ASSOCIATION OF N PAEDIATRIC E CHARTERED W … · [email protected] London, WC1N 3JH EDITOR Melanie...

ASSOCIATION OFPAEDIATRICCHARTERED

PHYSIOTHERAPISTS

ISSUENO. 2DECEMBER 2008

apcp.org.uk

NEWSLETTER

DECEMBER 2008A.P.C.P. NEWSLETTER A.P.C.P. NEWSLETTERDECEMBER 2008

NATIONAL COMMITTEE OFFICERS AND MEMBERS REGIONAL & SUB-GROUP REPRESENTATIVES

CHAIR Laura Wiggins 26, Braidpark DriveGiffnock

[email protected] Glasgow, G46 6NB

VICE CHAIR Heather Angilley 5, RidgewayGuiseley

[email protected] LS20 8JA

TREASURER Lynda New Children’s PhysiotherapyQuedgeley ClinicSt James, Quedgeley

[email protected] Gloucester, GL2 9EU

SECRETARY Linda Fisher 63, Market HillMaldon

[email protected] Essex, CM9 4QA

CIG LIAISON &DIVERSITY OFFICER Sue Coombe Jenny Lind Physiotherapy Department

Norfolk and Norwich UniversityHospital NHS Trust, Colney

[email protected] Norwich, NR4 7UZ

PUBLIC RELATIONS OFFICER (PRO) Chris Sneade Physiotherapy Department,

Child Development Centre,Alder Hey Children’s NHS Foundation Trust

[email protected] Eaton Road, Liverpool, L12 2AP

EDUCATION LIAISON OFFICER Dawn Pickering School of Healthcare Studies

Ty Dewi SantCardiff University, Heath Park

[email protected] Cardiff, CF14 4XN

RESEARCH OFFICER Lesley Katchburian Wolfson Neurodisability ServiceLevel 10 Main Nurses HomeGreat Ormond Street HospitalGreat Ormond Street

[email protected] London, WC1N 3JH

EDITOR Melanie Lindley Faculty of Health and WellbeingRoom L21036 Collegiate Crescent

[email protected] Sheffield, S10 2BP

PUBLICATIONS OFFICER Lorna Stybelska Paediatric PhysiotherapyCumberland InfirmaryCarlisle

[email protected] Cumbria, CA2 4HY

COMMITTEE MEMBER Jeanne Hartley 36, Cascade AvenueMuswell Hill

[email protected] London, N10 3PU

EAST ANGLIA

Maria CatchpoleJenny Lind PhysiotherapyDepartmentNorfolk and Norwich UniversityHospitalColney LaneNorwich NR4 [email protected]

LONDON

Stephanie CawkerWolfson Neurodisability ServiceLevel 10 Main Nurses HomeGreat Ormond Street HospitalGreat Ormond StreetLondon, WC1N [email protected]

NORTH EAST

Helen ChamberlainChildren’s CentrePhysiotherapy Department70 Walker StreetHull HU3 [email protected]

NORTHERN IRELAND

Jenny SinclairChildren’s Physiotherapy Department81, Market StreetDownpatrickCounty DownBT30 [email protected]

NORTH WEST

Siobhan GoldstrawThe WillowsAshfields Primary Care CentreMiddlewich RoadSandbachCheshire, CW11 [email protected]

SCOTLAND

Julie BurslemBirnie CDCRaigmore HospitalOld Perth RoadInvernessIV2 [email protected]

SOUTH EAST

Kerry McGarrityPaediatric PhysiotherapyEast Surrey HospitalCanada AvenueRedhillSurreyRH1 [email protected]

SOUTH WEST

Charlotte KarmyCDC, Poole Hospital NHSFoundation TrustLongfleet RoadPooleDorsetBH15 [email protected]

TRENT

Caroline AdcockChildren’s PhysiotherapyBridge Park PlazaBridge Park roadThurmastonLeicesterLE4 8PQ

[email protected]

WALES

Julie HarveyThe Children’s CentreNeath and Port Talbot HospitalBaglan WayPort TalbotSA12 7BX

[email protected]

WEST MIDLANDS

Cath KearPark House Child and Family CentrePark RoadSparkhillBirminghamB11 [email protected]

NEONATAL CARE GROUP

Adare BradyPhysiotherapy DepartmentAntrim Hospital45 Bush RoadAntrim, BT41 [email protected]

MUSCULO-SKELETAL GROUP

Samantha OldPaediatric TherapyChaucer Unit, Level 3Northwick Park HospitalWatford Road, HarrowMiddlesex, HA1 [email protected]

PPIMS

Di Coggings

[email protected]

NEUROMUSCULAR GROUP

Marion MainPhysiotherapy DepartmentGreat Ormond Street HospitalGreat Ormond StreetLondon, WC1N [email protected]

CRITICAL CARE GROUP

Melanie LindleyFaculty of Health and WellbeingRoom L21036 Collegiate CrescentSheffield, S10 [email protected]

APCP VIRTUAL ADMINISTRATOR

Fiona MooreAPCPPO Box 610HuntingdonPE29 [email protected]

1 A.P.C.P. NEWSLETTERDECEMBER 2008

NEWSLETTER OF THE ASSOCIATION OF PAEDIATRIC CHARTERED PHYSIOTHERAPISTSNUMBER 2 DECEMBER 2008

www.apcp.org.uk

Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

2009 Membership Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

2008 APCP Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

APCP Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Regional and Affiliated Group Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

iCSP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

APCP Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Here and There . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

The Editorial Board does not necessarily agree with opinions expressed in articles and correspondence, and does not necessarily endorse courses and equipment advertised

2A.P.C.P. NEWSLETTER DECEMBER 2008

Editorial

Firstly, an apology for the late arrival of your December newsletter … in January! November was

a hectic month with final preparations for the 2008 APCP Conference and National Committee

meeting. This, and the need to collate feedback from Conference for both the Newsletter and

Journal, has inevitably resulted in this delay.

However, it is timely to remind those of you who have not yet re-newed your APCP membership for

2009, to do so now!! You can either use the form opposite or download a form from the APCP web-

site. And thank you to those of you who have been sending in your renewals since November with-

out any prompting!!

We can finally report that the website membership areas are now ready for action!! With your 2009

membership card, you will all receive a unique user name and password to enable you to access

members’ only areas. Now that this preparatory work has been completed work can progress on

developing content for the site. If you have any ideas or suggestions for this, we would be pleased

to hear from you!!

APCP Executive Committee

APCPPO BOX 610

HUNTINGDONPE29 9FJ

[email protected]


2008 APCP Conference - Leeds

The 2008 Annual APCP Conference was held on 14th-15th November at the Village Hotel and Leisure Centre,Otley in Leeds and can be heralded as a re-sounding success with approaching 200 delegates on each day. Tokeep down costs for delegates, it was decided to run Conference over two days, rather than the traditionalformat over three days.

The packed programme was varied - providing something for everybody – and the presentations were of thehigh standard we have come to expect over recent years. A parallel programme was presented on theSaturday, co-ordinated by APCP’s Neuromuscular Group – this programme was of equal quality and interestWe have included reviews of the presentations in the APCP Journal accompanying this newsletter and someof the presentations are available to download from the APCP website.

PPIMS decided to host their own study day and AGM on the Friday at a venue nearby – lunch was providedat The Village Hotel to enable the paediatric managers to network with delegates and to visit the ConferenceExhibition.

Beyond the pure enhancement of clinical knowledge, it was again clear that delegates benefit immensely fromthis opportunity to network with their peers from around the UK to share ideas and practice …. and just tocatch up with old friends and colleagues.

