swimbikerunPHYSIO

FCP clinical lead. APP. Specialist in tendons, ACLs, triathletes, lifters. Former GB AG triathlete. CrossFitter. Views my own

[swimbikerunPHYSIO @EggletonChris]

@ashjamesphysio @rcgp @thecsp @JonRyanCSP @RobYeldham @CSullivanCSP @KMiddleton60 @SHazzard @suehaywardgiles @ashjamesphysio, you say that ARRS isn’t the model of choice: from experience there’s a gulf btwn Trust and ARRS(private company) MSK FCPs. Please elaborate on why it’s not your chosen model, why the gulf is allowed and what @thecsp are doing about it?

[swimbikerunPHYSIO @EggletonChris]

@ashjamesphysio @rcgp @thecsp @JonRyanCSP @RobYeldham @CSullivanCSP @KMiddleton60 @SHazzard @suehaywardgiles Reading this it’s hard to work out if it’s physio/MSK FCPs or generic first contact practitioners that are being discussed. The title doesn’t accurately reflect what (MSK) FCPs do, causes confusion to pts/GP staff, therefore pt care and pathways are affected. Name change needed

[Royal College of General Practitioners @rcgp]

Following recent discussions on X we’d like to clarify that RCGP isn’t responsible for training course content or for keeping records of FCPs, but we’ll raise this in our next meeting with NHSE.

[swimbikerunPHYSIO @EggletonChris]

@huz_physio @Connect_Health_ @MikeCarpenterPT @AndrewVCuff New service or new job?

[swimbikerunPHYSIO @EggletonChris]

@jeehanlynch 2/2 many however are under skilled, under experienced and under supported. Doesn’t help that primary care services don’t understand the role/MSK pathway either. FCP best if run by local Trust/MSK. PCN-employed poorly integrated where I am

[swimbikerunPHYSIO @EggletonChris]

@jeehanlynch depends on what you mean by MSK specialist? I’d argue that to be a good FCP you’d need to be an MSK specialist. Do you mean APP-level, or quality rehab physio? You are right they are neither, but many have the appropriate skills to provide triage at interface service level 1/2

[swimbikerunPHYSIO @EggletonChris]

@JOAPhysio With your hamstrings?

[swimbikerunPHYSIO @EggletonChris]

@MRheumy @ABAElliott 100% before injecting. Just checking you didn’t mean every joint. Depends where in the pathway we work hey

[swimbikerunPHYSIO @EggletonChris]

@ABAElliott @MRheumy Always get an X-ray for every single joint pain? Is that wasteful? How often would it change management? Or just best to do it before injection?

[swimbikerunPHYSIO @EggletonChris]

@Alice_Porter @physiojack @adamdobson123 @bellkneesurgeon @JackAChew @JLTHphysio @TPMPodcast @BWhybrowPhysio @ChrisMartey @Claire_Minshull @CombatSportPhys @lizbayleyphysio Thanks, yes I’m well aware of seronegatives and symptoms arising before blood work shows up. As non-medical staff in primary care it’s a nightmare navigating this without over-referring to interface rheumatology services.

[swimbikerunPHYSIO @EggletonChris]

@thecsp @AbiHend A shambles. It’ll also impact on recruitment and retainment which is already challenging enough. And will the primary care hubs have to fund the training for the private providers of FCPs?

[swimbikerunPHYSIO @EggletonChris]

@LeannaLuxton @TEDxNHS @TEDx That’s a great listen, well done! Please could you share the reference for the Compelling Outcomes Model. Thanks

[swimbikerunPHYSIO @EggletonChris]

@MRheumy @Chopperchap @DerekGriffin86 Not sure many FCPs would be confident to diagnose and manage FM. I’m sure a lot of primary care/interface rheum referrals would be to facilitate diagnosis/rule out other conditions. Then it can be managed by GP/FCP without the need for secondary care.

[swimbikerunPHYSIO @EggletonChris]

@TheHipPhysio Index finger is a red herring. What about the other three being amputated?

[swimbikerunPHYSIO @EggletonChris]

@Physiozensam Thanks for sharing and great work by you. She’s lucky in a way to have seen you as it wasn’t a first contact appointment. Does your FCP service accept referrals from GP staff if they’ve investigated? We try to keep ours truly first contact. Thanks

[swimbikerunPHYSIO @EggletonChris]

@adamdobson123 You could take out the ACLR rehab bit - it’s all the basics of rehab

[Sethina Watson @morefluids]

Did you clap for the NHS during covid? If you did, now is the time to support nurses, doctors & other professionals who will soon to balloting for industrial action. Clapping didn’t pay any bills. Clapping doesn’t repay good will. Clapping doesn’t replace staff who are leaving.

[swimbikerunPHYSIO @EggletonChris]

@consultantPT Agreed. A few howevers off the top of my head -FCP is important if the rest of the pathway is good -most FCP pts should be acute so no rehab need -better to be ref with FCP diagnosis than GP -PT Depts don’t measure and show quality -very poor rehab is common

[Uzo Ehiogu @consultantPT]

Today 😊 we launch a clinical website for physios passionate about rehabilitation and integrating the best from S&C into clinical practice! Please visit us , share our stuff and spread the word👊🏿.. Love 💓 a Retweet🙏 https://t.co/tv3p6UAa9W with @rehab_guru

[swimbikerunPHYSIO @EggletonChris]

@EnvivoPT @dhinuj_DPT Razor clams