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William J Gregory, Hannah Chambers, Carol McCrum, E049 The Initial Impacts of the UK-Wide Rheumatology Physiotherapy Capabilities Framework, Rheumatology, Volume 62, Issue Supplement_2, April 2023, kead104.298, https://doi.org/10.1093/rheumatology/kead104.298
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Abstract
Background/Aims
The Rheumatology Physiotherapy Capabilities Framework, first published September 2021, was developed to describe the physiotherapy-specific skills and knowledge unique to the speciality and to act as a profession standard. Dissemination strategies for the framework included profiling through professional organisations, specialist interest groups and online via Twitter and ResearchGate. This project aims to describe the initial dissemination of the Framework and to provide an evaluation of the areas of impact within rheumatology networks.
Methods
An appraisal was undertaken in October 2022 on how widely the Rheumatology Physiotherapy Capabilities Framework has been used and embedded in UK clinical practice and service delivery. Evaluation strategies included data on downloads since publication and a brief online survey of a convenience sample of experienced, specialist rheumatology physiotherapists. The open-ended survey question asked for “implementation feedback on your use of the framework” and allowed undirected free-text comments. Responses were analysed using qualitative content and thematic analysis.
Results
The framework has been downloaded from the British Society for Rheumatology website 154 times and the launch news story on the BSR website has been viewed 4145 times; the Framework has been accessed 354 times from ResearchGate; analysis of impact on the Twitter shows 33 tweets, 238 likes and 95 “re-tweets”.
Thematic analysis identified four key areas of use of the framework:
(i) Increasing awareness of the physiotherapy role in a Rheumatology service
(ii) Personal and team professional development
(iii) Recruitment, job matching, re-banding and promotion
(iv) Referral pathways and service improvement. Quotes from the survey responses are collated according to these identified themes in Table 1.
Conclusion
In its first year of publication, this brief survey indicates that the Rheumatology Physiotherapy Capabilities Framework has already started to accomplish many of the aims of its development. The ability for individuals and services to compare their capabilities to an agreed national standard is supporting staff and services in valuable ways. Service improvement projects have been an additional benefit of the framework. It has already become fairly well embedded in UK rheumatology practice; however, further dissemination, awareness-raising strategies and utilisation support are required to fully accomplish its aims.
Disclosure
W.J. Gregory: Honoraria; W.G. has received honoraria for speaker and advisory board from Abbvie, Novartis and Pfizer. H. Chambers: None. C. McCrum: Honoraria; C.McC. has received speaker honoraria from Novartis. Grants/research support; C.McC. has received a funding grant from Janssen.
| Increasing awareness of the physiotherapy role in a Rheumatology service | Personal and team professional development | Recruitment, job matching, re-banding and promotion | Referral pathways and service improvement |
| Shared throughout wider MDT to highlight all areas physio work in and can be involved in. Helping to support development of physio referral criteria/pathways /inclusion of more patients to be referred to rheum physio Is helping work in increasing physio involvement in AS clinics. Used to profile the Specialist PT K & skills to MDT colleagues as a standard of care provision Useful for consultants to see what physio is recognised as being able to do in an ESP capacity. Colleagues can see the value in making decisions on staffing and make use of that in the future. | Used for job description and for ongoing competency and training It has been really helpful for rotational staff to do at the beginning of their rotation to identify learning needs. Then again at the end to check they have been met. To help with PDR and guiding training requirements Helped review my skills and identify skills gaps It has helped to think about the key capabilities that will be possible for the band 5 of the team to be able to work towards and hopefully achieve as part of their rotation For myself it’s been good to tick off where I see myself at and where the gaps are and review this overtime To aid identification of training needs and provide the training required Used as a resource to identify prof devt needs of FCPs and Msk APs To make sure that I and my Rheumatology service fulfilled the criteria. The framework has been really helpful to support band 5s on rotation. We have used it for the band 6s as well as a direction for in service training and to identify gaps in knowledge Inductions booklets changed in line with framework used it to examine their personal learning needs to direct their CPD activities and looking at CPD courses A steering group to plan teaching for ACP Rheumatology has been set up and plans to use framework as basis for education programme. Identifying training directions. | Used as a credentialling standard for advanced level practice in Rheumatology Hope to have new Rheumatology physio post within the team next year and will use capabilities framework for job description and for ongoing competency and training. Raising questions on job banding as job description matching higher banding. It will be helpful for potential business cases also and to use it at meetings to discuss with managers as a clear set of capabilities at each level. Useful when comparing band 7 and advanced practise levels. I have also used it for a rebranding process 6-7 I was able to direct management to the framework to guide development of an advanced clinical practice role Job spec matching noted it aligns well with FCP and ACP portfolio which is undergoing accreditation via grandparenting at this trust Lifting the ''advanced'' descriptors has also helped to structure my HEE e-portfolio content and ensure it is sufficiently broad and deep for submission next year. Giving direction to aspirations of career progression. | Used in combination with CSP, HCPC and msk standards to develop msk notes audit tool - in final stages of development Team dynamics.. updated with NICE guidelines, and audited remote consultation To ensure working to level of nationally recognised competencies as a specialist Rheumatology Physiotherapist. Using the framework to underpin core rheumatology competencies for Physiotherapists within the MSK team across all bandings. This is to ensure all are working to the minimum required level, with regards to Rheumatology knowledge and skills in ensuring accurate, safe and effective practice for Rheumatology patients. |
