Tuesday 6 October 2015

UK Prosthetics & Orthotics Workforce Review

We want to hear from anyone with a qualification in prosthetics and orthotics.

The British Association of Prosthetists and Orthotists (BAPO) is leading a review of the workforce in the UK.

This is the first step in a full scale review of our profession with 3 more surveys planned throughout the year.

Last year our profession was added to the national shortage list by the Centre for Workforce Intelligence.

From speaking to our members, the employers and reviewing the number of P&O professionals registered with the HCPC it is becoming apparent we have a problem with retention and would like to understand what the reasons are for people leaving the profession. We are also using this opportunity to capture the reasons people are continuing to work in the field, whether in clinical practice or another branch such as education or research.

We need to find out why people are leaving the profession and what we can do, in conjunction with the other key stakeholders, to reduce this trend and make prosthetics and orthotics a profession that people want to stay in for the long term.

So we are asking the profession for their help.

How many people from your class are still working in the profession?  If people have left do you know how to get in touch with them?  Please help us gather the information we need so we can then see what we can do in partnership with the universities and employers to support you and your colleagues in your chosen profession.

This will only take 5 minutes of your time.

Please read, complete the survey and then pass it on to all your contacts at work, old classmates, Facebook friends, anyone who once trained as a Prosthetist or Orthotist.

http://survey.bapo-online.com/index.php/469793/lang-en                                                                                                                                         
              
Many thanks for your help
Lynne Rowley
Chair of BAPO

Saturday 3 October 2015

Effects of ankle foot orthoses on body functions and activities in people with floppy paretic ankle muscles: a systematic review

Dymphy van der Wilk, Pieter Ubele Dijkstra, Klaas Postema, Gijsbertus Jacob Verkerke, Juha Markus Hijmans

Highlights

Elastic ankle foot orthoses improve energy efficiency (dorsiflexor paresis).

Dorsal ankle foot orthoses improve energy efficiency and comfortable walking speed (plantarflexor paresis both with and without a dorsiflexor paresis).

Circular- and elastic ankle foot orthoses are more suitable for dorsiflexor paresis.

Dorsal ankle foot orthoses are more suitable for plantarflexor paresis both with and without a dorsiflexor paresis.


Abstract

Background

People with floppy ankle muscles paresis use ankle foot orthoses to improve their walking ability. Ankle foot orthoses also limit ankle range of motion thereby introducing additional problems. Insight in effects of ankle foot orthoses on body functions and activities in people with floppy paretic ankle muscles aids in clinical decision making and may improve adherence.

Methods

Studies published before October 27th 2014 were searched in Pubmed, Embase, Cinahl, and Cochrane Library. Studies evaluating effects of ankle foot orthoses on body functions and/or activities in people with floppy paretic ankle muscles were included. Studies solely focusing on people with spastic paretic ankle muscles were excluded. Study quality was assessed using a custom made scale. Body functions and activities were defined according to the International Classification of Functioning, Disability and Health.

Findings

Twenty-four studies were included, evaluating 394 participants. Participants were grouped according to paresis type (i) dorsiflexor paresis, (ii) plantar flexor paresis, (iii) both dorsiflexor- and plantar flexor paresis. Dorsal- circular- and elastic ankle foot orthoses increased dorsiflexion during swing (by 4-6°, group i). Physical comfort with dorsal ankle foot orthoses was lower than that with circular ankle foot orthoses (groups i&iii). Dorsal ankle foot orthoses increased push-off moment (by 0.2-0.5 Nm/kg), increased walking efficiency, and decreased ankle range of motion (by 12-30°, groups ii&iii).

Interpretation

People with dorsiflexor paresis benefit more from circular- and elastic ankle foot orthoses while people with plantar flexor paresis (and dorsiflexor paresis) benefit more from dorsal ankle foot orthoses.

Source: http://www.sciencedirect.com/science/article/pii/S0268003315002545


Friday 2 October 2015

Hand and wrist orthoses for adults with rheumatological conditions


The BAPO Professional Affairs Committee provided feedback on this practice guideline by the College of Occupational Therapists and subsequently endorsed it. It may be of interest to orthotists practising upper limb orthotics in this patient group. It was developed using a NICE accredited process and is available to download from the COT website at the address below.


