DECEMBER 10, mi VOLUME 77, No 12

J O U R N A L O F T H E C H A R T E R E D S O C I E T Y O F P H Y S I O T H E R A P Y

14 BEDFORD ROW, LONDON WC1R 4ED. TELEPHONE 071-242 1941 FAX 071-831 4509

news School Closure Warning to Minister

A warning that Government policies on NHS education have threatened the future of several physiotherapy schools was issued last month by the Chartered Society of Physiotherapy.

In a meeting on November 20 with Virginia Bottomley, Minister of State at the Department of Health, CSP representatives called on the Government to ensure that health authorities adopt a more responsible attitude to national manpower planning than they are doing at present.

Under the education changes brought in by the National Health Service and Community Care Act, responsibility for the planning and funding of physiotherapy educat ion has passed f rom central government to Regional Health Authorities. The result has been lack of co-operation between RHAs and a failure to appreciate the importance of manpower planning.

The CSP warned two years ago that these changes would lead t o RHAs adopting a short-term, parochial view of physiotherapy education, and it has. Regions have been encouraged to prioritise their local and immediate manpower needs and are, therefore, overlooking their contribution to the national workforce in physiotherapy. Cuts are being planned for the next academic year and further cuts look inevitable on the basis of agreed funding over the 1990s.

The Government has accepted the need for continuous planning machinery for medical manpower and the case is equally strong for a national overview in the physiotherapy profession.

The Society says that the Regional self- sufficiency that IS a direct consequence of the NHS changes will put at risk existing schools of physiotherapy at a time of increasing demand for physiotherapy services.

Tricia Phillips, chairman of the CSP Council, said: 'The moves towards community care, the high level of vacancies and growing demand for physiotherapy services make it imperative that Britain trains more physiotherapists. The only way to ensure this happens is for the Government to insist on it. Without such national direction, the prospects of school closures and consequent poorer patient care are inevitable.'

New Publicity Materials A new leaflet and a new poster are

available f rom the Public Relations Department this month.

'Take the Strain out of Sport' is another in the Society's series of health prevention leaflets for the public. It is designed to cater for amateur sportsmen and women although the advice is equally applicable for professionals. The leaflet includes advice on clothing, warm-up exercises, diet, stretching, the RICE principles, and recovery from an injury. Because the CSP has received sponsorship from Crookes Healthcare for the leaflet, the first 25,000 are free of charge. Copies are available from the Public Relations Department.

A big new full-colour poster for promoting the profession is now also available. The poster is in the same format as the full- colour careers poster, but is twice the size (A2). It contains four colour photographs of physiotherapists at work; massage, care of an elderly patient, high-tech equipment on a sport injury, and a young physically handicapped child. For free copies of the poster - ideal for open days, displays, notice boards, etc - contact the PR Department.

We still have copies of the latest car- sticker available (the traffic light one).

Your Voice in the Society

A new leaflet in the CSP Membership Service series sets out how you, as a member, are able to influence Society policy and play a part in its democratic structures.

'The Members' Voice' describes the Branch network and its relationship wi th the Boards and Council. The ways in which individual members may have an input into Council and its standing committees are stressed. The standing committees are described and responsible officers named, so that you know whom to contact if you believe a particular committee ought to discuss something, or you want t o know h o w speci f ic pol icy development is progressing.

The various networks within the Society are described; these are Specific Interest Groups, stewards, public relations officers and students. All enable members to contribute ideas and issues for policy- making.

The role of the annual Representatives' Conference is detailed as a further important means of influencing Society policy. The Journal itself is a very useful forum for airing views and initiating debates within the Society, and this too is highlighted.

Finally, the Society's key and subsidiary functions are listed. As the leaflet says: 'Members are encouraged to participate in the Society's activities and contribute to its decision-making processes. Whether at local, regional or national levels, your voice is heard and your views welcomed. It is your Society and your profession, so why not play your part in its development?'