The Conference Dinner on Friday evening was well attended and a thoroughly enjoyable event. We werehighly entertained by our speakers. Dr Steve Jones traced with witty commentary the origins of ourprofession and of APCP; adding, without regard for his own personal safety - given that the audience wasmostly female and ‘physio’ - the male and medical perspective! Peta Smith, giving her penultimate speechas Chair of APCP, enthralled us with her commentary on what it was like to be ‘reaching a certain age’ - asretirement beckons next year, Peta is clearly ready to take on the challenges of the next phase of life! Howeverwe will miss her energy and drive on National Committee.

It is hoped that many of the photos taken at the subsequent disco will never see the light of day!

This year saw a break from tradition with an after dinner raffle to raise funds for Martin House, a localhospice for children and young people. Well done to Helen Chamberlain who doggedly pestered localcompanies for raffle prizes, and then delegates to purchase tickets - £300 was raised for this worthy cause.



As ever, APCP is indebted to the local Conference Organising Committee for giving their time and energy toorchestrating the whole event so successfully – pictured below from left to right:

Alma Brambles, Helen Chamberlain, Lindsay Pallant, Heather Angilley, Lynn Witzmann, Teleri Robinson, Karen Roach, Joanne Bleasdale, Suzanne Carter and Mary Harrison.

And finally ….. don’t forget to look out for details on the 2009 APCP Conference to be hosted in Belfast bythe Northern Ireland Region. Plans are already well underway and information will be available on theAPCP website as they emerge!!

Laura Wiggins

FREESET BAGS

This year, the Conference Organising Committee chose to purchase delegate bagsfrom Freeset Bags

Freeset is a social enterprise that seeks to employ women in India who have been trafficked into, and exploited, by prostitution.

To find out more about the Freeset Story visit:

http://www.freesetbags.co.uk/freeset_story.aspx


Conference 2008 Evaluation

The following evaluation was compiled by Lynn Witzmann and Jo Bleasdale:

Feedback on the speakers and presentations:

Most popular speakers were: Andrew Evans / Simon Kaye and Imelda de Groot

Poor Fair Good Excellent

Presentations 8% 15% 34% 44%

General comments on the programme:

‘Good variety of speakers’, ‘Speakers of excellent calibre’, ‘Good programme’, ‘Would have liked

paper handouts’, ‘ Very relevant to clinical practice’, ‘All sessions useful’, ‘ Would small groups of

delegates be useful?’, ‘ Good programme’

Trade Exhibition:


Trade Exhibition 4% 12% 61% 23%

General comments about the trade exhibition:

‘Exhibition could have been expanded’, ‘Would be useful to have a brief description from each of

the companies to inform attendees of our products’ (from an exhibitor), ‘Most organised and

successful Conference and exceeded all expectations’ (from an exhibitor)

Administration, Organisation and Venue:


Bookings 4% 4% 56% 36%

Organisation during - 6% 33% 61%

Venue - 4% 27% 69%

Location - 2% 37% 61%

General comments on the administration, organisation and venue:

‘Keep it in Leeds!’, ‘Good to have a large number of delegates, but not overcrowded’, ‘Ran

smoothly’, ‘Good coffee breaks!’, ‘Better chairs needed’, ‘Organising Committee extremely friendly

and approachable’, ‘Great venue!’, ‘Easy to find’, ‘Good car parking’, ‘Lecture room too hot’,

‘Cramped when room was divided’

Catering and Accommodation:


Accommodation - 9% 25% 63%

Catering - 4% 40% 56%



APCP Matters

The APCP National Committee would like to take this opportunity to thank Peta Smith, on behalf of theAssociation, for her tremendous contribution to raising the profile of APCP and paediatric physiotherapy overthe past two years during her time as Chair and to wish her the very best for her retirement at the end of nextyear.

The report below was presented to APCP members at the recent AGM in Leeds, which was Peta’s last asChair of the Association. We felt that members who were not able to attend the APCP Conference this yearwould value the chance to read Peta’s report, as it provides so much information about the work of APCP atthis time.

The full minutes of the AGM will be available for members to view on the APCP website in the New Year.

Introduction:It gives me great pleasure to welcome you to the 35th Annual General Meeting of APCP.

Children’s physiotherapists continue to face challenges in the current healthcare environment and the workof APCP is crucial in responding to the various government and local agendas on behalf of the membership.APCP has had a remarkably successful year and continues to grow in reputation both within the CSP andoutside.

We have worked hard on behalf of you all towards achieving the main aims of the Association to advanceand promote the paediatric physiotherapy profession, providing leadership and direction and fosteringexcellence in standards of practice throughout the four countries of the UK.

In May, APCP exhibited for the first time at the Primary Care Conference at the NEC Birmingham promotingthe general awareness of the range and diversity of paediatric physiotherapy practice. APCP was also invited


APCP Matters

to contribute to the paediatric programme. Exhibiting at such an event is a valuable way of promoting boththe profession and the Association to the wider healthcare community.

Increasing our profile on the international front, APCP was one of the founder members of the InternationalOrganisation of Physical Therapists in Paediatrics, a sub group of WCPT. Your subscription to APCPincludes membership to this group. We look forward to seeing how this group evolves and the opportunitiesit may present to share clinical expertise and practice with our colleagues overseas

The Changing NHS:Our voices have been shouting loudly to be heard, making contributions to all aspects of the NHSmodernization agenda but particularly those relating to services for children, young people and their families.

The restructuring and reconfiguration of the NHS has continued to present us with many challenges andopportunities. It is moving us forward rapidly into new ways of working to ensure delivery of effective,integrated services. Integrated children’s services are the corner stone of ‘Every Child Matters’ and theNational Service Framework for Children, Young People and Maternity Services, but making integrationwork is a challenge!

Lord Darzi’s review ‘High Quality Care for All’, was published in June and outlined a vision of the NHSwhich will enable healthcare services to meet the challenges of the 21st century. Although this review wasconfined to the NHS in England, the briefing paper is aimed at members in all four countries of the UK, andalso those working in the private sector.

As it reviews the entire direction of the NHS, this report has far reaching implications for AHP’s. Health andwellbeing services in the UK will be going through a period of profound change. The physiotherapyprofession is no exception to this. We currently provide excellent specialist interventions, services and adviceto children, young people and their families. We will continue to do this, but we must also respond to thenew challenges and opportunities in innovative ways.

We have to learn how to sell our services to the NHS and, to this end, APCP has been working with the CSPon a project that will document examples of innovation and best practice across children’s services in all fourcountries of the UK. My thanks go to those members, both clinicians and managers, who took the time andtrouble to send in service exemplars. This work is ongoing and it is hoped the final document will supportmanagers and clinicians to present their services to commissioners.

The NHS Workforce Review Team (WRT) is a national body which provides advice to the NHS about howto recruit and train the right number of qualified staff to meet the needs of patients– now, and in the future. Irepresented APCP once again at the paediatric workforce review meeting in London earlier this year. LordDarzi has stated that if physiotherapy services were designed to meet needs, the NHS would need to doublethe current number of physiotherapy graduates. But it appears that the NHS Workforce Review Team hasforecast a 22 % increase in physiotherapists in England over the next 5 years and also warns that there is arisk of oversupply. It has been telling SHA’s that there could be a need to cut back on student training places.The NHS record on workforce planning is not good and APCP emphasized this in its representation on theNHS Paediatric workforce review meeting.

Maintaining the health of the nation is a huge concern for the UK governments and has become a hot topicin the national press and media. Issues such as childhood obesity, exercise and lifestyle have brought intoquestion what physiotherapists are doing to maintain the health of the UK population. Paediatricphysiotherapists have a lot to offer the Child Health Promotion Programme and APCP needs to be at theforefront of discussions around the CSP’s ‘Move for Health’ project in response to this issue.

