This reflects the growing confidence held by and in physiotherapists and reinforced by a body of evidence that we can continue to deliver quality and effectiveness to patients in this manner. There remain many areas where physiotherapists continue to develop new roles and services, e.g. coronary heart disease and occupational health. We develop new partnerships with voluntary, statutory and private organisations and continue to review and modify methods by which we deliver these services. Organisational Structure Physiotherapy Services is organised as a city wide professional agency delivering locally based services through service agreements with our many partners. Though hosted for contractual purposes by Sheffield South West Primary Care Trust we deliver to the other 3 PCTs, to Community Health Sheffield and to other external contractors. Physiotherapy Services professionally manages its qualified physiotherapists, therapy assistants and clerical staff with reference to a clear clinical governance framework and with guidance on professional standards from our professional body, The Chartered Society of Physiotherapy. Physiotherapy Services was transferred to Sheffield South West PCT in April 2002. Before April 2002 Occupational Therapy and Physiotherapy had been jointly managed as Therapy Services, hosted by Community Health Sheffield.

SERVICE PROFILE PHYSIOTHERAPY SERVICES

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Scope of Services For purposes of clarity the individual components of Physiotherapy Services have been broken down as follows: However, in many instances there are overlaps, connections and staff working to more than one area. Service Areas 

Assessment & Rehabilitation Centre (ARC, Day Hospital)

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Community Rehabilitation Unit (CRU)

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Domicillary Physiotherapy

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Emergency Chest Service

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Intermediate Care Services: Community Rehabilitation Teams (CRTs)

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Intermediate Care Services: Rapid Response

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Jasmin Court

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Learning Disabilities (Adult)

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Musculoskeletal

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Older Adult Mental Health & Adult Mental Health

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Orthopaedic Screening

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Physical Disability Therapy Team

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Pulmonary Rehabilitation

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Assessment & Rehabilitation Centre (ARC)

Scope

South of the city if require transport 3.16 WTE qualified staff and 2 Therapy Assistants (shared with OT) to cover up to 35 patients per day (not all require physiotherapy)

Patients

Where treatment in a day hospital is identified as the most appropriate setting for rehabilitation. Mainly older adults with longer term multiple physical problems requiring ongoing rehabilitation. Also some younger patients with neurological problems such as stroke.

Venue

Lyndhurst Road, Nether Edge Hospital, Michael Carlisle Centre

Referral source and pathway

Any healthcare or social care professional, self referrals for re-assessment

Main objective

To maximise functional independence, assist hospital discharge and prevent hospital admission

Description of service A day unit for interdisciplinary assessment and treatment of older adults requiring rehabilitation. This may be in groups or on an individual basis. Educational and falls programmes are held on a regular basis through a strong team approach. Support is given for both the stroke and falls pathways. Discharge is determined by patient’s progress. Participation is encouraged for service development to meet the changing needs of the patients. SERVICE PROFILE PHYSIOTHERAPY SERVICES

Contact details for further information Carol Garcia

Base Fulwood House Telephone number 2716363 [email protected]

SERVICE PROFILE PHYSIOTHERAPY SERVICES

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Cardiac Rehabilitation

Scope & Venue Graves Tennis & Leisure Centre (SWPCT) Upperthorpe Healthy Living Centre (WPCT) Longley Rehabilitation & Resource Centre (NPCT)

Patients

Patients can attend 4 weeks after an MI and 6 weeks after surgery (CA.B.G or valve)

Referral source and pathway

Via the Secondary Care Specialist nurses at STH.

Main objective

To help patients achieve the best possible qualify of life and functional level and to reduce mortality and morbidity through secondary prevention.