Copies of the leaflet are available free of charge from the Public Relations Depart- ment. If you want to become more active yourself, or you work alongside someone who is not involved in CSP activities, this leaflet is for you.

Physiotherapy, December 1991, vol 77, no 12 81 1

CSP Calls for Better Use of Car Head Restraints The Chartered Society of Physiotherapy has called on Britain's motorists to use their car head restraints properly in order to avoid serious whiplash injuries in the event of accidents.

The CSP says that too many drivers end up with serious neck injuries which could easily have been avoided. Many motorists use their head restraint as a neck cushion rather than for its proper function. The result is that, in even a slight bump, the head snaps back over the restraint rather than is cushioned by it. The Society warns that consequences for the driver can be years of neck pain, headaches, back and shoulder discomfort.

The Society says that restraints should be raised to the point where they are level wi th the back of the head, thus providing proper support in the event of an accident. A good guide line, says the CSP, is that the bottom of the restraint should be level wi th the top of the ears.

The Society says that car manufacturers and dealers have a responsibility for ensuring their customers are aware of the importance of this advice. Manufacturers should give a high profile to this safety feature in all car manuals and ensure that restraints have long enough 'legs' to provide even the tallest driver wi th appropriate support.

Manufacturers should also provide restraints for rear seats, says the Society. Dealers should ensure that restraints are not always at their lowest point when cars are handed over, and should encourage customers to adjust them in the showroom before driving off.

Launching a national campaign Tricia Phillips, chairman of the CSP Council, said: 'Physiotherapists are frustrated because so much pain is being caused that could so easily be prevented. Because there is a national shortage of physiotherapists, this means that time spent on unnecessary and avoidable whiplash injuries results in time lost to other patients.

'Using head restraints properly could have as great a safety impact as the introduction of seat-belts.'

OCPPP In Touch, the journal of the Organisation

of Chartered Physiotherapists in Private Practice, is now available to non-OCPPP members on subscription. The journal is a quarterly publication and a sample copy may be obtained from Mrs Sally Roberts, Greyfriars, Hill Foot Lane, Burn Bridge, Harrogate HG3 1NT.

OBITUARIES

Claire Adele Marie Chapman MCSP Claire Chapman died on July 1, 1991, at

the age of 57, after a brave fight against cancer.

Her untimely death brought to an end t w o distinguished careers. Claire excelled at virtually everything she did. As a Chartered physiotherapist, trained at University College, Dublin, she worked mainly at the Royal Free Hospital in Hampstead, but she spent nearly a year working in Morocco dealing with people in situations of genuine hardship and need.

When her children were growing up, Claire stopped practising physiotherapy to re-train as a PE teacher, in order to have more time at home. She made no secret of her preference for physiotherapy as a profession, and she gladly spent time at the Crystal Palace Sports Injuries Clinic, keeping her hand in.

In her second working career, she managed to make use of her other overriding interest, her enthusiasm for sport, when she became Squash Development Officer for the Sports Council.

Claire's achievements in sport are astonishing. She was still a top-ranked British squash player at veteran age, shaming many rising young stars wi th her exemplary fitness and skills. Alongside her personal competitive successes, Claire managed the difficult tasks of coaching, organising widespread coaching schemes, and acting as team captain and manager for teams, at national, county and club level.

Claire developed strongly reasoned theories of squash coaching, and published her book Teaching Squash (Bell, London, 1976). plus 250 Practices for Squash Players which she co-wrote w i th Janet Richardson (WSRA, 1980).

Claire's fitness, energy and enthusiasm

were legendary, and she had a very happy family life. Her husband, Tony, and children, Jane and Jonathan, shared the sadness of Claire's terrible illness, but they have the consolation of their happier memories.

VG Isabel Marianne Simpson Rummel

MCSP (nee Harvey) It was with shock and great sadness that

her many friends and previous colleagues learned of the death of Marianne Rummel and her husband, Don, on October 6, 1991. in a light aeroplane crash in British Colombia.