‘Assessment of Workforce Priorities’ published this summer by the WRT states that school nurses and healthvisitors are vital to the delivery of the public health agenda for children. No mention was made regarding thecontribution paediatric physiotherapy can make, so you see we still have much work to do! If you have aspecial interest in this area and would like to represent APCP, please contact us!

In August, APCP was involved in the consultation on the NICE draft guidance, ‘Promoting Physical Activity


APCP Matters

for Children’. This comprehensive document is welcomed by the APCP. The document mentioned onoccasion children and young people with disability, but not their specific needs. We were able to stress theimportance of this including advice about the need for planners to ensure that the physical activities providedare not only adapted for children and young people with differing needs, but also include the necessarymodification of the play/activity environment to allow for inclusion.

Working in Partnership with the CSP:The CSP’s project, ‘Working Together: Clinical Interest and Occupational Group Membership’, proposes tostrengthen partnership working between the CSP & the CI/OGs and, as one of the larger CIGs, APCP will befully involved in this process.

We must move towards working more flexibly in teams that are built around competencies rather than jobtitles. One of the priority tasks for APCP in 2009 will be to work with the CSP on the Physiotherapy CareerFramework Project to ensure that the framework is meaningful for paediatric physiotherapy, reflecting the fulldiversity and scope of practice within our profession.

The CSP asked for APCP views in the consultation process on the National Framework for ‘AssessingChildren and Young People’s Continuing Care’ and we will be continue advise the CSP on this as required.

This year APCP’s ARC Motion was withdrawn by the National Committee and a letter was written to LizCavan, Chair of ARC at the CSP outlining our concerns that the motion we submitted on the subject oftransitions of care from adolescents into the adult services was re-worded by the ARC Agenda Committeewithout consultation, changing the emphasis and meaning of the original motion. The Agenda Committeehave since reviewed their policy. It is hoped to represent the motion in 2009.

In April, Lynda New and I attended a workshop hosted by the CSP’s Information Management andTechnology Group entitled ‘Taking Information Matters Forward’. The workshop focused on the need forstandardization of the recording and utilization of national data relating to physiotherapy services. OtherAHP’s and the Royal College of Physicians have also gone through the same process and RCP presented theirwork in this area. This information and guidance will enable services to identify how to use informationmanagement to influence commissioning decisions around physiotherapy services. APCP will continue towork with CSP on this subject into 2009.

APCP Supporting Clinical Practice:APCP is committed to providing courses, both basic and advanced, delivered by instructors who havedemonstrated skill in both teaching and clinical skills, and has continued to promote research anddevelopment through the provision of Research Bursaries. APCP has also worked with the CSP using theSKIPP (Supporting Knowledge in Physiotherapy Practice) to develop new information products.

APCP’s Affiliated Groups have become instrumental in supporting clinical practice in their respectivespecialist areas over the past couple of years. This year we are pleased to announce a new Musculo-skeletalGroup.

At this point I would also like to mention the huge contribution that the Paediatric Network on iCSP makesto our clinical practice and learning, and to acknowledge the work undertaken by the paediatric moderatorsto maintain this network as one of the most successful on the iCSP site - Heather Angilley, Carolyn Nicholls,Kerry McGarrity, Julia Hyde and Kathie Drinan.

2008 saw the launch of a new publication: ‘Evidence Based Guidance for Physiotherapists: The Use ofBotulinum Toxin in Children with Neurological Conditions’. Congratulations and thanks are extended to theworking party - Lesley Katchburian, Stephanie Cawker, Sue Coombe, Eileen Kinley, Robert Shaw, LauraWiggins and Elspeth Wills. I am sure this document will prove an excellent tool for many paediatricphysiotherapists.

At our working weekend in July, National Committee undertook a review of APCP’s current publications andidentified a need to update the existing ‘Paediatric Manual Handling’ in the light of the new CSP manual


APCP Matters

handling guidance. Julia Graham and Heather Angilley have agreed to take this forward as a priority in 2009.The existing evidence based summaries are also to be updated this coming year.

During this weekend, work was also started on new guidance for physiotherapists working with Education.Sue Coombe, Sam Old, Linda Fisher and Lorna Stybelska took this work forward from the weekend and thedraft document is currently out for consultation. It is hoped that this will be available both as a downloadabledocument and in hard copy. Many thanks to them for this excellent piece of work.

APCP will be working with CSP over the coming year to develop a CSP Information Paper to supportmembers engaged in tribunals for children. This work is in response to a number of queries and requests forhelp. The purpose of the paper is to explain fully the purpose and process of the tribunal, how best to presentevidence, the responsibility of the clinician, and how to deal with an unpopular outcome. Sarah Crombie haskindly agreed to represent APCP in this work. To ensure consensus in the contents of the information paper,the working group will consist of representatives from APCP, MLACP, ACPM, the CSP solicitor and will beled by Leonie Dawson as the CSP Professional Adviser.

During the year, APCP has offered comment on 3 draft documents circulated by NHS Quality ImprovementScotland (the equivalent of NICE in England):

* Best Practice Statement: The Routine Examination of the Newborn * Best Practice Statement: Caring for A Child/Young Person with a Tracheostomy * Developmental Co-ordination Disorder (DCD): A review of evidence and models of practice employed

by Allied Health Professionals in ScotlandThese documents can be viewed on: www.nhshealthquality.org

In March APCP was invited by the RCN to have representation in the consultation process of in theirguideline development - ‘The recognition and assessment of acute pain in children‘. Jeanne Hartleyrepresented APCP on this project and our thanks go to her.

Many of you will have noticed the new format of the APCP Journal in September. This was the next step inmoving our journal in a new direction as a peer-reviewed scientific journal with a larger editorial board. Theconcern that the membership would miss the ‘newsy’ items historically recorded in the old-style journal wasaddressed by publishing a separate newsletter alongside the scientific journal. There has been much positivefeedback and the new format improves our professional standing and approach. Terry Pountney has beeninstrumental in these developments but now steps down from National Committee. On behalf of you all, Iwould like to thank her for her very substantial contribution to APCP over the past few years. The new Editorwill be Mel Lindley and I am sure we would all like to wish her well in her new role.

APCP Matters:The development of the new APCP website has been a high priority this year and ably led by Fiona Moore.The website will be a great tool which will enhance communication between the Association and themembership, and vice versa. For the first time the National Committee will be able to consult directly withthe membership on important issues raised both nationally and locally.

In October, members were informed of the decision not to renew the contract with Electrodoc Solutions andBusiness Support Services to act as the Virtual Administrator and Business Manager. Contracting servicesin this way was a new venture for APCP in 2007/8. The decision not to re-new the contract was taken aftermuch thought and discussion. It had became clear over year that members of the National Committee hadgrowing concerns regarding inefficiencies and misunderstandings in relation to the administration andmanagement necessary to ensure the smooth running of the Association. This resulted in an increasedworkload for some committee members and a loss of confidence in the overall ability of the VA to managethe affairs of APCP in the longer term. Since September this vital work has been contracted to Fiona Mooreand on behalf of the National Committee, I would like to publically thank her for her hard work, time, effortand commitment in the rescue work she carried out. On reflection it has been a sharp learning curve and theexperience gained has left us in a better position to move forward into employing professional assistance inadministration and business management in 2009 and for the future.