Description of service Each patient has an initial assessment and then joins the programme. Based on the findings of the assessment, patients will have an individualised programme of physical activities designed. Each programme runs twice a week for 6 weeks. The patients will do their exercise circuit followed by an educational session. At the end of the 6 weeks the patients is re-assessed and advice for continuing a healthy lifestyle/exercise is reinforced. Contact details for further information Julie Rees/Carol Garcia

Base Fulwood Telephone number 2716363 Mobile number …………………………

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Chronic Fatigue Syndrome/ME Service

Scope

South Yorkshire and North Derbyshire. 12 PCTs 1 wte pt IN ROLE OF Network Lead 0.2WTE PT, 2.0WTE OT 1.0WTE Clinical Psychologist (Adult Service) 0.4WTE OT, 0.7WTE Clinical Psychologist (Children’s Service)

Patients

Adults and children with CFS/ME. NB Service in a developmental phase.

Venue

The Manor House 260 Ecclesall Road South (until September 2005)

Referral source and pathway

In development

Main objective

To maximise functional independence, to minimise distress and ongoing ultilisation of health care services.

Description of service This multidisciplinary team was established in February 2005 and is in a developmental phase. Care pathways for children and adults are being developed.

Contact details for further information Ann Nichol Head OT and Team Co-ordinator

Base The Manor House Telephone number 22630000 Mobile number …………………………

Mark Adams Clinical Network Lead

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Citywide Falls Pathway

Scope

All physiotherapists who work with older adults in any service. 2 part-time Falls Specialist Therapy Assistants (TI II) working in SEPCT.

Patients

Any older adult identified as having fallen or at risk of falls.

Venue

Citywide – any community setting e.g. patient’s home, nursing home.  ARC – for Falls Programme Hazelhurst and Tannery Lodge Rehabilitation & Resource Centres for Falls Prevention Group

Referral source and pathway

Patients can be accepted by any referral source for assessment and put onto the Falls Pathway at an appropriate point.  As part of SAP  Generic Falls Screening Form  Full Therapy Falls Assessment Proforma

Main objective

To reduce the number of falls which result in serious injury.

Description of service Can be individual patient treatment in any community setting or can be a group setting in a Falls Programme of 6 or 12 weeks incorporating individualised evidence based exercises, alongside multidisciplinary education and information sessions. A home environment assessment is usually performed to reduce the risk of hazards. Following a screen or full assessment patients may be referred on to other services including the Falls Clinic. Contact details for further information Gill Agar

Base Heeley Bank Intermediate Care Unit Telephone number 2559081 Mobile number 07968 402255

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Community Physiotherapy

Scope

Comprehensive City wide service delivered from 4 bases. North – Wardsend Road SW – Fulwood SE – Manor West – Wardsend Staffed by 7.5 WTE qualified and 6.6 Assistants. New patients approx _________ (yr 2004) Total contacts __________

Patients/Clients

Housebound clients over the age of 16, but many elderly who have a range of problems such as chest care, mobility and neurological.

Venue

Clients homes

Referral source and pathway

Most referrals come through GP referrals. Also accepted from all Health & Social Care professionals.

Main objective

Provide physiotherapy in clients homes increasing their independence and wellbeing.

Description of service Criteria for referral are fairly open, therefore, the therapists see many differing clients and develop numerous skills. The service is flexible and responsive to meet clients’ needs.

Contact details for further information Team Leader – Maggie Quinn Chris Marciniak Julie Rees

Base Wardsend/ Manor/Fulwood Telephone number 2718346 / 2716404 / 2716364 Mobile numbers 07976 856486 / 07870 676864 / 07929 002403

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Emergency Chest Service

Scope

City wide. 1 physiotherapists per day, per sector available to triage chest referral.

Patients

Adults with acute chest problems requiring urgent chest physiotherapy

Venue

People’s homes, Nursing and Residential Homes

Referral source and pathway

GPs. Onward referral to pulmonary rehabilitation and acute trusts chest clinic if appropriate

Main objective

Management/education of acute chest conditions in patients own environment

Description of service Patient phoned within 24 hours of referral, triaged by qualified physiotherapist. If it is decided that they require urgent treatment they are then seen within 48 hours. They will be treated with appropriate physiotherapy techniques with emphasis on self management and educ ation. Service operates 8.30 – 4.30 Monday to Friday.