| Increasing awareness of the physiotherapy role in a Rheumatology service | Personal and team professional development | Recruitment, job matching, re-banding and promotion | Referral pathways and service improvement |
| Shared throughout wider MDT to highlight all areas physio work in and can be involved in. Helping to support development of physio referral criteria/pathways /inclusion of more patients to be referred to rheum physio Is helping work in increasing physio involvement in AS clinics. Used to profile the Specialist PT K & skills to MDT colleagues as a standard of care provision Useful for consultants to see what physio is recognised as being able to do in an ESP capacity. Colleagues can see the value in making decisions on staffing and make use of that in the future. | Used for job description and for ongoing competency and training It has been really helpful for rotational staff to do at the beginning of their rotation to identify learning needs. Then again at the end to check they have been met. To help with PDR and guiding training requirements Helped review my skills and identify skills gaps It has helped to think about the key capabilities that will be possible for the band 5 of the team to be able to work towards and hopefully achieve as part of their rotation For myself it’s been good to tick off where I see myself at and where the gaps are and review this overtime To aid identification of training needs and provide the training required Used as a resource to identify prof devt needs of FCPs and Msk APs To make sure that I and my Rheumatology service fulfilled the criteria. The framework has been really helpful to support band 5s on rotation. We have used it for the band 6s as well as a direction for in service training and to identify gaps in knowledge Inductions booklets changed in line with framework used it to examine their personal learning needs to direct their CPD activities and looking at CPD courses A steering group to plan teaching for ACP Rheumatology has been set up and plans to use framework as basis for education programme. Identifying training directions. | Used as a credentialling standard for advanced level practice in Rheumatology Hope to have new Rheumatology physio post within the team next year and will use capabilities framework for job description and for ongoing competency and training. Raising questions on job banding as job description matching higher banding. It will be helpful for potential business cases also and to use it at meetings to discuss with managers as a clear set of capabilities at each level. Useful when comparing band 7 and advanced practise levels. I have also used it for a rebranding process 6-7 I was able to direct management to the framework to guide development of an advanced clinical practice role Job spec matching noted it aligns well with FCP and ACP portfolio which is undergoing accreditation via grandparenting at this trust Lifting the ''advanced'' descriptors has also helped to structure my HEE e-portfolio content and ensure it is sufficiently broad and deep for submission next year. Giving direction to aspirations of career progression. | Used in combination with CSP, HCPC and msk standards to develop msk notes audit tool - in final stages of development Team dynamics.. updated with NICE guidelines, and audited remote consultation To ensure working to level of nationally recognised competencies as a specialist Rheumatology Physiotherapist. Using the framework to underpin core rheumatology competencies for Physiotherapists within the MSK team across all bandings. This is to ensure all are working to the minimum required level, with regards to Rheumatology knowledge and skills in ensuring accurate, safe and effective practice for Rheumatology patients. |
| Increasing awareness of the physiotherapy role in a Rheumatology service | Personal and team professional development | Recruitment, job matching, re-banding and promotion | Referral pathways and service improvement |
| Shared throughout wider MDT to highlight all areas physio work in and can be involved in. Helping to support development of physio referral criteria/pathways /inclusion of more patients to be referred to rheum physio Is helping work in increasing physio involvement in AS clinics. Used to profile the Specialist PT K & skills to MDT colleagues as a standard of care provision Useful for consultants to see what physio is recognised as being able to do in an ESP capacity. Colleagues can see the value in making decisions on staffing and make use of that in the future. | Used for job description and for ongoing competency and training It has been really helpful for rotational staff to do at the beginning of their rotation to identify learning needs. Then again at the end to check they have been met. To help with PDR and guiding training requirements Helped review my skills and identify skills gaps It has helped to think about the key capabilities that will be possible for the band 5 of the team to be able to work towards and hopefully achieve as part of their rotation For myself it’s been good to tick off where I see myself at and where the gaps are and review this overtime To aid identification of training needs and provide the training required Used as a resource to identify