APCP Matters

On behalf of the National Committee and membership, I would like to thank those committee members whoare standing down this year after completing their full term of office, some of whom have dedicated 8 yearsto furthering the growth and success of APCP: Jeanne Hartley is standing down as Research Officer butremains on national committee for another year - she is replaced by Lesley Katchburian as the new ResearchOfficer; Fiona Moore steps down as Secretary, but will stay on as Virtual Administrator for APCP - she isreplaced by Linda Fisher as Secretary; Heather Angilley steps down as North East Regional Representativebut has been elected as Vice Chair of APCP and will support Laura Wiggins in her role as Chair.

Concluding Remarks:Firstly I would like to sincerely thank all APCP members - those who have supported the Association overmany years, and also to those members who are just starting out in their career and have newly joined. It isthe support and vision of an active membership that has been pivotal in the development of APCP and hasgiven it the professional standing and respect it has today. We need your continuing and increasing supportto meet the challenges within the changing context and development of children’s services across the UK.Much work still needs to be done to achieve our objectives of being a voice for our profession that is heardat all levels. We need to take the baton and run the race, and the road ahead is not going to be without itschallenges!

Personally as I reach the end of my clinical career I realise how important APCP has been to me over theyears that I have been a member - albeit having being dragged by the scruff of my neck to the first fewregional meetings I attended! It has been not only a very important and useful component in my clinicalpractice, but has introduced me to many friends who have been ready and happy to share expertise andknowledge - I feel sure I would have been a less effective clinician without it.

I am very proud and feel very privileged to have been Chair of APCP over the past two years and am veryhappy and confident to hand over the helm to the very capable hands of Laura Wiggins. I wish theAssociation continued success over the coming years and know it will grow in strength and reputation andwill ultimately ensure the sustainability of our profession.

Signing off…

Peta Smith – APCP Chair 2006-2008


Laura qualified from The Queens College, Glasgow in 1980 and initially worked in Glasgow beforemoving to Denmark to work in an adult neuro-rehabilitation centre.

On her return to Glasgow she worked briefly in outpatients before beginning her paediatric career ina special school for children with physical disabilities. Although this was initially to gain experienceof working with children who have neurological conditions, 25 years later (with a few breaks to have3 children) she is still working in Children’s Services.

Laura jointly led physiotherapy services for children in a special education setting for GreaterGlasgow and surrounding authorities until organisational change in 2006, when she became the LeadPaediatric Physiotherapist for North Glasgow Community Care Partnership.

Her clinical work is with children and young people with complex disability. She is also part of theNeurobiomechanics/Gait Clinic Team, providing a service to children with a wide range ofconditions, neurological and other, presenting with gait problems.

She has been involved with APCP for 9 years, initially on the Scottish regional committee beforejoining the National Committee.

Family activities take up most spare time but she enjoys hill walking and travel when time allows.

APCP’s New Chair – November 2008

Laura Wiggins

MCSP, BSc (Hons), PGCert Paediatric Studies, PGDip Clinical Gait Analysis


Regional and AffiliatedGroup Reports

EAST ANGLIA

We are quite excited about our new recruits to theEast Anglia committee. The committee would like towelcome Maria Catchpole who has taken up theposition of East Anglia Regional Representative(yippee!). We would also welcome Pam Marmelsteinwho joined in December as a Committee Member.

The DCD course with the AGM in October 2008 wascancelled, as we had a very poor response and wecould not go ahead with running the course.

We are expecting to run a course with the AGM atthe beginning of March 2009. I will send out thefliers by the beginning of January 2009 and advertisein Frontline. We will be running a gait analysiscourse by Elaine Owen on the 9th, 10th and 11thOctober 2009 and further details will be in yourMarch journal.

May I please request all East Anglia members tosupport you regional AGM in March 2009. Thankyou.

Hope you all had a lovely Christmas!

Priya Jackson

NORTH EAST

The Conference will be over by the time you readthis. I hope you have good memories of Yorkshireand have been stimulated by the speakers, as well asrenewing old friendships and forming new contacts.

I would like to thank the rest of the ConferenceCommittee for their hard work and determinationduring the last 18 months as we have prepared forthe Conference.

This will be my last contribution to the journal asNorth East Regional Representaive, as I stand downafter 8 years on the committee. It has been aninteresting and profitable time. I recommend it asgood experience which can be used as evidence foryour KSF! My time on national committee has alsoshown me the level of commitment and hard workthat goes on behind the scenes to serve paediatricphysios and increase their profile, while jugglingpressurised jobs.

In the North East, Helen Chamberlain will be takingover as Regional Representative and will alsocontinue to serve as Secretary to the RegionalCommittee.

Suzanne Carter also stands down in her role asTreasurer having served maximum time! Thanks toher for her accuracy in this role.

Our next study days are not yet fully arranged dueto the pressures of Conference, but we plan toarrange a day in the Spring on ‘Acute Brain Injury-hospital to home’ which will include the AGM; and inthe Autumn, a study day combining hydrotherapyand rebound therapy. Please contact Helen for moredetails.

Heather Angilley

NORTHERN IRELAND

The Northern Ireland APCP AGM was planned for21st October 2008 with Dr Tabib Dabir, ConsultantClinical Geneticist from Belfast City Hospital as ourguest speaker. Dr Tabib gave an interesting andinformative lecture on common childhoodsyndromes and why they occur. Despiteencouraging attendance at the evening talk manypresent were not APCP members and unfortunatelywe did not have sufficient quorum to proceed withthe AGM. However, many attendees left withapplication forms - so fingers crossed for a largerAPCP membership contingent in the near future!

May we remind you to log on regularly to theNorthern Ireland regional pages of the APCPwebsite to remain updated on forthcoming events.

The 2009 APCP Conference Committee remains infull force and we are steaming ahead with plans forAPCP National Conference in Belfast 13/14thNovember 2009. The venue has been confirmed andwe are pleased to announce that Conference is to beheld in the majestic surroundings of Queen’sUniversity Belfast. We are already confirmingspeakers and the wheels are in motion to securetrade exhibitors and sponsors from the UK and Eire.

This is an exciting time for APCP members inNorthern Ireland and hopefully the energy andenthusiasm that is going into organising Conferencewill overflow to all paediatric physiotherapiststhroughout the region to revive our small group!

We continue to encourage any input, ideas,suggestions and involvement - so please contact usanytime and have your say!

Jenny Sinclair

NORTH WEST

There is little to report at this time. The AGM/studyday in November (‘It’s Hip to be at the AGM’) waspostponed and will now be held on 13th March 2009in Liverpool. Look out for information on the


Regional and Affiliated Group Reports

website and in the journals. We hope to see many ofyou there!

Please do not hesitate to contact us if you areinterested in joining the committee, applying for abursary, or finding out more about the committee

The committee would like to wish you a HappyNew Year.

Siobhan Goldstraw

SCOTLAND

The sun is shining, the thermometer reading isdropping and my brain is not engaging…. Thesereports seem to come around far too quickly … yousubmit one, then relax with the thought that the taskis complete and then low and behold it is that timeagain!

Since our last report, we have had our AGM andanother successful study day. We managed to coerceenough people to stay for the meeting and those thatsneaked off for an early lunch were disappointed inits lack of arrival until the meeting closed!

Gillian organised another excellent day andattendance was good despite the credit crunch andlack of NHS finances. Dr Robert Humphries gave acouple of very informative talks on ‘The LimpingChild’ and Perthes in the morning. The afternoonsession was on Myofascial Energy Techniques byHelen Thomson, who kept us all enthralled with hertechnique and case studies. The feedback for bothspeakers was very positive and Helen has a fewmore students enrolled now on her next course!

