You are here

  • News

Member Update: COVID-19 (Coronavirus)

**Please note that as the ISCP Office is located on the Royal College of Surgeons in Ireland campus, the office will continue to remain closed in accordance with Government direction. We wish to reassure members that all staff will continue to work remotely and provide a full service to members. All general enquiries should be directed to info@iscp.ie**

We recognise that this is a difficult time for all members, and we will endeavour to keep the website updated.

We have prepared information under Frequently Asked Questions for members working in private practice and for members working in the public health sector.

They are covered under Information on the virus, infection control, how to manage the practice, business issues, clinical issues, e-Health, resources and CPD.

We will continue to add to these.

Last updated: 11/05/2020

 

Member FAQs

Sources of Information

Where should I look for factual information about the COVID-19 virus?

As the situation varies from country to country, it is essential that we follow our own National Guidelines.

1.     HSE

       The HSE websites - https://www.hse.ie for the public https://www2.hse.ie/conditions/coronavirus/coronavirus.html

                    and for health care professionals https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/

The most up-to-date source of guidance is the Health Protection Surveillance Centre, which is the co-ordinating HSE office for Coronavirus (www.hpsc.ie). They have developed a helpful FAQ. In addition to general information, it also includes information on prevention, signs/symptoms/ travel advice and the global situation. The HPSC advice and guidance for healthcare workers is available here

They have also prepared a risk assessment for patients presenting to general practice and healthcare settings other than receiving hospitals. This will be particularly useful for those working in private practice. This can be viewed here

The HSE website is another useful resource, which is constantly being updated. Click on the link to read;

 

NEW 06-04-2020  National Health Library and Knowledge Service HSE https://hse.drsteevenslibrary.ie/Covid19V2/home

Covid 19 HSE Clinical Guidance and Evidence. The site provides a national easily-accessible repository of clinical guidance and latest research evidence. It contains: 

  • HSE Interim Clinical Guidance 
  • Research evidence summaries prepared by the HSE National Library Evidence team and other stakeholders 
  • An online facility to request additional published Covid-19 evidence in relation to specific clinical questions.

 

NEW 06-04-2020 - The HSCP has launched the Share blog. A series of eHealth related blogs will be posted. You can follow these blogs by adding your email address to the ‘Follow’ box. Follow HSCP on twitter @WeHSCPs.

Please do follow, share and contribute – this is your opportunity to showcase your work, its impact and to learn from others. https://hscpshare.com/

 

 

NEW 08-04-2020 - The HSCP repository is available in the HSCP Hub on HSELanD. It has been developed to support the Health and Social Care Professions to deliver services in the context of the COVID-19 pandemic. It is intended this central repository will enable sharing of both COVID and non-COVID related resources.

This development will be an iterative process with new content being added as it is received. The format may change over time in line with content requirements and user feedback.

 

Location of HSCP Repository on HSELanD

Once logged in towww.hseland.ie*, users can access the repository in three clicks:

1.       Go to Hubs

2.       Go to Health and Social Care Professions (Hub)

3.       Click Resources to Support HSCP Delivering services in Context of COVID-19

*If you do not have an account, you can create an account as a staff member or ‘volunteer’.

 

2.     WCPT

WCPT is hosting information from Member Organisations around the world at https://www.wcpt.org/news/Novel-Coronavirus-2019-nCoV

WCPT has called on countries to:

  • Ensure that there is enough supply and access to appropriate Personal Protective Equipment (PPE) for front line staff.
  • Ensure that staff have an opportunity to take adequate breaks during and between shifts.
  • Ensure access to appropriate support services for psychological health of staff.

 

3.     European Centre for Disease Prevention and Control

The European Centre for Disease Prevention and Control has helpful resources (as well as training module referred to elsewhere)

 

4.     WHO

The World Health Organisation’s advice to reduce the risk of coronavirus infection includes:

  • frequently clean hands by using alcohol-based hand rub or soap and water
  • when coughing and sneezing cover mouth and nose with flexed elbow or tissue – throw tissues away immediately and wash your hands
  • avoid close contact with anyone that has fever and cough

This WHO video gives an overview of the virus https://www.youtube.com/watch?time_continue=24&v=mOV1aBVYKGA&feature=emb_logo

 

World Health Organization. (2020). Coronavirus disease (COVID-19) technical guidance: Infection prevention and control.  

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control.

 

Other government websites:

5.      Government  https://www.gov.ie/en/publication/99104a-covid-19-coronavirus/

6.      Government News Service https://merrionstreet.ie/en/

7.      Department of  Employment Affairs and Social Protection https://www.gov.ie/en/publication/66d22e-covid-19-deasp-information-for-employers-and-employees-pdf/

8.       https://www.gov.ie/en/service/be74d3-covid-19-pandemic-unemployment-payment/?referrer=/pandemicsupport/

If you are planning professional or personal travel over the coming period, the Department of Foreign Affairs and Trade is providing up to date travel advice at https://www.dfa.ie/travel/travel-advice/

About COVID-19

What are the symptoms of Coronavirus COVID-19?

Symptoms can range from mild to severe illness. Some people will recover easily, and others may get very sick very quickly. People with coronavirus may experience:

  • fever
  • flu-like symptoms such as coughing, sore throat and fatigue
  • shortness of breath

See www2.hse.ie/conditions/coronavirus/coronavirus.html which covers symptoms, causes and treatment

How can I reduce transmission – protect myself and others?