Contact details for further information Christine Marciniak Maggie Quinn Julie Rees

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base Fulwood Telephone number 2716363

Service area

Environmental Controls

Scope

City wide service to Sheffield residents Co-ordinator – 0.2 WTE head physiotherapist

Patients

Profoundly disabled adults and occasionally children who usually are severely restricted in movement (particularly upper limb) often have conditions such as motor neurone disease, multiple sclerosis or spinal injury.

Venue

Patients’ own homes

Referral source and pathway

Open referral policy. Any health or social care professional, or member of public to the environmental controls co-ordinator. Referral form or telephone call.

Main objective

To provide assistive technology to profoundly disabled people to enable safer independent living.

Description of service Environmental Controls System provided technology which enables disabled people to control many appliances in the home to support increased independence. The units use infra red and radio frequency technology accessed by a single switch to control lighting, heating, door entry, telephone, TV and other electrical appliances. The co-ordinator oversees the provision of the most suitable equipment to disabled people meeting the medical criteria within a defined budget.

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Contact details for further information Pauline Bramley Environmental Controls Co-ordinator for Sheffield

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base Fulwood House Telephone number 271 6364 Mobile number 07970 185750

Service area

Intermediate Care Rehabilitation Beds 1. Community Rehabilitation Unit: 20 beds Contact: Anne Bartholomew 2664252 2. Jasmin Court Nursing Home: 20 beds Contact: Alison Mori 2728201 3. Heeley Bank Nursing Home: 14 beds Contact: Jan O’Connell (OT) 2559081 4. Resource Centres Contact: Mandy Higginbottom 2716364 5. Clinical Specialist Physiotherapist Older People Services Clinical Base: Longley Resource Centre Contact: Gill Agar 2421230

Scope

1. 2WTE PT 3.5WTE Therapy Assistant 2. 0.5WTE PT 1.0WTE Therapy Assistant 3. 0.8WTE PT 1.52WTE Therapy Assistant 4. 1.1WTE PT 1.0WTE Specialist Therapy Assistant 1.0WTE Senior Therapy Assistant 5. Provide clinical leadership to the pathway of care for older people to enable appropriate transition from acute care to rehabilitation beds. Lead the development of falls pathway for physio services.

Patients

People over 65 who have had either an inpatient stay in one of the acute hospitals or referred by Intermediate Care Teams. They are medically stable but require therapeutic input before returning home or further placement.

Referral source and pathway

Hospital discharge liaison nurses at STHT Intermediate Care Teams.

Main objective

To provide an effective rehabilitation service to enable patients to be discharged earlier from hospital, prevent inappropriate admission to hospital or premature admission to long term residential care.

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Description of service On admission comprehensive assessments are carried out by the team and patient centred goals are agreed. The patients undertake treatment programmes with the appropriate team members in the fully equipped treatment areas – gym and rehab kitchen. Most patients have a home visit prior to discharge ensuring that all services and equipment are in place for discharge. Patients are taken home at discharge to ensure safe transfer from the unit to home and may be visited after discharge to monitor their independence. Contact details for further information SEE ABOVE

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Intermediate Care Services:

Scope

Physiotherapy staff based in teams in each PCT area. North: Green Lane West: Sevenfields (Rapid Response) and Wardsend Road (Discharge pathway) South East: Charnock Health Centre South West: Hazelhurst 1. Rapid Response 5.3WTE physiotheraists, 4.43 Therapy Assistants with rapid response nursing, social workers and Occupational Therapists 2. Discharge Pathways 9.73 WTE physiotherapists and 12 WTE therapy assistants, other team members are OT’s, speech and language therapists, social worker, clinical psychologists, admin and clerical.