Our new committee meets in November afterConference to discuss future study days - any ideas,please let me know!! There have been a few changesto the committee since our last meeting. Katie Kinchand Serene Lim have both left and our thanks go tothem both for all their hard work over their years ofservice!! A big welcome to Heather Morrison (Fife),Liz Gray (Morayshire) and Sheila Milligan(Lanarkshire). We still have a vacancy for a non-NHS rep if anyone is keen to take up this post –various agencies have been approached, but notakers as yet! If you would like more information asto what being a committee member involves, pleasejust email me or give me a call.

Julie Burslem

SOUTH EAST

Hello again! We ran an evening lecture alongsideour AGM on October 10th 2008 which I am suresome of you attended. The evening was verysuccessful, despite me dithering about whether tocancel it on the close of applications due to poornumbers. More people applied AFTER the closingdate than before so either we paediatric physios arevery disorganised (and it’s not just me!) or, morelikely, we all try to juggle way too many balls at onetime!

Anyway the lectures did go ahead, we had lots ofpositive feedback and more importantly lots of ideasfor other courses you might like us to run. With theincreasing difficulty for many in getting fundingand/or time off for courses a lot of people liked theidea of evening lectures, as a way to avoid studyleave and keeping costs down. We are hoping to runseveral similar evenings next year so keep an eye oniCSP and the APCP website.

I would be interested in hearing from any of youwho may have ideas for lectures, lecturers or venueswe could use - all information gratefully received!Ideally we would like to run events throughout thearea, not just where members of the committeework.

We also had three members who expressed aninterest in joining our dwindling committee. Ifanyone else would like to come and join us, e-mailor ring me and I can give you more details. Sadly atour AGM this year we had to say goodbye to JillLarkins who was serving as Secretary but had doneher time on the committee. Thank you for all yourhard work Jill, you will be sorely missed.

Kerry McGarrity

SOUTH WEST

We can now confirm that the APCP Introduction toPaediatrics course will be hosted by the South WestRegion in conjunction with Basingstoke and NorthHampshire Foundation NHS Trust. Further detailscan be found further on in this newsletter.

I have recently been out of ‘circulation’ due to myown work/study leave commitments andunfortunately was unable to attend the APCPConference and National Committee meeting. SueClose attended in my place to represent the SouthWest Region. I hope to have more to report inMarch!

Charlotte Karmy



TRENT

Hello to all members in the Trent region! In earlyDecember, a meeting was held in Nottingham todiscuss the future of the Trent Region, which hasbeen relatively inactive over the past couple ofyears.

It was a productive meeting and hopefully all whoattended felt positive about the outcome. We nowhave some new members to the group who werepresent at the meeting and have had interest fromothers who weren’t able to attend. At the meeting,we discussed the topics we would like to runcourses on over the coming year and theseincluded: SMA/Muscular Dystrophy, and ChronicFatigue Syndrome. We welcome any further interestfrom people wishing to join the Trent Committee or,if you have ideas for courses you would like us toarrange, please get in touch!

An evening lecture was held on January 13th4.30pm-6.30pm at Loughborough Hospital with anAGM to start. The topic was ‘Normal gait, gaitabnormalities and the use of Orthotics in Paediatrics’.

Caroline Adcock

WALES

APCP Wales Committee are busily planning aprogramme for the next year, including anequipment exhibition/training day, GMFM & aplastering course & possibilities of a Chailey coursesometime in the future.

The committee is always open to new ideas, soplease feel free to contact us if there are anycourses/study days you would like organised.

Paediatric Physiotherapists across Wales remainvery active developing Rebound Services via theRebound networking group, which meets quarterlyand are shortly to present a Rebound Therapyinformation pack as well as investigating areas forfuture research initiatives.

We also have a very active South Wales CerebralPalsy group. This group formed originally todevelop Botox Services for Wales and meetsapproximately 3 times a year to look at improvingservices for children with spasticity. If any of youwould like contacts for any of the above groupsplease do not hesitate to contact me.

A new venture in South West Wales is thedevelopment of ICE COOL KIDS - a charity initiatedby therapists and parents to take children withspecial needs skiing. This meets on a monthly basis

at the local dry ski slopes and last year had their firsttrip to La Plagne in France. All had a wonderful timewith many of the children developing skills theythought they would be able to.

Our Bobath Children’s Therapy Centre in Walesremains extremely busy and has some innovativeideas that they are trying to make their servicesmore accessible to rural Wales. Thanks to JenniferCarroll and the team for maintainingcommunication and listening to communitytherapists across Wales in the development ofservices from the centre.

Finally I would like to congratulate all of you forsurviving yet more changes to Health Servicesacross Wales and wish you a Happy and Healthy2009!

Julie Harvey

WEST MIDLANDS

We held our ‘Therapeutic Walking’ discussion forumon 7th October 2008, along with the AGM. Theforum was well attended and includedpresentations from Pauline Christmas (ConsultantPaediatric Physiotherapist), Heather McMurchie(Neuromuscular Paediatric Physiotherapist), astudent presentation looking at the evidence base,and feedback from Christine Anderson’squestionnaire. The forum stimulated muchdiscussion around a number of areas and was areally useful way to share practice. A big ‘thankyou’ to all the speakers and the committee fororganising the afternoon.

The committee will be planning the next study day/forum and would appreciate any feedback orsuggestions.

I will be resigning from the Regional Representativepost from the end of November and would like tothank all the committee for their support over thelast few years.

Details of the new Regional Representative will beposted on the West Midlands regional page of theAPCP website. If you would like to be part of theCommittee, please contact us using the details at theback of the journal.

Helen King (nee Bayliss)

MUSCULO-SKELETAL (MSK) GROUP

A study day was held on the 29th September 2008 inSheffield and was well attended. An interestinglecture and discussion was had regarding DCD andhypermobility. The group also formally agreed tobecome an Affiliated Group of APCP and the



Committee was voted in. As of January 2009, youneed to be a member of APCP to be a member of theMSK group - so don’t forget to join up!

The next study day is being planned for April 2009and the intention is to try to organise twoeducational events per year - so keep a look out formore information!

Samantha Old

NEUROMUSCULAR GROUP

The neuromuscular group held a parallelprogramme at APCP conference on the Saturday.This was a very successful event with the openinglecture by Dr Imelda De Groot talking on Treatmentmodels used in The Netherlands for children withNMDs. This was followed by Dr Iain Horrocks,Consultant Paediatric Neurologist in Glasgow,talking about current research in DMD, SMA andPompes Disease.

Dr. Michelle Eagle from Newcastle talked on theeffects of steroids on DMD and Marion Main onSMA. The day was rounded off by Dr Penny Garoodfrom Newcastle giving a talk on Muscle MRI.

The day was organised with a lot of hard work fromLindsey Pallant and the team in Leeds and thegroup would like to thank them again.

The next national meeting is on Thursday March26th in Newcastle in conjunction with the MuscularDystrophy Campaign. For further course details andhow to get an application form for the day pleasecontact:

Anna Mayhew: [email protected]

It is hoped to have a study day, possibly in June, incollaboration with the neonatal group of APCP tofocus on the physiotherapy management ofneonates and babies with neuromuscular disease.

For further information please contact me:[email protected]

Marion Main

NEONATAL GROUP

The neonatal group had a poster on display at CSPCongress in Manchester 17-18 October 2008.Mairead O’Siochru, Professional Advisor at the CSP,designed the poster on the ‘PhysiotherapyManagement of Positional Talipes Equinovarus: pilotingthe SKIPP process’. The work on this evidence note isnearing completion.

A meeting of the Developmental Care PractitionersSpecial Interest Group took place at BLISS, inLondon, on 5th November, and Denise Hartattended to represent the neonatal group at thatforum. The group is aimed at all practitionersinvolved in promoting developmental care inneonatal units, and will provide a forum for sharingsuccesses and challenges, and learning from theexperiences of others. The main topics for discussionwere: update on the development of competences;towards a UK model of developmental care;Kangaroo Care/Skin-to-skin; nursery design.

