What the role entails:
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== Extended Scope Practitioner ==
== Extended Scope Practitioner ==
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Extended scope practitioners are physiotherapists working at a high level of expertise who have extended their practice and skills in a specialized clinical area. Examples of extended areas of practice will be discussed in this
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, including injection therapy and prescribing rights. ESPs work in primary and secondary care, and they examine patients referred for orthopeadic triage by a GP.
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Extended scope practitioners are physiotherapists working at a high level of expertise who have extended their practice and skills in a specialized clinical area. Examples of extended areas of practice will be discussed in this
resource
, including injection therapy and prescribing rights. ESPs work in primary and secondary care, and they examine patients referred for orthopeadic triage by a GP.
=== What the role entails ===
=== What the role entails ===
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ESPs work alongside medical professionals due to growing demands on doctors and medical consultants. They are able to order scans, x-rays and blood tests, basically encompass tasks that may have previously been undertaken by the medical profession.<ref>Chartered Society of Physiotherapy (2015). Extended Scope Practitioners [online]. Available from http://www.csp.org.uk/professional-networks/esp</ref> They are also able to do injection therapy and prescribing with the accredited training and courses. The patient’s management is also determined by the ESP through a series of investigations. Referrals can also be made to physiotherapy or other disciplines such as podiatry or orthotics.<ref>Extended Scope Practitioners (2015). Extended Scope Practitioners – A professional network of the Chartered Society of Physiotherapy [online]. Available from http://www.esp-physio.co.uk/</ref>
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ESPs work alongside medical professionals due to growing demands on doctors and medical consultants. They are able to order scans, x-rays and blood tests, basically encompass tasks that may have previously been undertaken by the medical profession.<ref>Chartered Society of Physiotherapy (2015). Extended Scope Practitioners [online]. Available from http://www.csp.org.uk/professional-networks/esp</ref> They are also able to do injection therapy and prescribing with the accredited training and courses. The patient’s management is also determined by the ESP through a series of investigations. Referrals can also be made to physiotherapy or other disciplines such as podiatry or orthotics.<ref>Extended Scope Practitioners (2015). Extended Scope Practitioners – A professional network of the Chartered Society of Physiotherapy [online]. Available from http://www.esp-physio.co.uk/</ref>
== Consultant Physiotherapist ==
== Consultant Physiotherapist ==
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How to get there and some examples
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Training
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Becoming a consultant physiotherapist is a career goal high on the list of many aspiring physiotherapist, graduates and current students. However this pathway requires utmost commitment. Vits<ref name="Vits 2010" /> analysed that all registered physiotherapy consultants in 2009 had been educated at least to Master’s degree level, with many possessing doctorates. Back in 2002 following Dr Paul Watson’s appointment, he made his beliefs of the position known, suggesting that in order to use your skills as a consultant usefully, you must take a step back and look at what is important to the service through appraising existing information and proposing advancing service provision <ref name="Clews 2007" />. Watson defined the role as being more about strategic planning than administration, sussing out what is important for the area and challenge the existing evidence. However, the role of the consultant physiotherapist varies considerably between settings, depending largely on individual preference and methods of working. For instance, managerial roles can take presence over research and vice versa <ref name="Clews 2007" />. A major challenge facing these professionals is achieving a a balance between clinical practice and academic effort.
Becoming a consultant physiotherapist is a career goal high on the list of many aspiring physiotherapist, graduates and current students. However this pathway requires utmost commitment. Vits<ref name="Vits 2010" /> analysed that all registered physiotherapy consultants in 2009 had been educated at least to Master’s degree level, with many possessing doctorates. Back in 2002 following Dr Paul Watson’s appointment, he made his beliefs of the position known, suggesting that in order to use your skills as a consultant usefully, you must take a step back and look at what is important to the service through appraising existing information and proposing advancing service provision <ref name="Clews 2007" />. Watson defined the role as being more about strategic planning than administration, sussing out what is important for the area and challenge the existing evidence. However, the role of the consultant physiotherapist varies considerably between settings, depending largely on individual preference and methods of working. For instance, managerial roles can take presence over research and vice versa <ref name="Clews 2007" />. A major challenge facing these professionals is achieving a a balance between clinical practice and academic effort.