Marianne trained as a physiotherapist at Glasgow Western School of Physiotherapy, qualifying in 1976. She started work at Gloucester Hospital, where she first met Don, a Canadian doctor.

From there, she moved to Bath and gained her hydrotherapy certificate. After a period at Princess Elizabeth Orthopaedic Hospital, Exeter, Marianne moved to Gander, Newfoundland, specialising in orthopaedics and soft tissue injuries.

Returning to England, she completed the Cyriax manipulation course and took an after-care post based in Exeter. However, she missed the outdoor life and later returned to Newfoundland.

In 1988 she met Don again and joined him at Vanderhoof Hospital, British Colombia. They were married, and earlier this year their son was born. After initial health problems, t t r y were just beginning to enjoy parent- hood and had all to look forward to.

Marianne will always be remembered for her love of life, always eager to learn, full of energy and laughter.

Marianne and Don will be sadly missed by all those who knew them and our sympathies go out to their families, but our hearts go out to Lance, their much-loved son.

HJF

Conductive Education Pioneer Honoured

One of the principal figures in the spread of conductive education has received the honorary degree of Doctor of Education from Queen Margaret College, Edinburgh.

At the age of 79, Mrs Ester Cotton FCSP, who was born in Denmark, is known in many countries of the world for establishing the conductive education principles developed by the Pet0 Institute of Hungary. She had already been involved in adult rehabilitation for over 2 0 years when she was awarded a scholarship to spend a month at the Pet0 Institute in 1966 and was encouraged by Professor Pet0 to introduce his principles in Britain.

Mrs Cotton is still writing and working in her chosen field, and was made a Fellow of the Chartered Society of Physiotherapy in 1986 in recognition of her work in Britain and internationally.

Shown here: Mrs Cotton speaking at the graduation ceremony

Radar News The Royal Association for Disability and

Rehabilitation and the Disabled Living Foundation plan to rnerge on April 1, 1992, to become the principal charity in the general disability field.

They are currently advertising for a chief executive and a director of fundraising as key posts to lead and shape the new body.

Journalism Disabled people have been expressing

increasing concern about the distorted images of disability which appear in the media. On the assumption that disabled people are able to provide more accurate representations, the Radar 'Opportunities in Journalism', provides annual busaries for people wi th disabilities to study journalism at accredited training colleges. Made possible by an anonymous donation, they cover all fees, living expenses and any additional expenses such as equipment or personal support.

All applicants must have a minimum of t w o A-levels (or equivalent) and a pass in English at 0-level, GCSE or higher. They must also display a commitment to journalism, and have an understanding of the attitudinal barriers currently faced by people wi th disabilities.

Further information and application forms are available f rom Caroline Gooding, Employment Officer, RADAR, 25 Mortimer Street, London W1N 8AB (tel 071-637 4500 ext 322). The closing date is January 31, 1992.

81 2 Physiotherapy, December 1991, vol 77, no 72

Yorkshire Board By-election Mrs S B Rumbold has been elected

Yorkshire Board representative to Council. The full results of the by-election are as follows:

Number of ballot papers distributed 1,291 Number of ballot papers returned 546 Number of papers found to be invalid

Thus, total number of valid papers to

Result

LANE, Helen 182 RUMBOLD, Susan Barbara 363

The ballot papers will be stored in accordance with the requirements of the 1988 Employment Act.

Mrs Rumbold's personal details and statement of policy are given below.

(blan kispoi It) 1

be counted 545

Susan Barbara Rumbold (nee Lord) CSP membersh ip number 44124 Senior I Physiotherapist , C o m m u n i t y Pa e d i a t r i c s, Calderdale, Wes t Yorkshire Training: Leeds School of Physiotherapy (1982 - 85) . Career moves: Physiotherapist, Barnsley District General Hospital (1985-87); senior II physiotherapist, Clarendon Wing, Leeds General Infirmary (1987-89); senior I physiotherapist, communi ty paediatrics, Halifax Child Development Unit (1987 to date).

