It is really hard to raise your head high enough to look at where all these people are coming from, and see if anything could have been done earlier to manage the situation. Possibly, But we need to be creative – we need to recognise the value in our clinical skills, but also our problem solving skills.Commissioners all over the country are worrying about the increasingly ageing population, the continuing torrent of people in pain, and the need to keep people in work and productive for as long as possible. The ability to think for ourselves – to work out that the patient in front of us could have been in a different scenario had we been able to see then sooner, give them the best advice about their health condition, reassure them, have every health professional giving the same advice (positive and up to date advice).We will be discussing work as a healthcare outcome and there will also be presentations about the work of the Keele Primary care Research Centre in the areas of Return to Work and the STar T MSK Trial My working title is “Being an Upstreamist – Do Physiotherapists have a role in prevention of long term health related work loss?” You can guess that my answer is yes, but I just wanted to give you a bit more background on what got me thinking this way with regards to work and health.As a result services are being asked to do more for more people, with no sign of extra resources or a life boat of extra staff. This is what it means to look upstream – to work your way back along the route that the patient arrived by to the source of the problem – their injury / illness and their entry into the healthcare system.
Take a listen to this TED talk to hear the whole upstream story, and find interviews with Dr.Rishi Manchandra who wrote the book “The Upstream Doctors”: So, briefly, my experiences have led at me looking upstream.I’m pleased to announce that I will be speaking at the West Midlands CSP Study day on Monday 14th September.you can book here: https:// Check Frontline page 40 for the password!Another title could be “Physiotherapy – Up the creek without a paddle – what now?!
” As Physiotherapists we have found ourselves drowning under the rushing river of constant referrals, lack of time and resources, struggling just to keep treading water and provide a decent service to our patients.