Nicola Kershaw was assigned as the physiotherapyrepresentative for the Neonatal Taskforce, set up bythe Department of Health, and attended an event inLondon on 24th September. She will feed back to themembership via the Neonatal Group Chair, FionaPrice.

I represented the Neonatal Group and APCP at afocus group for AHP’s, as part of the NeonatalTaskforce – Workforce Group on 18th November2008 and will be feeding back to the membership inthe near future.

Adare Brady


RESEARCH

I feel the need of something to attract your attention.I have searched and searched for that old photo ofme and George Clooney when we went to theopening Gala night of that film – what was it called………… oh blow! I can’t remember so not thatimportant I suppose! Then there was the headline ina London paper last Friday about Ralph Fiennessleeping with his mother* – it certainly got myattention – mostly because he was having lunch inthe same restaurant as me that very day! Have I gotyour attention NOW!

Well now I can get down to the nitty gritty of thereason I have been Research Officer for the past fouryears. I am from the era when physios were trainedto be good, look nice and tidy, and do whatever thedoctor told them to do. When a ‘prescription’ camefrom the clinics asking for shortwave and exercisesfor Mrs Evans’ neck pain, we seriously did just that.Well, those doctors were really the pain in the neckfor me – shy Jeanne wanting to question andchallenge, never having the confidence to actuallytell the medic what I thought would be a moreeffective treatment. Fast forward a few decades andhere we are – many of you trained to question andchallenge practice, but how many of you have doneanything after your final student projects. What is itabout physios that make us keep our heads downand not want to show what we are really about?

In Frontline (October 1st 2008), there were a coupleof items that caught my eye amongst all the stuffabout uniforms in Scotland, student issues andmotor biking physios. One was about a report fromthe Annual Assistant’s Conference citing thechanges brought to the NHS by the presentgovernment – more resources and ‘a wave of technicalreforms such as patient choice and payment by results’.Darzi’s final report also focuses on quality andgiving patients much more control – especially inliving with their disabilities. In this day of easyinternet access I do know, and have experienced,parents coming into clinics waving great piles ofpaper with the latest opinions/research into theirchild’s condition. It can be very challenging whenthe information in hand is unfiltered and sometimesiffy, but this is the world we now live in and we haveto deal with it - and importantly we have to changewith the times.

Oldies like me have been around the block a fewtimes with various treatment ‘philosophies’ - butthere are some that really catch my imagination –strengthening in CP for example and the greatreports from Diane Damiano’s work. It’s not thatmany years ago that the mantra was ‘never

Research strengthen spastic muscle’. These sorts of changeskeep me interested and enthused. There are lotsmore I am sure you can think of too!

Keeping to the CP theme, in the same edition ofFrontline I noticed the headline: ‘Charity aims to fundphysio for children’. In this report it says that moneyraised will be used ‘to help children with conditionssuch as cerebral palsy who are not receiving thephysiotherapy care that they need from the NHS’. Laterthey say ‘families from all over the UK come to ourintensive tailor-made programmes because they simplycannot get the help they need without going privately’.Please could someone tell me where the evidence isfor the efficacy of any physiotherapy input forchildren with CP that is well researched?.... apartfrom things around botox, effects of surgery and orsplintage, strengthening, CIMT and Eva Bower’swork etc. We really are our own worst enemies. Itreally is time we looked hard at our practice – workout - what works, why and how and discard the stuffthat doesn’t …. like all those Saturday mornings Iworked as a student getting toddlers with flat feetpicking up marbles, in my fervour to stop these littledarlings having problem feet for the next 70 years! Ireally did think I was saving the feet of the nextgeneration in Wolverhampton.

As a start, there is the review being carried out forAPCP by Sue Coombes into how much physio arechildren with CP actually getting at the present time.There was information about it in the last Journalbut if you don’t know about it and would like totake part please contact Sue. I do hope that oncewhat is actually going on has been discovered, thenext stage will be to look at whether children areactually any better off from their variousinterventions – be they physio, pharmacological orsurgical.

As some of you will know I have a fascination forfinding out what happens to children when theyhave grown up and left our care. It can be a soberingexperience to find out their views of what we putthem through, but some are helped – it’s the futurewe need to be looking at for our paediatric patientsand we owe it to them that our interventions arehelpful, well thought out, and actually do make adifference.

The reason I can do this is I am a ‘list person’ – allmy life I have kept lists of things (car numbers,horses’ names), and now I keep lists of interestingpatients/conditions. This means I have long lists of,for example, babies with DDH treated with Pavlikharnesses, children with congenital short femur.This makes it so much easier to find people in thefuture and see how they are doing. An idea perhapssome of you may want to take on?

Another idea – I am often asked advice about whatto do with, for example: habitual toe walkers or


plagiocephaly. These topics are a recurrent theme oniCSP. Just looking back, there are at least threeenquiries about toe walkers with responses from 23people – there you are 26 people interested in toewalkers! Have any of you thought of gettingtogether and really looking at practice? Just athought!

One last thing I need to tell you about. APCP wereasked to provide some input into the RCN work on:‘The recognition and assessment of acute pain inchildren’. Without our input children with profoundphysical/cognitive difficulties could have been leftout, as no-one had thought of including them. Ourinput was taken on board and assessment tools fornon-verbal children with cognitive problems havebeen included. This work is now available and onthe paediatric document section of iCSP, as well asthe RCN website - please take a look at it.

Enough ranting! This is my last contribution asResearch Officer as my time is up. I have enjoyedthe experience; especially all the e-mail contact, butfeel a little disappointed that it was not possible toengage more with you all. It has been possible tohelp with research funding for a few of you – itwould be great to be able to offer bursaries toeveryone who asks, but it is your money that is usedand it needs to be spent wisely. Perhaps the most funhas been the contact from students – particularlythose with projects and needing APCP members tohelp with questionnaires, telephone interviews, etc.There have been some cracking projects over theyears and some have made it to wider awareness viapresentations and posters at Conference.

My heartfelt thanks goes to those of you whoresponded to questionnaires etc. It is your kindnessand support that hopefully will enthuse andpersuade a new generation of paediatric physios.

That’s all! I am off on another trip to Afghanistanwhere, even there, data is being collected to auditoutcomes into the clubfoot and the DDHprogrammes!

Lesley Katchburian will be taking over from me in2009 and I wish her (and all of you) all the best for2009)!!

Jeanne Hartley

Research and Education * Ralph Fiennes opened in Oedipus at the NationalTheatre in October – just in case you really think Iam losing the plot. This piece was also written wellin advance of the Journal press date, so if you haveall moved on and are into challenging your practice- then my apologies!


Are you a member of our community?

Discover the best way to keep in touch with your peers.

It’s been another busy period on iCSP with over 4500 users and nearly 3000 items!

Have you seen the recent improvements to the website?

• the search facility in the left hand menu has been expanded to simplify and speed access to discussions and documents

• new, quick access to the history of hot topics and network highlights• ability to attach up to 5 documents to a discussion to help you to pass on

items when responding - this will encourage wider availability of documents, rather than sharing taking place between two parties by exchanging email addresses

• students are now able to access the site - it will be clear to all that they are students and content will be monitored

• the order of responses has been reversed so that the most recent appears first

Keep contributing!

Heather Angilley, on behalf of the Paediatric Moderators


APCP SURVEY

NATIONAL INTERVENTION LEVELS

FOR CHILDREN WITH CEREBRAL PALSY

MORE VOLUNTEERS NEEDED!