Wednesday 30 September 2015

BAPO September 2015 Bulletin

BAPO Flagship Scheme

Are you proud of the service your centre provides? Does your team collectively work to high standards? Do you strive to improve the quality of care you provide? Would you like a scheme that acknowledges these achievements? BAPO will soon be asking its membership whether we introduce an accreditation scheme to acknowledge excellence. Look out for further updates coming soon.


Membership

A working group has been convened to look at membership of the Association. We will be coming to you soon to scope your opinions about the function of the Association and what benefits of membership you want from BAPO.

Workforce and Professional Review

Link now open for the workforce review - WE NEED TO HEAR FROM YOU!
Completely confidential and only 5mins of your time.  Please respond and pass onto your colleagues from your university years through to work.  We want to hear from anyone who holds a P&O qualification.
http://survey.bapo-online.com/index.php/469793/lang-en


Engaging with Students

BAPO is giving an introduction talk to 1st year students at both Salford and Strathclyde about BAPO and how we can support them in their chosen profession.
We have several student volunteers on almost all of our committees - interested in joining? Give us a call.

Make Every Contact Count - Healthy Conversations
Check out this great resource to help us make a difference to our patients health.

Working in a NHS England Vanguard site? Your Professional Body want to hear from you!                                                                              


Short course update

Spaces still available on:
KAFO Stance Phase Control and Lower Limb Solutions – 3&4 October 2015

Assessment Diagnosis and Treatment of MSK Foot and Ankle problems for Orthotists -  5&6 October 2015 (Leeds)
1&2 December 2015 (Nottinghamshire)

FES: Advanced Orthotic Technology – 21 November 2015

For further information please visit the BAPO website at
www.bapo.com

Professional Affairs

The Professional Affairs Committee would like to highlight the release of the NICE Quality Standard and amendments to an existing Standard:

Type 1 Diabetes

Diabetes in Adults


BAPO Conference & Exhibition:

Your copy of BAPOmag Issue 3 should arrive on your doorstep mid-October and will provide lots of information on Conference 2016.  We’ll have info on our exciting clinical programme, entertainment line-up and details of prizes and competitions running at Conference.

To make sure you don’t miss out on our early bird registration offers make sure you register between 1 Oct and 1 Dec.  Conference info and details on how to register are available at
www.bapo.com

Wednesday 2 September 2015

Monday 31 August 2015

Friday 28 August 2015

BAPO Bulletin August 2015

HCPC

HCPC registration time has almost ran out. Please ensure you have received your documentation and re-registered this year. If you have recently moved house and not informed them, the paperwork will be sent to the wrong address. This will not be a reasonable excuse for failing to renew your registration and you will be lapsed from the register.

Workforce review

Recently BAPO submitted evidence of our workforce called for by Health Education England.  It gave a good illustration of the issues in our industry but also raised several areas of concern including poor retention after training.
BAPO is leading a review of the workforce. Please look out for the electronic link to our online survey arriving via e-mail in the next week or two. The survey will be open for 4 weeks and is a start of a nationwide multipart review of our profession.
It will only take 5 minutes of your time. We would be grateful if you could pass it on through social media to your colleagues, old and new. With this survey, we are trying to determine what factors cause people to leave the profession and determine what we need to do to reverse the trend. Engaging with BHTA, our training universities and the NHS we will be forming a working group to come together to tackle the issues that are identified. Please respond as we want to hear your views it is completely confidential and we need to know what is happening to our workforce.

Education

Short course spaces are still available.
Differential diagnoses of MSK foot and ankle conditions
FES and orthotic interventions
Contracture management
KAFO 2 day course- conventional and stance phase control
Please visit www.bapo.com or call the Secretariat for further info.

BAPO Conference 2016

Suzanne Rastrick, Chief Allied Health Profession Officer, NHS England opening conference 2016.

Kevin Kirby, Dr Chris Nestor, Dr Michael Dillon to name a few! Registrations open soon; look out for the early bird offer *limited time only*

Monday 3 August 2015

Monday 22 June 2015

BAPO NICE Quality Standard Endorsement

The BAPO Professional Affairs Committee are pleased to advise the endorsement of the recent NICE Osteoarthritis and Pressure Ulcer Quality Standards on behalf of BAPO.