I am a paediatric physiotherapist wi th

special interests in dyspraxia and the holistic approach to childhood disabilities. I have recent ly comple ted the eight-week paediatric Bobath course. My current post includes the day-to-day running of paediatric physiotherapy services within the health authority.

I have worked in three separate health authorities in Yorkshire, gaining valuable experience in the way different physio- therapy services are managed.

I am a West Yorkshire Branch committee member and Branch representative to the Yorkshire Board.

M y husband is a private practitioner and a nember of the Organisation of Chartered Physiotherapists in Private Practice. I am very conscious of the problems relating to this section of the profession.

Statement of Policy I w i l l endeavour as Yorkshire Board Representative to Council: 1. To seek and represent the views of members in the Board region. 2. To promote the decision-making process of Council and how members can affect this. 3. To promote high standards of clinical practice. 4. To ensure that post-registration training is available to all members. 5. To increase public awareness of physio- therapists' role in health care. 6. To ensure that the CSP remains a strong professional organisation.

My alternate is Frederique Brown MCSP.

DOH Research Training Award Scheme

The Department of Health system of award schemes for research training was established over twenty years ago, although the research studentships for therapists are a more recent introduction.

The Department has just commissioned a research project to evaluate the scheme, and the principal researcher, Kate Robinson, is hoping to get in touch with all past award holders with a view to asking them to complete a questionnaire shortly after Christmas.

At the moment she is compiling and checking a database of award holders and is anxious to hear from anyone who has held a DOH research training award. If you can provide any information on the names and addresses of past award holders please write to Dr Kate Robinson, Dean of Faculty of Health Care and Social Studies, Luton College of Higher Education, Park Square, Luton LU1 3JU, or ring 0582 34111 ext 401.

Standards of Physiotherapy Practice An essential tool when setting local standards

Four new standards documents are available: Standards for Clinical Education Placements, Standards for Physiotherapists' First Two Years' Post-qualification, Standards for the Management of People wi th Spinal Cord Lesions, Standards for the Use of Electrophysical Modalities.

These are available a t € 2 each, or €7 for the set of four. Is your pack complete?

Standards previously issued: In order to book a holiday through the

Club, all you have to do is ring Kenwood CSP Sweatshirts

The Public Relations Department now has both blue and white sweatshirts available to members. Whether for work or leisure wear, these high quality tops represent an opportunity for you to promote your profession; the CSP badge and name is on the left breast (white on blue and blue or white).

There are three sizes available - medium, large and extra large, which very approx- imately equate with 38/40, 42 /44 and 46/48 inch chests. They wash well and should last for years.

At f 9 .95 , the price has been maintained for t w o years when inflation has risen by 15%. However, the price will be increased in 1992. All orders sent before December 31, 1991, will be met at the existing rates. From January the price will be increased to €10.95 plus postage and packing.

To order one, send your cheque (including f l for postage and packing) to the Public Relations Department a t Bedford Row. For bulk orders, please add 50p for additional postage per item.

Cut-price Ski-ing? Members who are planning their winter

ski-ing holidays or, for that matter, consider- ing a break in the sun, are reminded that they can get discount through the CSP Travel Club.

This offers discounts on scheduled and charter flights, package holidays, cruise bookings, car ferry bookings and car hire. All paid-up members, plus their families and anyone else travelling wi th them, can book through the Club.

Travel on 071-724 6 7 6 7 w i t h your requirements. You could also write to the Travel Club at Kenwood Travel, 3 Spring Street, London W 2 3RB, wi th a completed booking form from a brochure.

IR Success in Southport The Society has won an important victory

in a dispute with the Southport and Formby Health Authority over the appropriate grading for a management post.

The CSP had asked members not to apply for the post of manager of the priority and family services unit because it had been advertised at too low a grade and salary. The creation of this new post followed an internal reorganisation of community services in Southport.