Patients

1. Any person who has presented to their GP in last 24 hours or A&E with a recent deterioration or new physical problem e.g. fall, chest infection, who, although medically stable, would be at risk of hospital admission if social and therapeutic rehab services were not provided. 2. Have to be medically stable but requiring ongoing rehabilitation often following stroke or orthopaedic problems.

Venue

Patient homes, Intermediate Care beds, residential care beds.

Referral source and pathway

Telephone referral GP. STHT via discharge liaison teams and AICS Service.

Main objective

To facilitate early discharge from Acute Hospitals and prevent inappropriate hospital admission.

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Description of service 1. The Rapid Response team is one part of the Intermediate Care Services offering a time limited support service for older people suffering from specific medical conditions which put them at risk of hospitalisation. The aim is to prevent hospitalisation and support the patient at home with short term rehabilitation, or if necessary to admit to specific short term beds for therapy. 2. The discharge pathways are community based teams treating patients who have had an acute medical episode usually a stroke, fracture or joint replacement but not exclusively. The patient has a rehab program set up, based around patient focused goals. The intervention is initially very intensive up to five days a week reducing as appropriate up to discharge when their future care is discussed and organised.

Contact details for further information South East & South West : Mike Dalton: Charnock HC 2262834 West & North: Sue York: Sevenfields: 2349612

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base Fulwood Telephone number Mobile number …………………………

Service area

Learning Disabilities (Adult)

Scope

City Wide service based in 2 multidisciplinary teams (1 team based in North of city, 1 team based in South of city) 3.43 physiotherapists, 2.55 assistants seeing approximately 3,300 contacts per annum

Patients

An adult with a learning disability who requires specialist advice and physiotherapy. Often have complex physical problems as well as the learning and communication difficulties.

Venue

At any site which is most suitable to the clients needs

Referral source and pathway

Referral can be from any source, including self referral, carer, GP, hospital

Main objective

To provide a specialist physiotherapist service to adults and their carers who have a LD within Sheffield

Description of service The service provides assessment, advice and education by means of planned programmes with agreed goals with the carer, client and others who maybe involved. Programme of care may be: Appropriate physiotherapy intervention, Enable clients to access other services, Working with carers – giving advice and education Work with other professions, both within HST and outside agencies. Health promotion.

Contact details for further information Joan Green Team Leader

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base SEHST Lightwood House Telephone number 2716551 Mobile number …………………………

Service area

Musculoskeletal Service

Scope

City wide April 2004 – March 2005 NP contacts 29,226

Venue

Clinics – in GP surgeries or locality sites Approx 171 clinics/week

Referral source and pathway

Direct referral from GP, ESP and some practice nurses/midwives

Main objective

Treatment and education of musculoskeletal patients

Description of service Musculoskeletal clinics are held in GP practices or at locality sites. The allocation is worked out based on 1 hour/per 1000 population/per week. Patients are assessed and then educated, advised and treated with physiotherapy techniques as appropriate.

Contact details for further information Rachel Davies Anne Silvester

Base Wardsend/Manor Telephone number 2716156/8346/6404 Mobile number Rachel – 07855 390106 Anne – 07866 549687

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Older Adult Mental Health (65+)/Adult Mental Health

Scope

3.06 WTE Senior 1 Physiotherapists 1 WTE Senior P/T Assistant 1WTE Technical Instructor III 1 WTE Personal Trainer & Fitness Instructor

Venue

Older Adults Patients homes, EMI Nursing/Residential homes. Longley Centre ) in patients Grenoside Grange ) or Michael Carlisle Centre ) day hospitals Beighton ) Adults Forest Lodge Forensic Unit, Longley Centre NGH, Patients homes

Referral source and pathway

Older Adults Ward staff for in-patients otherwise open referral Community Community Mental Health Teams Adults Ward staff

Main objective

Promote and maintain physical health and wellbeing of older adults and adults experiencing mental health problems.

