Looking through the archives I found three interesting entries (extracts below)
'A colleague is involved in developing local guidelines for referral to physiotherapists (within the NHS). I think treatment guidelines might be written into this.'
'I'm not sure what you mean by treatment guidelines. Surely, you don't mean telling the physiotherapist what he/she can and can't do?'
'Anybody had a head to head yet over physiotherapy? No evidence as far as I can tell for improved outcome in chronic joint pain/strain BUT langourous open ended regimes with ice ultra sound and god knows what.
Patients love the idea of it and come in demanding mode....one refuses as "no evidence...." then the public exchange of letters! How the hell am I supposed to use physiotherapy services when I keep reading that they dont work?'
GPs (and patients) surely need a PT service which makes best use of available resources - and PTs need appropriate type and level of referrals to allow this. Surely guidelines agreed jointly would be beneficial to all! Does anyone have any comments/ideas/experience of these? What DO GPs want from their PT service (and yes that might be different from what some patients want, but patients tend to have even less idea of what PTs can and can't do well)
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Gillian M Rose MBA BSc MCSP
Head of Therapy Services
Countess of Chester NHS Trust
Liverpool Road
Chester
CH2 1UL
01244 365241
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