prof devt needs of FCPs and Msk APs To make sure that I and my Rheumatology service fulfilled the criteria. The framework has been really helpful to support band 5s on rotation. We have used it for the band 6s as well as a direction for in service training and to identify gaps in knowledge Inductions booklets changed in line with framework used it to examine their personal learning needs to direct their CPD activities and looking at CPD courses A steering group to plan teaching for ACP Rheumatology has been set up and plans to use framework as basis for education programme. Identifying training directions. | Used as a credentialling standard for advanced level practice in Rheumatology Hope to have new Rheumatology physio post within the team next year and will use capabilities framework for job description and for ongoing competency and training. Raising questions on job banding as job description matching higher banding. It will be helpful for potential business cases also and to use it at meetings to discuss with managers as a clear set of capabilities at each level. Useful when comparing band 7 and advanced practise levels. I have also used it for a rebranding process 6-7 I was able to direct management to the framework to guide development of an advanced clinical practice role Job spec matching noted it aligns well with FCP and ACP portfolio which is undergoing accreditation via grandparenting at this trust Lifting the ''advanced'' descriptors has also helped to structure my HEE e-portfolio content and ensure it is sufficiently broad and deep for submission next year. Giving direction to aspirations of career progression. | Used in combination with CSP, HCPC and msk standards to develop msk notes audit tool - in final stages of development Team dynamics.. updated with NICE guidelines, and audited remote consultation To ensure working to level of nationally recognised competencies as a specialist Rheumatology Physiotherapist. Using the framework to underpin core rheumatology competencies for Physiotherapists within the MSK team across all bandings. This is to ensure all are working to the minimum required level, with regards to Rheumatology knowledge and skills in ensuring accurate, safe and effective practice for Rheumatology patients. |
| Increasing awareness of the physiotherapy role in a Rheumatology service | Personal and team professional development | Recruitment, job matching, re-banding and promotion | Referral pathways and service improvement |
| Shared throughout wider MDT to highlight all areas physio work in and can be involved in. Helping to support development of physio referral criteria/pathways /inclusion of more patients to be referred to rheum physio Is helping work in increasing physio involvement in AS clinics. Used to profile the Specialist PT K & skills to MDT colleagues as a standard of care provision Useful for consultants to see what physio is recognised as being able to do in an ESP capacity. Colleagues can see the value in making decisions on staffing and make use of that in the future. | Used for job description and for ongoing competency and training It has been really helpful for rotational staff to do at the beginning of their rotation to identify learning needs. Then again at the end to check they have been met. To help with PDR and guiding training requirements Helped review my skills and identify skills gaps It has helped to think about the key capabilities that will be possible for the band 5 of the team to be able to work towards and hopefully achieve as part of their rotation For myself it’s been good to tick off where I see myself at and where the gaps are and review this overtime To aid identification of training needs and provide the training required Used as a resource to identify prof devt needs of FCPs and Msk APs To make sure that I and my Rheumatology service fulfilled the criteria. The framework has been really helpful to support band 5s on rotation. We have used it for the band 6s as well as a direction for in service training and to identify gaps in knowledge Inductions booklets changed in line with framework used it to examine their personal learning needs to direct their CPD activities and looking at CPD courses A steering group to plan teaching for ACP Rheumatology has been set up and plans to use framework as basis for education programme. Identifying training directions. | Used as a credentialling standard for advanced level practice in Rheumatology Hope to have new Rheumatology physio post within the team next year and will use capabilities framework for job description and for ongoing competency and training. Raising questions on job banding as job description matching higher banding. It will be helpful for potential business cases also and to use it at meetings to discuss with managers as a clear set of capabilities at each level. Useful when comparing band 7 and advanced practise levels. I have also used it for a rebranding process 6-7 I was able to direct management to the framework to guide development of an advanced clinical practice role Job spec matching noted it aligns well with FCP and ACP portfolio which is undergoing accreditation via grandparenting at this trust Lifting the ''advanced'' descriptors has also helped to structure my HEE e-portfolio content and ensure it is sufficiently broad and deep for submission next year. Giving direction to aspirations of career progression. | Used in combination with CSP, HCPC and msk standards to develop msk notes audit tool - in final stages of development Team dynamics.. updated with NICE guidelines, and audited remote consultation To ensure working to level of nationally recognised competencies as a specialist Rheumatology Physiotherapist. Using the framework to underpin core rheumatology competencies for Physiotherapists within the MSK team across all bandings. This is to ensure all are working to the minimum required level, with regards to Rheumatology knowledge and skills in ensuring accurate, safe and effective practice for Rheumatology patients. |
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