29/05/2021
PHYSIOTHERAPY AS AN INTERNATIONAL PROFESSION AND HOW IT WORKS IN THE UNITED KINGDOM
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability and it can involve a number of different treatment and preventive approaches, depending on the specific problems someone is experiencing, including movement and exercises, manual therapy, education and advice, etc.
Physiotherapists are autonomous practitioners who provide expert, holistic interventions to help restore movements or in the case of permanent injury or disease, to lessen the effects of any dysfunction (WHO n.d). They maintain health for people of all ages, helping patients to manage pain and prevent diseases. As an autonomous professional, physiotherapy needs to make informed, reasoned decisions about their practice. This includes seeking advice and support from education providers, employers, colleagues, professional bodies, unions and others to ensure that the wellbeing of service users is always safeguarded.
Even though it is reported that physiotherapy techniques have been used since early as 460 BC, Physiotherapy as a profession originated in 1813 when Per Henrik Ling established an institute for manipulation and exercises in Sweden. In 1887, Physiotherapists were given the official registration in Sweden and immediately other countries also followed including Great Britain.
Worldwide recognition is high for physiotherapy as a profession and it has already become a vital role within the healthcare systems in any country. Response to the latest World Confederation for Physical Therapy (WCPT) survey reveals direct access is available in 48 countries and there are no restrictions on private practice in 77 countries. In many countries Physiotherapy is listed under the skill migration category and particularly the UK also added Physiotherapy to their list when they introduced the skill migration pathway back very recently after Brexit under occupation code 2221.
All physiotherapists practicing in the UK are required by law to be registered with the Health Care Professions Council (HCPC) which is required for all public, private and voluntary work and it allows using the title ‘Physiotherapist’ as it is a protected professional title in the UK. Physiotherapist must meet the standards of proficiency to become registered with HCPC and both UK and overseas qualifications will be validated under application process. It is delighted to announce that B.Sc. Physiotherapy Degree programmes in Sri Lanka have been already validated in few occasions, giving a positive thought.
Few Sri Lankan B.Sc.(Hons) Physiotherapy graduated have already obtained the HCPC registration and CSP(Chartered Society of Physiotherapy) membership and currently working in both NHS (National Health Service) in the UK and private sectors as chartered physiotherapists.
The HCPC regulates the Physiotherapy profession and clinicians must work within the standards in order to maintain their registration to practice. All the health professionals including physiotherapists on the HCPC register must comply with continuing professional development (CPD) can be audited for this evidence at intervals.
The HCPC recognises the role played by the Chartered Society of Physiotherapy (CSP), in providing guidance and advice about good practice that help physiotherapists meet the HCPC standards. CSP is the professional body and trade union for physiotherapists in the UK which was founded in 1894 and has grown to become one of the largest membership organizations. There are more than 30 physiotherapy professional networks that are self- governing bodies responsible for providing clinical leadership for their specialism, as well as managing their own financial and organisational liabilities.
A few specialities of Physiotherapy in the UK are Musculosketal, Neuro, Sports, Women’s Health, Learning Disability, Paediatrics, Geadiatrics, Orthopaedics, Rehab and more. Physiotherapists frequently work as part of a multidisciplinary team in a variety of settings, such as hospitals/in services, the community, clinics, GP surgeries, sports teams, clubs, charities, workplaces, special needs schools, and so on. Some of the main approaches used by physiotherapists in the UK are movement, therapeutic exercises and physical activity advice, Manual Therapy, education and advice, hydrotherapy, and, to a lesser extent, electrotherapy techniques. Physiotherapists approach clients with Specialised Assessments, Treatments and Management strategies to enhance, optimise and maintain the person’s physical presentation function and quality of life.
As in any other country, even in the UK physiotherapists work in the government sector and private sector. Apart from these two sectors, there are two other sectors where physiotherapists mainly work: Charity and Sports. Government sector here refers to the NHS (National Health Service), which is the largest organization in Europe and consists of different NHS Trusts nationwide.
The NHS system has rotational and static physiotherapy posts. The rotational post aims for therapist to gain further experience in the main areas within physiotherapy. The key factor to know when we consider working as a Physiotherapist within NHS is there is a banding system within the NHS which indicates level of experience as well as pay.
▪️Band 2 to Band 4 - Physiotherapy assistant/ Rehab support worker
▪️Band 5 – Physiotherapist
▪️Band 6 –Physiotherapy Specialist/senior Physiotherapist
▪️Band 7 –Physiotherapy Advanced/Lead Physiotherapist
▪️Band 8A – Principal Physiotherapist
▪️Band 8A – 8B – Physiotherapist Consultant
Someone is able to progress their career as an Extended Scope Physiotherapist (ESP) who is an advanced Physiotherapist with many years of clinical practice and further relevant training to work beyond the recognised scope of Physiotherapy practice. Administer certain types of injections, Perform musculoskeletal ultrasound scanning are some of the area which are practiced by ESPs. In 2013 Physiotherapist in England who extended their scope with relevant training have been granted the right to independently prescribe, giving them the ability to prescribe drugs including some controlled drugs and this has become a bench mark for Physiotherapy Profession.
As a physiotherapist within the NHS is essential to adhering to HCPC, CSP, NHS standards and NICE guidelines which are evidence-based recommendations for health and Care in the UK, to be responsible for maintaining own competency to practice through CPD activities and maintain a portfolio which reflects personal development. And also, it is a must to participate annual staff appraisal scheme, where you set up your personal development plan and always need to be up to date with mandatory training and training essential to the role.
Finally Physiotherapy is a vital part in every aspect of health care system and Physiotherapist is a profession which maintains a high profile globally. Most developed countries including UK, USA, Australia, Canada are demanding the profession which creating more pathways and opportunities to develop the profession further and evaluate the importance of Physiotherapy involvement of someone’s health and wellbeing.
‘Physiotherapy will keep you moving and Physiotherapist has the brain of a scientist, the heart of humanist and the hands of an artist’
Chartered Physiotherapist Thilini Alagalla
National Health Service (NHS), UK
[HCPC/MCSP – UK, BSc (Hons) – Col]
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◻️ Previous Post
◽️What is Physiotherapy ?
https://www.facebook.com/102251898109461/posts/137775854557065/
◽Sports Physiotherapy
https://www.facebook.com/102251898109461/posts/200861281581855/
◽Myths in Physiotherapy
https://m.facebook.com/story.php?story_fbid=156700295997954&id=102251898109461
◽The Rhythm of Physiotherapy Evolution (History, Present and Future of Physiotherapy)
https://www.facebook.com/102251898109461/posts/148973546770629/
◽World Physiotherapy Day 2020
https://www.facebook.com/102251898109461/posts/168978064770177/
◽B.Sc. (Hons) Physiotherapy Degree Programme
https://www.facebook.com/102251898109461/posts/308544897480159/
◽Role of physiotherapy in Sri Lanka
https://www.facebook.com/102251898109461/posts/309095837425065/
⬜ Learn More
https://wephysiomfc.wixsite.com/wephysiomfc