P085 The development of a UK-wide rheumatology specialist physiotherapy capabilities framework

Abstract

Abstract Background/Aims Rheumatology physiotherapy is a specialist area requiring specific skills and knowledge. At all levels of practice, physiotherapists play an essential role in patient management. There is not yet any profession-specific competency guidance in this area. The aim of this paper is to describe the processes undertaken in creating and reviewing a national rheumatology physiotherapy competency framework suitable for all levels of practice. Methods A national survey of rheumatology physiotherapy practice was completed in October 2019. At the end of the survey participants were invited to be involved in the development of a rheumatology physiotherapy competency and capabilities framework. Forty-seven physiotherapists expressed an interest and were invited to comment, critique and feedback on a draft rheumatology specialist competency framework document that had been developed in parallel to the survey. Results Twenty-five physiotherapists provided feedback on Version 1 of the draft framework. Responses were received from bands 6 - 8 post holders and from NHS and private provider work settings. Involvement was sought and received from the four nations of the UK: England, Northern Ireland, Scotland and Wales. For the 465 competencies within the draft framework, over 1,000 comments were received. These comments were reviewed and amalgamated into a Version 2 framework. Agreement level of the expert reviewers’ opinions on these competencies was generally high. In addition to competency statement specific feedback, general comments on content, aims, impacts and utility of the document were also received which informed the revisions undertaken. Version 2 reflects the expert input and constructive, excellent advice received. Themes within general comments included: defining expert speciality practice; focus on what is unique about Rheumatology for a physiotherapist; impacts and considerations from location of service delivery, e.g. primary versus secondary care, urban versus rural, large teaching hospital versus district general hospital; rotational versus non-rotational posts; enough authority of the final framework to support the need for funding in training and development, as well as leading to new roles; breadth and variability required within single post-holders; addressing blurred lines, unrecognised capabilities and supporting career progression; justification for working at a higher level than given credit. Conclusion There is a strong desire amongst the rheumatology physiotherapy profession to progress this project and to engage with and support the development of a national rheumatology physiotherapy competency framework. Many specialist physiotherapists have contributed their expertise in their own time to agree competency statements. The process has ratified the further development and future publication of this framework. Disclosure W.J. Gregory: Honoraria; W.G. has received honoraria from Abbvie, Pfizer and UCB. H. Chambers: None. C. McCrum: Honoraria; C.McC. has received honoraria from Novartis.