Description of service Physiotherapy staff working in Mental Health services contribute to maintaining the health and well-being of the clients by promoting independence, mobility, exercise tolerance. Also managing musculoskeletal, neurological and pain management issues. The services are delivered across multiple sites, inpatient wards, day hospitals and in the community within patients own homes or community venues. Assessment and treatment programmes are delivered through one to one and group approaches. Contact details for further information Kate Scott

Base Argyll House Telephone number 2716656/2718651 Mobile number 07976 897862

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Orthopaedic Screening

Scope

City Wide. 3.5 WTE extended scope physiotherapists undertaking 1100 new patient and 500 review contacts per year.

Patients/Clients

People with a complex orthopaedic problem requiring specialist advice and treatment.

Venue

Clinic based, locality and GP surgeries, 8 sites around the city

Referral source and pathway

Via GP only. Referral on to secondary care orthopaedic and soft tissue consultants only if necessary. Approximately 20% of cases.

Main objective

To provide a primary care based service which is efficient and effective in the diagnosis and management of patients with orthopaedic conditions.

Description of service This city wide service was established in 2000 in response to the long waiting times for patients seeking an orthopaedic appointment in secondary care, and the published evidence that extended scope physiotherapists were successful in managing approximately 75% of these patients within primary care. The OSS continues to develop its links with secondary care to ensure the most effective management of patients with complex orthopaedic conditions. Extended scope physiotherapists have been trained to undertake injection therapy where necessary for the treatment of specific conditions.

Contact details for further information Sarah Withers Team Leader

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base Fulwood House Telephone number 18788 Mobile number 07773 353923

Service area

Physical Disability Therapy Team

Scope

NP = 72 per year Approx 2000 contacts per year South East area of city and selected areas of South West. 2 Physiotherapists 1.0WTE and 0.6WTE 2 Speech & Language Therapists 0.5WTE(Senior) and 0.5WTE(Basic Grade) 1 Occupational Therapist 0.6WTE 1 Senior Therapy Assistant ] 1.0WTE 1 Admin Co-ordinator 0.9WTE

Patients/Clients

People aged 16-65 with an enduring physical disability, communication and/or swallowing difficulty e.g. M.S, cerebral palsy, stroke.

Venue

Darnall Health Centre

Referral source and pathway

Self referral, GP etc., any client with an enduring physical disability, communication and/or swallowing difficulty.

Main objective

To adopt an integrated and client-centred approach in order to improve quality of life.

Description of service Established in 1989, PDTT provides a community based specialist assessment, therapy and advisory service. Working with people aged between 16 and 65 years of age who have an enduring physical disability, communication and/or swallowing difficulty. Physiotherapy, speech and language therapy and occupational therapy are provided in an MDT setting. The team can work with people on a long term basis. The service can be provided in a location most appropriate to their lifestyle. This is usually the client’s home but may also be in a day centre, workplace or college.

Contact details for further information Elaine Walton (Admin Co-ordinator)

Base PDTT, Darnall Health Centre Telephone number 2261864 Email [email protected]

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Pulmonary Rehabilitation

Scope

Manor (SEPCT) Lowedges (SWPCT) Stocksbridge Leisure Centre (WPCT)

Patients

Patients who have been diagnosed with COPD or are awaiting respiratory surgery e.g. lung transplant.

Venue

Community venues (see above)

Referral source and pathway

Any healthcare professional can refer. Please send referral clearly marked Pulmonary Rehab to Physiotherapy Department Fulwood House.

Main objective

To assist people with respiratory disease to live their life to their full potential using individual exercise training with health and lifestyle education, usually within the context of a group.

Description of service The patient attends for a comprehensive assessment and then attends the group for between 6-8 weeks. The rehabilitation consists of a functional exercise programme and educational sessions to promote a healthy lifestyle. At the end of the programme the patient is re-assessed and the patient is followed up again 1 year later. Contact details for further information Katherine Shaw/Sue Ryan (Manor) Hilary Robinson (Lowedges) Julie Rees (Stocksbridge)

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Base Telephone number 2716363 Mobile number …………………………

Service area

Resource Centres

Scope

City Wide 1.6 WTE staff provide service into four resource centres: Longley Hill NPCT Sevenfields WPCT Hazelhurst SWPCT Tannery Lodge SEPCT

Patients

People over 65 who have had either an inpatient stay in one of the acute hospitals or referred by Intermediate Care Teams. They are medically stable but require therapeutic input before returning home or further placement.

