Creating a Culture of Research

The Role of the Physiotherapy Fellow

Creating a Culture of Research

• Drivers

• The Vision

• Challenges

• Lessons learnt

• The future

Drivers

• Centre of Excellence

• Modern NHS

• Centrality Evidence Based Practice

• Challenges of real-life

• Patient- rich resources

• Research

DOH 2012

The Vision

• Role reflecting modern health care reforms

• Creating a culture of research

• Establishing PROMs collection

• Co-ordinate Research activity

The Vision

Why a Physiotherapy Fellow?

• Unit expertise

• Inter-professional working

• Cultural transformation

• Advanced practice role reflecting NHS reforms

Making the Vision a Reality

Partnership

• Physiotherapist

• Orthopaedic Surgeons

• Industry Sponsors

= Inaugural Upper Limb Physiotherapy Fellowship Post

Making the Vision a Reality

Advanced Practice for the new NHS

• Research Skills

• Advanced Practice

• Clinical mentorship

• Academic Underpinning

Challenges

• Mentorship

• Self-reflection

• Expectation

• Complexity

Ali& Panther 2008 Barker 2005 Cooper 2004

Challenges

• Emergent

• Multiple strategies

• Perceptions

• Clear vision & leadership

• Pushing the boundaries

• Setting the benchmark

Lessons from the Fab 4!

Lessons Learnt

• Learning from others

• Mentors & developers

• R & D network

• Trust R & D

• University Links

Higgins & Kram 2011

Lessons Learnt The Wider Skill Set

Competency Framework

• Specialist physiotherapy skills

• Extended scope of practice

• Research

• Project management

• Leadership

Flexibility/ Governance

N • Novice

AB • Advanced Beginner

C • Competent

E • Expert

Benner 2004

Lessons Learnt

• Make Friends in the Right Places

• Mentorship model

• Choosing the right person

Lessons Learnt

Physiotherapy Fellowship Role

Success!

• Removes the barriers of time and resources

• Increase research activity

• Routine PROMS collection

• Clinician led research

• New perspectives

Success

• Cultural change

• Local research activity

• Systems established

• Links with wider research community

• NW Surgical Trials CSG

Physiotherapy Fellowship Role

The Future

• Ambassador

• Continued funding by Industry

• Rolling out the model to other Trusts

• Embedding research in clinical practice

Physiotherapy Fellowship Post

• Unique pioneering role

• Epitomises the skill set demanded by modern health care reforms

• Competency framework

• Making the connection between research & clinical practice

‘Give people the confidence and freedom to jump into the unknown -

then watch them fly’ Richard Branson