Laura Abel
7.3K posts
Laura Abel
@ACP_physio
ACP Primary Care: Clinical supervision, mentoring, NMP, MSK, Rheum, complex and chronic conditions, pain, primary headache, MH, bones, frailty. PCRMM ✨️
Liverpool Katılım Kasım 2012
1.2K Takip Edilen2.7K Takipçiler
I miss the old Twitter.
Not the pre-Elon version where everyone was offended by words and tone, and every second reply was someone clutching their pearl necklace over a joke.
I mean the older Twitter.
Where people actually talked, argued, laughed, learned, made friends, made enemies, and occasionally had a proper scrap of ideas.
Now it’s just porn bots, clickbait, engagement-farming, and AI generated sewage.
The only silver lining to this platform dying is that it’s dragged a few of the pompous twat waffles in this profession into the grave with it!
Good riddance!
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@BillingMartin That is a fair comment for more thought. Thank you
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@ACP_physio Im assuming all stakeholders have been involved in attempting to address?
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I am all for investing into community services
But not every patient needs a “course” of physio/rehab
We need to define many terms before thinking everyone needs multiple sessions, including the role of healthcare
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@BillingMartin Yes we have and in our area it's still an issue that reflects in increased msk gp appointments for conditions under msk services particularly among elderly patients. Perhaps some patients do need reviews auto booked for them as a need, that's all.
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@ACP_physio I think we’ve had this convo before??!
Lots of reasons why this happens
PIFU isn’t the issue in my opinion. For benign msk problems it makes sense for a whole host of reasons.
Info, safeguards, comms, shared records etc are all part of it.
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I’m convinced that people who like green vegetables are lying.
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Laura Abel retweetledi
Woohoo! Thanks for listening 😍
Ben Whybrow@BWhybrowPhysio
4th. Is @k8purcellphysio on how to teach patients, students & colleagues! Many people want to make their teaching more engaging & effective, this episode talks through how! This episode has been in the top 5 for downloads this year since its release. open.spotify.com/episode/4W4RYm…
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@BillingMartin No I did. Here ALL patients in MSK physio are seen and then on PIFU standard. Often patient doesn't know what they need or understand they can book FU.
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@ACP_physio I didn’t mention PIFU? just that every patient needs something different
Also notice I use the word need not want or expect (same with referrers)
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Does Lifelong Exercise Counteract Low-Grade Inflammation Associated with Aging? A Systematic Review and Meta-Analysis
link.springer.com/article/10.100…
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Laura Abel retweetledi
@BestPracticeUK @pcrsociety Primary Care rheumatology society are speaking at Best practice : Dr Ulf Claussen on injections and Dr Chris Ellis fibromyalgia
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@ACP_physio @DrNeenaJha No doubt by someone wanting as much for their money as possible. Someone who has no regard for role boundaries. Someone happy to see medicine deregulated with no concern for the risk to patient safety.
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🚨
A nurse/paramedic/physio TRAINEE ACP can run GP clinics autonomously diagnosing & managing undifferentiated pts including:
🚩 kids
🚩highly complex
🚩 acute &chronic
With **NO prior general practice** experience?!
An A&E consultant of 20 yrs wouldn’t be allowed to do this!
@medicalmodelwithabriochebun@medicalmodelbri
This current job ad is a perfect example: A nurse , paramedic or physio can work autonomously as a tACP in GP whilst studying a 2yr Part time year course , diagnosing ANY patient of any age with any condition. Is this within a nurse , paramedic or physios scope of practice?
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@LittlePersonDoc @DrNeenaJha 100% the job ad was not written by an ACP so who wrote it?
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@ACP_physio @DrNeenaJha Suspect that reaction means that you too find this bonkers?!
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@DrNeenaJha @LittlePersonDoc OK now I see! Sorry was not privy to the job advert post 😬
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@ACP_physio @LittlePersonDoc This original post is referring to the job advert above which states that trainee ACPs inc physios will see any condition in all age groups, including highly complex patients & children.
For whatever reason, this is happening in practice
x.com/drneenajha/sta…
Neena Jha@DrNeenaJha
🚨 A nurse/paramedic/physio TRAINEE ACP can run GP clinics autonomously diagnosing & managing undifferentiated pts including: 🚩 kids 🚩highly complex 🚩 acute &chronic With **NO prior general practice** experience?! An A&E consultant of 20 yrs wouldn’t be allowed to do this!