If you would like to view these documents please follow the required link below:

Osteoarthritis QS

Pressure Ulcer QS

BAMT urges increased provision of music therapy for dementia - Music Therapy Week 2015

Professional body urges increase in provision of music therapy for dementia 

 David's story - 'I feel more alive and happy after each session' 

 Music Therapy Week 22 - 28 June - highlights

 

This year's Music Therapy Week is focusing on the valuable role music therapy has to play in supporting people with dementia and those who care for them. Leading research has shown that music therapy can significantly improve and support the mood, alertness and engagement of people with dementia, can reduce the use of medication, as well as helping to manage and reduce agitation, isolation, depression and anxiety, overall supporting a better quality of life (Ridder et al, 2013). Music therapy can help people at all stages in their journey with dementia to enrich life and tap into the resources that people with dementia still have.

81-year-old David Jacques was diagnosed with both vascular dementia and Alzheimer's disease four years ago. He has progressive short-term memory loss, experiences difficulty organizing his time and sometimes gets lost.

'David came to his first music therapy session armed with books of folk songs and opera,' recalls Pemma Spencer-Chapman, a music therapist at the Guideposts Trust Music Therapy Service in Oxfordshire. 'This was unusual,' she says, 'as most clients don't have any musical training. If I played or sang the melody, David could hold the tune. He sang the melodies increasingly from memory and marveled at his brain's ability to remember them'. The brain remembers emotional experiences more easily than facts, and the emotional nature of music helps these memories come to the fore.

But it wasn't until Pemma suggested to David to improvise with his voice while she accompanied him that a real breakthrough was made, 'to my surprise, David sang not just a melody but words as well. Words and melody have come to him hand in hand,' Pemma says. 'He is surprised, pleased and empowered and I feel his identity has been strengthened in a different way, by being at the heart of the improvisation.'

'I feel more alive and happy after each session', David.

David's wife, Penny, says music therapy is now the high spot of David's week. 'I wish that this form of therapy could be available on the NHS for everyone with dementia as it is clearly so beneficial.'

Prof. Martin Green OBE, Chief Executive of Care England – the leading representative body for independent care services in England, states, 'Music therapy is intrinsic to enriching the quality of life for those with dementia. Recent research demonstrates the significant role it has to play in supporting a better quality of life, and that is because music taps into the resources that people with dementia still have, enabling them to maintain connections with loved ones and the world around them. But, the impact is wider reaching. Carers also see the impact that music therapy can have and thus helps them to better understand the people they are caring for, providing a higher quality of care.'

Over 800,000 people live with dementia in Britain and this is expected to increase to 2 million by 2050. Currently, provision of music therapy for people with dementia is uneven across the UK and those diagnosed are often not able to access it when they need to. Pemma is one of over 800 HCPC state registered music therapists who use the unique non-verbal properties of music to support people at all stages of their lives – from helping new born babies develop healthy bonds with their parents, to offering vital, sensitive and compassionate palliative care at the end of life.

Donald Wetherick, Chair of Trustees, says, 'The British Association for Music Therapy is committed to ensuring that music therapy is available to all those who can benefit. This Music Therapy Week we are focusing on people with dementia and their families. Dementia care is a growing healthcare need – it is also an area where music therapist's skills are being shown to be effective and valued. We want to see the enormous potential for music therapy in this field being realized, for the benefit of all those affected by dementia.'

Events for Music Therapy Week are taking place throughout the week from Shetland down to Truro including a parliamentary roundtable discussion sponsored by MPs Tracey Crouch and Debbie Abrahams, taster music therapy sessions, open days, exhibitions, and live improvisational gatherings.

Highlights include:

  • An open community group meeting for people with dementia, their families and carers, and improvisational session and welcoming back of puffins at Simbugh Lighthouse, Shetland, Tuesday 23 June
  • Open morning at the Royal Hospital for Neuro-disability, Putney, London, Wednesday 24 June
  • Roundtable parliamentary discussion, 'Music therapy and dementia: enriching life when it is needed most', Portcullis House, Victoria Embankment, Thursday 25 June
  • Cornish church tower bells will peal for Music Therapy Week, Saturday 27 June
  • A week of instrument making, concerts and tea parties for the children and families at Rainbows Hospice in Loughborough, All week.

 

Find out more about what's happening during Music Therapy Week 2015, view our MTW2015 Events Map.

 

To find out how you can get involved, please visit www.bamt.org and support the campaign online at Facebook and Twitter using @musictherapyuk #MTW2015 #musictherapyuk 


For supplementary information please click below:

Music Therapy & Dementia Doc

BAMT MTW2015 PR Doc

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For further information, please contact:

Grace Watts,

British Association for Music Therapy

M: 07989 355337

E: pr@bamt.org