Our last journal announced that APCP are to carry out a national survey to establish the amount ofintervention that NHS physiotherapists are providing for children with differing types and severities ofcerebral palsy, at various ages.

Physiotherapists working in the NHS are increasingly asked to provide specific advice in a variety of settingsand circumstances, including legal compensation cases, and Special Educational Needs Tribunals. However,to date, there seems to be very little evidence to support any particular amount, type, or frequency ofintervention.

Although the survey will not tell us whether what we are doing is making a measurable difference, it willgive us all valuable information as to the average amount of physiotherapy intervention that is currentlybeing provided to children with cerebral palsy across the NHS within the UK. It is hoped that the survey willresult in a national reference against which paediatric physiotherapists can set their own advice.

The survey will run over a year. This allows us to capture all levels of input, including annual reviews. Itwill not be complicated, and will involve simple recording of the actual time spent.

Each participating physiotherapist is being asked to complete the survey for up to 10 children with cerebralpalsy, of different age groups and/or GMFCS levels. This should ensure that we collect information from arepresentative range of age groups and severity levels. However, if you can only manage the survey for threechildren, we do still want your information! A questionnaire document (printed opposite – with user instructionson the back) is required for each child included in the survey for each 3-month period of the year. Theidentities of therapists and children will not be disclosed on the form.

We are aiming to collect information from at least 1500 children from around the UK over a year, starting inJanuary 2009.

We have had a very enthusiastic response from physiotherapists from around the UK, but we still need moreand it is still not too late to register your interest! With the large numbers involved, we need a widerepresentation from as many NHS physiotherapists as possible who have children with cerebral palsy ontheir caseloads.

We do ask that you seek your manager’s permission to participate in this survey and that you do register with yourintention to participate before starting to use the survey questionnaires!!

If you are interested in being involved in the survey, please contact Sue Coombe to discuss what isinvolved:

[email protected]

Tel: 01603 286333

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Education

Education and life-long learning are important forpersonal and professional development, howeverwith limited finances the opportunities to go oncourses is restricted. Increasingly therapists arelooking for training that will show their competencyto enable them to move through gateways in theKnowledge and Skills Framework. This year’sconference organising committee were particularlymindful of this in the way they organised thecontent of this year’s programme, so thanks to themfor being so strategic in their thinking!

We are pleased that the free papers and posters thatwere selected were presented and displayed atConference. We hope it provides an opportunity forinterested professionals to network and share theirexpertise at this national forum.

On the development-of-courses-front, I am pleasedto inform you that the South West Region will behosting APCP’s ‘Introduction to Paediatrics’ coursein March 2009. This will be held at the NorthHampshire Hospital, Basingstoke. This is a five-daycourse for physiotherapists new to the field ofpaediatrics – see the notice following my report forfurther details.

A subgroup of the Education and ResearchCommittee was set up to revise APCP’s 2003publication ‘Special Educational Needs Code ofPractice 2001: Guidance for PaediatricPhysiotherapists’. The new edition, ‘Guidance forphysiotherapists: giving advice for children andyoung people with special educational needs’ takesinto consideration the effects of governmentdevolution in the 4 different countries with theUnited Kingdom. Thanks to the hard work of thesubgroup (Sue Coombe, Sam Old, Linda Fisher andLorna Stybelska), the draft was available forviewing at the Conference in Leeds and will beavailable to members in the New Year – keep an eyeon the APCP website for more details!

To support the launch of this new publication, wehave decided to organise a training day for memberson this topic at the CSP headquarters in London inMay 2009. Places will be limited, so book early.

We haven’t received any further applications forAccreditation. I can confirm that there are 3 courseswe have supported for accreditation: ‘The LaceyAssessment for Pre-term Infants’, ‘The role oftherapists in neonatal care’, and ‘On Ya Bike’.Accreditation is for a period of 2 years. If anyone isinterested in applying for accreditation the form isdownloadable from the website.

Please keep emailing me any thoughts or commentsfor future courses you would like to see us run.

Dawn Pickering

SEEKING CLINICAL EXPERTS

In the September edition of the newsletter, ChrisSneade (PRO) wrote a short piece appealing tomembers who have clinical expertise in any arearelating to paediatric physiotherapy, to contact herand to make themselves known!

APCP would like to be able to draw upon theexpertise of its members when approached forclinical advice/comment – whether this is tocomment upon national policies affecting ourservices, or responding to clinical issues in themedia.

To date, Chris has heard from only a couple ofmembers and we know there are lots of ‘experts’ outthere!!

This really won’t be too onerous a task – and we maynever have a need to contact you – but if a relevantquestion/issue does arise, wouldn’t it be good to be able toadd your input??

To have your clinical specialities noted, pleasecontact Chris Sneade: [email protected]


Here and There

Feedback from a standing frame forum organisedby the West Midlands APCP Committee

The West Midlands APCP Committee organised anafternoon discussion forum on the subject ofstanding frames, which was held in December 2007.This article discusses how we ran the forum, whatwe learnt and how it has helped shape our futureplans for subsequent study days.

Initial feedback to the APCP committee indicatedthat many therapists wanted to discuss issuesaround the use of standing frames, particularlywithin the school environment. Although this topicwas more relevant to community Physiotherapistswe were really pleased to have representation froman acute hospital trust.

The nature of the topic suggested that opendiscussion and information sharing would be themost effective use of the forum. An initialquestionnaire and covering letter was sent out to allWest Midlands APCP members. Of 131questionnaires sent, 34 were returned by thespecified date. Information gathered from thequestionnaires was used to structure the discussion.

The afternoon commenced with a presentationentitled: ‘The efficacy of standing frames; anevidence based approach.’ The results from thequestionnaires were then presented to the delegates.This allowed everyone the opportunity to discusseach question and share ideas.

Minutes were taken from the discussion anddistributed to the course participants after theforum.

Reps from several companies had been invited togive the course delegates the opportunity to look ata selection of standing equipment. Each rep wasallocated a 10 minute slot to present information ontheir products.

Within this article it is not possible to elaborate onthe results of the questionnaire but we are happy toshare this information if anyone is interested.

Following the forum each participant completed anevaluation form. Each delegate replied positively tothe first question that they had found the afternoonvery useful. The presentation of the research resultsand the opportunity for discussion were recorded asthe most useful aspects of the forum. It was stronglyagreed that delegates would have liked more timefor open discussion.

Although designing the questionnaire, organisingthe day and analysing the results had been timeconsuming, the committee felt that this had beeneffective. The forum demonstrated the motivationand commitment brought by PaediatricPhysiotherapists to treating children using evidencebased practice. This use of evidence based practiceshould be a source of professional pride.

The forum also showed that within open discussionwe can learn effectively from each other and furtherdevelop good practice.

On the strength of this forum we are planning asecond forum in the autumn entitled “therapeuticwalking” to be run in the same format.

If anyone would like further information on thequestionnaire we used or the results we collected,please contact: [email protected] [email protected]

Neonatal Network response to request forinformation re: Osteopenia of prematurity andfractures in neonates

This response is a consensus opinion from the APCPNeonatal Group.

“In our experience the incidence of fractures inpremature babies is very low. It may be prudent tomake the incidence clear in parent information toreduce anxiety. Fractures may be associated with aspecific event or may be discovered with noidentifiable cause.

There are no recognised standards withinphysiotherapy on recommended handling in regardto this issue. It is implicit in our training to handlethese infants appropriately. We have liaised withBAPM and with a recognised team working withinfants and children with metabolic bone disease.They concur that there are no agreed standards,although there are local standards for handlingbabies with osteogenesis imperfecta.