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@simondoyle87 @ExplosiveEnema2 @ashjamesphysio I'm really lost in this debate, because I'm not privy to whatever has happened locally or personally to you or other frustrated doctors to cause the upset and whatever i answer isn't going to resolve it for you. It is deeper than X tweets. I'll step out thank you good evening
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@ACP_physio @ExplosiveEnema2 @ashjamesphysio So if people with that qualification dont have the requisit skills to be seeing those presentations, how is it ethical for them to see undifferentiated patients?
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There’s some confusion online about advanced practice & physio scope of practice, so here’s a 🧵 for clarity. Physios working in advanced roles aren’t pretending to be doctors they’re highly trained clinicians working at the top of their profession, improving care & outcomes 1/7
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@haemopoiesis @DrNeenaJha @LizPeecock @Molly2323232323 I'm not familiar with medical rotas ACP I'm not based in hospitals. Can't comment on that at all.
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@ACP_physio @DrNeenaJha @LizPeecock @Molly2323232323 Can you give examples of what this in depth self analysis involves? Are there any published outcomes that it’s safe and robust? My main experience of ACPs are of them working on medical rotas so find it alarming that their scope is based on their own and peers (1/2)
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So…
Nurses
Pharmacists
Paramedics
Midwives
Physiotherapists
Dieticians
Radiographers
OTs
ODPs
Can ALL do an ACP course & then diagnose, treat & prescribe for undifferentiated patients- equivalent to an A&E dr or GP?!
This is not “top of scope” - this is practicing medicine!
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@simondoyle87 @ExplosiveEnema2 @ashjamesphysio I've not seen a member of the csp state they don't understand it. Which is my point. This is about misunderstanding between professions and ash did a good job within character limits to explain. There are many online resources and contacts you can reach out to for clarity
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@ACP_physio @ExplosiveEnema2 @ashjamesphysio Sorry Laura, but politely I have neither the time nor energy to restate what others before me have already stated. I'd suggest that if multiple people are saying the same thing, sometimes (though obviously not always!) there's merit to it.
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@haemopoiesis @DrNeenaJha @LizPeecock @Molly2323232323 It is part of the masters degree and is assessed by both the university and nhse centre for Advancing Practice. You could approach those to see how they assess as a reasonable start or look on the website to aid understanding of the roles
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@ACP_physio @ExplosiveEnema2 @ashjamesphysio As a doctor who has worked in complex care for a good few years, none of the terms are new to me, ta. I am just of the opinion that many of them mean very little when examined. They sound nice, sure. But many of them are merely window dressing.
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@sirsazofduck @ashjamesphysio Ask the acp in question. Part of being an ACP is being able to tell you their individual scope boundaries and how they stay within their limitations. No scope is identical as it depends the skills experience qualifications and support reach one has had across their development
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@ashjamesphysio Vague. Is there anywhere we can find a list of things physios working at ACP level are allowed to do? It’ll then be easier to make a judgement on whether these are indeed advanced physiotherapy roles or medical (doctor) ones
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@k8purcellphysio I'm very surprised at the lack of awareness some people seem to have on these roles. It's almost anchoring bias. I'm sure a coffee with an ACP would really help them, you know, talk through the misunderstanding
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Comments on this thread highlight a real issue with perception & understanding, reflecting ongoing inconsistency in how AP roles are defined. It’s why I’m content to remain clear about my scope as an MSK APP & maintain clear professional boundaries! Also some people are 😡🤯😵💫💩
Ash James 💭@ashjamesphysio
There’s some confusion online about advanced practice & physio scope of practice, so here’s a 🧵 for clarity. Physios working in advanced roles aren’t pretending to be doctors they’re highly trained clinicians working at the top of their profession, improving care & outcomes 1/7
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@WiseOwl1730570 @DrNeenaJha @ElsRutherford Nhse agrees. They are only under mandatory supervision. If that isn't being provided it's not the tACP fault, look up
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@DrNeenaJha @ElsRutherford They should not be given independent clinics.
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