Venue

Rehabilitation Resource Centre in each PCT

Referral source and pathway

Hospital discharge liaison Nurses at STHT and Intermediate Care Teams.

Main objective

To provide rehabilitation to facilitate the person returning home or the most appropriate setting to promote hospital discharge.

Description of service The physiotherapists work in and MDT to provide assessment, treatment, advice and guidance to the patients, carers and resource centre staff. Contact details for further information Mandy Higginbottom

Base Fulwood Telephone number 0114 2716364 Mobile number …………………………

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Service area

Women’s Health

Scope

City wide compromising 0.8 Superintendent 3 clinical lead for continence and 0.7 Senior 1 undertaking approximately 102 new patients per year and 550 patient contacts; plus post-natal classes with 200 contacts; plus ante-natal physiotherapy clinics.

Patients/Clients

Women requiring advice and treatment in respect of compromised continence, low back pain and pelvic joint dysfunction related to pregnancy.

Venue

Locality clinics and GPs at venues across the city.

Referral source and pathway

GPs, physiotherapists, Health Visitors and Orthopaedic Screening Service

Main objective

To provide city wide specialist physiotherapy for all women’s health issues

Description of service The service is rapidly developing to provide specialist physiotherapy as part of Sheffield’s integrated team, aimed at women with or at risk of compromised continence. Clients range form young pregnant or newly delivered women with low back or pelvic pain to elderly women with incontinence.

Contact details for further information Maggi Saunders

Base Fulwood Telephone number 2718790 Mobile number 07752 182126

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Staffing Physiotherapy Services has an establishment of 108 whole time equivalents (WTE) provided by approximately 135 staff. We subscribe to the principles enshrined in “Improving Working Lives” and support staff wherever possible who wish to work part time. Our staffing numbers are (accurate of March 2003): Qualified Physiotherapists

Total 83

by grade: District Superintendents (1 + 2) Superintendents 3 Senior 1s Senior 2s

Therapy Assistants

1 3 15 56 8

Total 40

by grade: Senior Therapy Assistants (TI III grade) Therapy Assistants (physio helper grade)

Admin & Clerical

21 19

Total 12

by grades: Grade IV Grade III Grade II

3 7 2 Total staff group 135

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Physiotherapists at Work

Physiotherapist undertaking a specialist assessment in a musculo-skeletal clinic

In Service Training session

Physiotherapist using electrotherapy treatment for hand dysfunction

Physiotherapist assisting patient in rehabilitation techniques for managing stairs

Patient performing strengthening and mobilising exercises

Physiotherapist involved in treating musculo-skeletal problems in the GP’s surgery

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Treatment of shoulder problem

Physiotherapist teaching student to assess back problem

Physiotherapist using acupuncture to help relieve pain

Physiotherapist working on shoulder rehabilitation in clinic

Physiotherapy training session on treatments for neck disorders

Manager and Team Leader discussing patient information leaflet

SERVICE PROFILE PHYSIOTHERAPY SERVICES

Further copies of this service profile can be obtained by staff by accessing: P:/Physiotherapy Services/Lyn/Physiotherapy Services Profiles/Whole Document

For other interested people contact:

Lyn Southern or Michele Allen on Telephone: 0114 271 6364 or 271 8791 Fax: 0114 271 6365 Email: [email protected] or [email protected]

P:\Physiotherapy Services\Lyn\Physiotherapy Services Profiles\Physiotherapy Services Profile.doc

SERVICE PROFILE PHYSIOTHERAPY SERVICES