Passive movements are not routinely recommendedto address osteopenia, they are usually indicatedwhere there is restriction or potential restriction ofmovement due to muscle shortening. There are afew articles suggesting that massage and passivemovements produce short term improvements inbone density but it is not clear what the regimeentailed. Additionally the babies were all onsupplemental feeds so the effects may not apply toall infants. The long term impact on bone density isnot known.

Osteopenia of prematurity is a recognisedprecaution when assessing an infant for manual


chest physiotherapy techniques. In certaincircumstances the need to carry out chestphysiotherapy to improve an infant’s respiratorystatus outweighs the risk of fractures. This decisionwould be made with the multi-disciplinary team. Itshould be made clear that the techniques used in theUK are different to those used in France.”

Fiona PriceChair APCP Neonatal Group

Two Day Workshop on Dyspraxia and Co-ordination Difficulties

29th – 30th April 2009

Denham, Buckinghamshire

A two day workshop covering assessment and treatment of children with co-ordination difficulties based on the Lee Method

£195.00 for the two days with refreshments and lunch included

An application form is available on www.dyspraxia-dcd.co.ukor from the Lee Medical Practice on 01895 835144 or

[email protected]


GWENT HEALTHCARE NHS TRUST

Children’s Physiotherapy Service

Clinical Lead Physiotherapist(Paediatric Neurodisability)Band 8a37.5 hours per week

We are looking for a highly motivated, enthusiastic individual to take up this newly created post.

The successful applicant will be dynamic, a strong team player, a good communicator and able to buildnetworks across disciplines and across agencies.

It is expected that 50% of the post will consist of a Gwent wide leadership/strategic role and 50% directclinical work.

Strategic RoleThe postholder will play a pivotal role in developing the neurodisability services across all sites withinthe Trust. This will include all three children’s centres and community locations. The post holder will beresponsible for identifying and implementing new modules of care and ensuring all physiotherapyneurodisability services delivered across the Trust comply with requirements of clinical governance.

Clinical ComponentThe post will include the management of a highly complex clinical caseload within the speciality ofpaediatric neurodisability.

BaseThe postholder will be based at Nevill Hall Children’s Centre, Abergavenny which is situated close tothe Brecon Beacons and with good access roads to Cardiff, Newport and Bristol.Closing date 13th February 2009.

For expressions of interest, please contact: Ruth Jones, Operational Physiotherapy ManagerTel: 01633 274832/276340

GUERNSEY

Paediatric PhysiotherapistLocum – 6 monthsSalary: £41,928 pro rata

We require a senior physiotherapist to work in community paediatrics. The workload is very variedand a good knowledge of developmental problems would be an advantage.

To apply for the position or to find out further information please contact Denise Robilliard or Dawn Thomas:

[email protected] 725241 ext. 4420 / 07781 138318

CSP and HPC registration essential.

A driving licence and car are required for the post.

DECEMBER 2008A.P.C.P. NEWSLETTER A.P.C.P. NEWSLETTERDECEMBER 2008

NATIONAL COMMITTEE OFFICERS AND MEMBERS REGIONAL & SUB-GROUP REPRESENTATIVES

CHAIR Laura Wiggins 26, Braidpark DriveGiffnock

[email protected] Glasgow, G46 6NB

VICE CHAIR Heather Angilley 5, RidgewayGuiseley

[email protected] LS20 8JA

TREASURER Lynda New Children’s PhysiotherapyQuedgeley ClinicSt James, Quedgeley

[email protected] Gloucester, GL2 9EU

SECRETARY Linda Fisher 63, Market HillMaldon

[email protected] Essex, CM9 4QA

CIG LIAISON &DIVERSITY OFFICER Sue Coombe Jenny Lind Physiotherapy Department

Norfolk and Norwich UniversityHospital NHS Trust, Colney

[email protected] Norwich, NR4 7UZ

PUBLIC RELATIONS OFFICER (PRO) Chris Sneade Physiotherapy Department,

Child Development Centre,Alder Hey Children’s NHS Foundation Trust

[email protected] Eaton Road, Liverpool, L12 2AP

EDUCATION LIAISON OFFICER Dawn Pickering School of Healthcare Studies

Ty Dewi SantCardiff University, Heath Park

[email protected] Cardiff, CF14 4XN

RESEARCH OFFICER Lesley Katchburian Wolfson Neurodisability ServiceLevel 10 Main Nurses HomeGreat Ormond Street HospitalGreat Ormond Street

[email protected] London, WC1N 3JH

EDITOR Melanie Lindley Faculty of Health and WellbeingRoom L21036 Collegiate Crescent

[email protected] Sheffield, S10 2BP

PUBLICATIONS OFFICER Lorna Stybelska Paediatric PhysiotherapyCumberland InfirmaryCarlisle

[email protected] Cumbria, CA2 4HY

COMMITTEE MEMBER Jeanne Hartley 36, Cascade AvenueMuswell Hill

[email protected] London, N10 3PU

EAST ANGLIA

Maria CatchpoleJenny Lind PhysiotherapyDepartmentNorfolk and Norwich UniversityHospitalColney LaneNorwich NR4 [email protected]

LONDON

Stephanie CawkerWolfson Neurodisability ServiceLevel 10 Main Nurses HomeGreat Ormond Street HospitalGreat Ormond StreetLondon, WC1N [email protected]

NORTH EAST

Helen ChamberlainChildren’s CentrePhysiotherapy Department70 Walker StreetHull HU3 [email protected]

NORTHERN IRELAND

Jenny SinclairChildren’s Physiotherapy Department81, Market StreetDownpatrickCounty DownBT30 [email protected]

NORTH WEST

Siobhan GoldstrawThe WillowsAshfields Primary Care CentreMiddlewich RoadSandbachCheshire, CW11 [email protected]

SCOTLAND

Julie BurslemBirnie CDCRaigmore HospitalOld Perth RoadInvernessIV2 [email protected]

SOUTH EAST

Kerry McGarrityPaediatric PhysiotherapyEast Surrey HospitalCanada AvenueRedhillSurreyRH1 [email protected]

SOUTH WEST

Charlotte KarmyCDC, Poole Hospital NHSFoundation TrustLongfleet RoadPooleDorsetBH15 [email protected]

TRENT

Caroline AdcockChildren’s PhysiotherapyBridge Park PlazaBridge Park roadThurmastonLeicesterLE4 8PQ

[email protected]

WALES

Julie HarveyThe Children’s CentreNeath and Port Talbot HospitalBaglan WayPort TalbotSA12 7BX

[email protected]

WEST MIDLANDS

Cath KearPark House Child and Family CentrePark RoadSparkhillBirminghamB11 [email protected]

NEONATAL CARE GROUP

Adare BradyPhysiotherapy DepartmentAntrim Hospital45 Bush RoadAntrim, BT41 [email protected]

MUSCULO-SKELETAL GROUP

Samantha OldPaediatric TherapyChaucer Unit, Level 3Northwick Park HospitalWatford Road, HarrowMiddlesex, HA1 [email protected]

PPIMS

Di Coggings

[email protected]

NEUROMUSCULAR GROUP

Marion MainPhysiotherapy DepartmentGreat Ormond Street HospitalGreat Ormond StreetLondon, WC1N [email protected]

CRITICAL CARE GROUP

Melanie LindleyFaculty of Health and WellbeingRoom L21036 Collegiate CrescentSheffield, S10 [email protected]

APCP VIRTUAL ADMINISTRATOR

Fiona MooreAPCPPO Box 610HuntingdonPE29 [email protected]

ASSOCIATION OFPAEDIATRICCHARTERED

PHYSIOTHERAPISTS

ISSUENO. 2DECEMBER 2008

apcp.org.uk

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