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Training
Following qualification as a physiotherapist and working in a specialist area, originating at The Wessex Deanery, Otterbourne, Hampshire, is a 3-6 year training programme for consultant practitioners. The course syllabus consists of clinical practice in addition to academic research, teaching and service development<ref name="Clift 2015">CLIFT, E., 2015. Three physios join Wessex consultant training programme. CSP [online]. [viewed 02 October 2015]. Available from: http://www.csp.org.uk/news/2015/06/03/three-physios-join-wessex-consultant-training-programme</ref>, thereby offering training across all four physiotherapy pillars at consultant level. Also included are independent prescribing and phlebotomy components leading to a Master’s, PhD or professional doctorate. Throughout the course, AHPs are also given the opportunity to attend conferences and shadow senior consultants, instigating great trust in other medical professionals <ref name="Trueland 2009" /> <ref name="Vits 2010" />).
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Following qualification as a physiotherapist and working in a specialist area, originating at The Wessex Deanery, Otterbourne, Hampshire, is a 3-6 year training programme for consultant practitioners. The course syllabus consists of clinical practice in addition to academic research, teaching and service development<ref name="Clift 2015">CLIFT, E., 2015. Three physios join Wessex consultant training programme. CSP [online]. [viewed 02 October 2015]. Available from: http://www.csp.org.uk/news/2015/06/03/three-physios-join-wessex-consultant-training-programme</ref>, thereby offering training across all four physiotherapy pillars at consultant level. Also included are independent prescribing and phlebotomy components leading to a Master’s, PhD or professional doctorate. Throughout the course, AHPs are also given the opportunity to attend conferences and shadow senior consultants, instigating great trust in other medical professionals <ref name="Trueland 2009" /> <ref name="Vits 2010" />).
Prior to application, applicants must exhibit clinical fineness and leadership potential, they must have a minimum of one year’s experience at the equivalent of Agenda for Change band 6 level. However, following training there is no guarantee of a consultant post becoming available to qualification holders meaning often returning to lower posts initially <ref name="Vits 2010" /> <ref name="Clews 2007" />.
Prior to application, applicants must exhibit clinical fineness and leadership potential, they must have a minimum of one year’s experience at the equivalent of Agenda for Change band 6 level. However, following training there is no guarantee of a consultant post becoming available to qualification holders meaning often returning to lower posts initially <ref name="Vits 2010" /> <ref name="Clews 2007" />.
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''''' The effectiveness of the role '''''
''''' The effectiveness of the role '''''
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The effectiveness of consultant posts in clinical practice and patient care was studied by Guest et al. in 2004<ref name="Guest et al. 2004">GUEST, D.E., PECCEI, R., ROSENTHAL, P., ET AL., 2004. An evaluation of the impact of nurse, midwife and health visitor consultants.[online] [viewed 02 October 2015]. Available from: http://www.kcl.ac.uk/contents/1/c6/o1/69/94/NCFFullReport.pdf</ref>. They explored leadership and how current consultants modify and craft the role in order to remain motivated and committed. It was found that consultant practitioners tend to adjust how they spend their time, with evidence of least time being spent in actual clinical practice. Reasons for these differences are likely to be because prior to taking up the consultant post, clinical practice had been their main priority. Most of the consultants analysed by Guest et al.<ref name="Guest et al. 2004" /> described their jobs as busy but satisfying and believed they were having a positive impact on patient care. Despite this, budgets inclusive of this post are being reduced across NHS boards and without succession planning; it is likely that the consultant post will disappear as the NHS evolves to accommodate changing patient needs<ref name="Vits 2010" />.
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The effectiveness of consultant posts in clinical practice and patient care was studied by Guest et al. in 2004<ref name="Guest et al. 2004">GUEST, D.E., PECCEI, R., ROSENTHAL, P., ET AL., 2004. An evaluation of the impact of nurse, midwife and health visitor consultants.[online] [viewed 02 October 2015]. Available from: http://www.kcl.ac.uk/contents/1/c6/o1/69/94/NCFFullReport.pdf</ref>. They explored leadership and how current consultants modify and craft the role in order to remain motivated and committed. It was found that consultant practitioners tend to adjust how they spend their time, with evidence of least time being spent in actual clinical practice. Reasons for these differences are likely to be because prior to taking up the consultant post, clinical practice had been their main priority. Most of the consultants analysed by Guest et al.<ref name="Guest et al. 2004" /> described their jobs as busy but satisfying and believed they were having a positive impact on patient care. Despite this, budgets inclusive of this post are being reduced across NHS boards and without succession planning; it is likely that the consultant post will disappear as the NHS evolves to accommodate changing patient needs<ref name="Vits 2010" />.
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= [[Image:Development.jpg|left|230x87px]]Workforce Development[[Image:Development.jpg|right|230x87px]] =
= [[Image:Development.jpg|left|230x87px]]Workforce Development[[Image:Development.jpg|right|230x87px]] =