The Health Authority has now withdrawn the advertisement following a successful campaign by the Society, and the dispute is now over.

Julie Smallwood, Industrial Relations Officer, said: 'This was a dispute which should never have happened so I am delighted it has been resolved so quickly. The Health Authority has seen sense after creating a lot of anxiety in order to save a few hundred pounds.'

Writing for Love Authors of ar t ic les submi t ted t o

Physiotherapy from January 1992 will no longer be reimbursed with an honorarium. This is in keeping with the practice of many comparable journals throughout the world.

Blue CSP standards booklet Acupuncture Neurology Obstetrics & Gynaecology Paediatric Respiratory Care

Orthopaedic Riding for the Disabled

Psychiatry Mental Handicap

1 f 1

1 f 4 Elderly Private PGients

The total pack wil l now cost €26. All prices include postage, packing and

plastic sleeves. Please send remittance with your order, payable to the Chartered Society of Physiotherapy, to Mrs Jil l Evans, Professional Affairs Department, Chartered Society of Physiotherapy, 14 Bedford Row, London WClR 4ED.

Booklet for Older People The Department of Health will shortly

be publishing a booklet on health for older people. This wil l provide in a single publication information on living and maintaining a healthy lifestyle in addition to details about common health problems.

The booklet will be widely distributed in GP surgeries, pharmacies, public libraries and Citizens Advice Bureaux. It will also be advertised in magazines w i th copies available to individuals by Freepost.

Physiotherapy, December 1991, vol 77, no 72 813

Board and Branch Newsletters newsletter. There will be €100 awarded for International Affairs Department - each of those three categories. Alive and Well!

The awards are being run by the CSP Public Relations Department, which has a

Branches to produce regular and better factsheet available on how to produce newsletters for their members, a new annual newsletters. The period covered is from award is being initiated in 1992. January to September 1992. All the entries

One of the best ways to maintain contact - and we hope there will be a very wi th members who are unable to attend large number - will be exhibited at the Branch meetings, or who can attend only Annual Congress in Glasgow where it is infrequently, is a regular newsletter. These hoped that the awards will be presented to are more likely to be read and appreciated the winners. if they are well presented and interesting to To enter for the awards, Boards and read. Branches should produce at least two

Cash awards will be given to the Board or newsletters in the nine-month period. Branch which produces the best single An entry form is available from the Public edition of a newsletter next year, the best Relations Department so please send for it

series of newsletters, and the best new now a n d . , . good luck.

Receive Boost In order to encourage more Boards and There to be Some confusion among

members as to the continued Of

the International Affairs Department at Bedford Row' 'Ince the lecent 'Omnittee

changes. Council recently decided to change the

emphasis On international affairs and move from reporting to a committee to giving international affairs a voice in all the

This has meant a higher profile and more general interest in international affairs. The International Affairs Section is part Of

the Professional Affairs Department and is staffed by Pat Allchurch BA MCSP and Gail Hebblethwaite.

Of the Society'

This section. at the service of members,

Are You Working In . . .? The Society is often asked about numbers

of rnembers working in GP surgeries, sports centres and private nursing homes. Because the small number of members in those places of work are pioneers in a way, we often asked to find someone to write an article about their experiences or comment upon them.

It would be extremely helpful to several departments if those members working in GP surgeries, sports centres and private nursing homes could let us know who they are and where they work. Please ring or write to Stuart Skyte, CSP Director of Public Relations.

Post-registration Course Successes Diploma in Community Physiotherapy

Distinction: Pauline Mary Sabel. Credit: Patricia Clements, Gloria Ann

Crack, Gillian Drake, Deborah Jane Gibb, Sinead Brigid Mary McGahan, Gunnel Marita Pettifor, Elizabeth Margaret Stephens, Anne Wilson.

Pass: lain Harris, Ann Marie Abdulla Kamash.

Proprioceptive Neurornuscular Facilitation Sheila Bremner, Catherine Jane Crawford,

Philippa Anne Frostick, Susan Ann Gibson, Jennifer Lavinia Guida, Anne Margaret Kilgour, Alison Perkins, Lisa Anne Soderberg.

Working in Switzerland - Good News for Members

The CSP International Affairs Department recently alerted members to changes in the rules for Swiss registration (Physiotherapy, September 1991, page 602). We have continued to discuss these issues with the Swiss association - Federation Suisse des Physiotherapeutes (FSPI.

We are delighted to inform members that the Diploma Examination Commission of the FSP will in future recognise professional education at schools recognised by the Chartered Society of Physiotherapy as equivalent to the Swiss diploma. This will certainly speed up recognition procedures and avoid significant costs to applicants.

We are very pleased with this news and the department will continue to work wi th other associations for the benefit of members.

IS dealing wi th a steeply rising number of nquiries on various subjects and has .ertainlv not been disbanded'

Post-graduate D ip lo rna /MSc in Manipu la t i ve Therapy

The Manipulat ion Associat ion of Chartered Physiotherapists, in conjunction w i t h representatives f rom Coventry Polytechnic, is in the process of developing a postgraduate diplomaiMSc in manipulative therapy. It will be a 12-15 month full-time course (w i th an option of part-time study) aimed at starting in the autumn of 1992.

The exact cost to the studem has not yet been finalised but is likely to be in the region of other self-funding polytechnic courses.

As with previous MACP courses we are aiming it at physiotherapists with a minimum of two years' post-qualifying experience a i d trust that it will be an attractive venture for diplomates and graduates alike.

Further information will follow nearer the time, but in the meantime any inquiries may be directed to A Lando, 81 Queens Road, London SW19 8NR.

Qualified Welcome from CSP for 'Health IN i ts response t o the Government consultative document 'The Health of the Nation' *, the Chartered Society applauds its move towards illness prevention and health promotion. It also agrees that clear objectives must be identified and targets based on reliable information. This will facilitate measurement of the effectiveness of intervention.

However, the Society is concerned that the document does not identify the amount or source of funding that would be required for bo th personnel and in fo rmat ion technology in order to assess whether set targets are achieved.

The Society believes that physiotherapists have a great deal to contribute to this initiative and pledges its co-operation in setting and achieving standards, particularly in maintaining maximum potential in

*Department of Health (1991). The Health of the Nation: A consultative document for health in England (Cmnd 1523) HMSO.

functional movement and in activities. The Society is also concerned with the

lack of targets in some parts of the document, particularly in the section on p hys ica I d isa bi I i t y.

The Chartered Society wishes to work closely wi th the Society for Research in Rehabi l i tat ion and organisat ions representing people with disabilities, as this section is of vital importance to a particularly disadvantaged group in society. The CSP hopes that time will be taken to consider targets in some detail.

In a covering letter, the chairman of cou nc i I, Patricia Phi I1 i ps, expressed disappointment that there was no physlo- therapist input to the English Health Strategy Steering Group. This was despite assurances given to the previous CSP chairman, Joyce Wise, by the Secretary of State for Health that the Government would wish to consult with physiotherapists as the third largest clinical care profession in the National Health Service and community services.

of the Nation' The Society concluded its response by

suggesting some achievable targets which could be incorporated in the Government's final document:

0 50% of stroke patients to be independent within the community after six months.

One major centre for every two health authority Regions to be set up in the next three years for the rehabilitation of head- injured patients.

0 Community-based rehabilitation teams to be set up in each health authority to ensure appropriate support in the community for discharge and access to services.

0 75% of all disabled people needing the services of a rehabilitation team to be seen by at least one member of that team within t w o weeks of making a request.

0 Working days lost through back pain 10

be reduced by 30% by the end of the i; e n t u ry.

814 Physiotherapy, December 1991, vol 77, no 72