Practising good hand and sneeze/cough hygiene is the best defence against most viruses. You should:

Front line tips for patients and practitioners:

  • Wash your hands often, before and after providing treatment. Encourage patients to wash their hands often while in the clinic.
  • Place additional signage in and around the clinic to encourage regular handwashing.
  • Maintain social distancing; two-meter distance between you and anyone who is coughing or sneezing.
  • Avoid touching your eyes, nose, mouth, and face.
  • Cough into your elbow.
  • Ensure that alcohol-based hand sanitizers and/or a handwashing station are available.
  • Ensure that staff wash down equipment frequently – e.g. following patient use.
  • Contact your patients and ask them not to come into the clinic if they experience symptoms.
  • Hold regular team meetings with staff to review this information and provide any updates.
What is the incubation period of COVID-19 virus?

The incubation period is the duration between exposure to the virus and the onset of symptoms. The World Health Organization (WHO) currently estimates that the incubation period ranges from 1 to 14 days, with a median incubation period of 5 to 6 days. These estimates will be refined as more data becomes available.  There are reports that suggest there have been cases with longer incubation periods, such as 24 days. The incubation period of infections often has a skewed distribution, where most patients have an incubation period that clusters around the average, but a few patients have a longer incubation period. Medical experts believe reports of cases with longer incubation periods are statistical outliers – while longer incubation periods are possible, they may have been reported in error, or had exposure to an unidentified case at a later date that has not been identified in a transmission chain. 

HSE – including information about vacancies/potential vacancies

I am available for work in the HSE if required – How do I do this?

If you are working in private practice and willing to work in the HSE to supplement the physiotherapy workforce please click on the following link to express your interest: https://form.jotform.com/ISCP/hse-covid-19-help-

Please respond to this request even if you have directly replied to the HSE ‘Be on Call’ for Ireland request for help to meet the challenge ahead.

 

Expressions of interest received by 12 noon each day are forwarded to the HSE on a daily basis.

 

It also provides the details to Physiotherapist Managers who contact the ISCP looking for physiotherapists in their geographical area.

I am an HSE Physiotherapist Manager - I need more staff - How do I access chartered physiotherapists in private practitioners?

The ISCP has a list of physiotherapists available to work – email Pauline Cox Office Administrator at pcox@rcsi.ie and provide the geographical area you are based and she will send you the names and contact details of physiotherapists in that area.

I am a Physiotherapist Manager - How can I find out what’s happening in other areas?

The Chartered Physiotherapists in Management (CPM) Employment Group send out a weekly mail shot to members.

The ISCP developed an Information Sheet on experiences of Managers around the country which was circulated to CPM members via its mailshot.

Clinical: Respiratory Physiotherapy: Evidence and Training

Where can I get advice and guidance on COVID-19 as a healthcare worker?

Guide to Information on Clinical Resources available for healthcare workers has been updated on the Member Section of the Website - available here:  https://www.iscp.ie/members-area/inventory/clinical-resources

 

 

What is the situation regarding Infection control, PPE and respiratory physiotherapy as an Aerosol Generating Procedure?

Guidance documents PPE and infection control:

Research / Evidence Documents PPE and infection control:

 

NEW  06-04-2020 Respiratory physiotherapy as an Aerosol Generating Procedure

Members highlighted on 13th March that the information on the HSE website about physiotherapy not being an Aerosol Generating Procedure (AGP) is incorrect. The ISCP brought this to the attention of the HSE and lobbied to have it corrected. 

The ISCP is continuing its efforts to get a change made in the classification of respiratory physiotherapy as an AGP.

Recently, some documents have been developed which support this. 

Thank you to colleagues who are working on this.

Below is an update on the situation in relation to HSE documents (based on the HSE documentation which has been brought to the attention of the ISCP).

  1. PT as an AGP is supported by the ITS with the HSE NCP Resp

The ITS, HSE NCP Respiratory recommend that patients on HFNO wear a tight-fitting mask and both HFNO and chest physiotherapy be considered AGP procedures unless local policy states otherwise.

  1. The HSE Clinical Decision support document of 24-03-2020 supports  physiotherapy as an AGP
  2. The Main HPSC AGPs document of 23-03-2020

 

Other supporting documentation includes the British Thoracic Society and the   European Centre for Disease Prevention and Control; the latter explicitly refers to chest physiotherapy being an AGP  "Infection prevention and control for COVID-19 in healthcare settings" published March 2020 This is available at https://www.ecdc.europa.eu/en/search?f%5B0%5D=public_health_areas%3A1616

Specialists like chartered physiotherapist consultant Rachael Moses have been calling for it to be changed from non-AGP to AGP. In the UK, the Chair of the CSP called publicly for CPT to be listed as an AGP on 2nd April.  Update from 3rd April https://www.csp.org.uk/news/2020-04-03-government-updates-guidance-ppe

The progress on this issue is slow. The HPSC has told us that as the views on the issue are conflicting, it will not be changing its document. 

However, since then the repository of documentation on the HSE website has published a review of the evidence – ‘Is respiratory physiotherapy treatment an AGP?’

https://hse.drsteevenslibrary.ie/c.php?g=679077&p=4843427

It outlines the changing views and states that  

The World Federation of Anaesthesiologists explicitly includes RespPT as an AGP 

And refers to the recent change made by the WHO (2020) which ‘specifically includes chest PT as an AGP’

Interesting this HSE review of the evidence refers to the HPSC document of 24/3/2020 ‘reference is made somewhat ambiguously to certain CPT being considered as AGP’ 

The document concludes that there has been a move to include CPT as an AGP – by many official global health bodies –most notably the WHO. Despite anecdotal evidence, there is a low level of evidence relating to transmission of airborne viruses.  But ends the document with reference to van Doremalen et al (2002) who found from looking at SARS-co-V-2 virus that it can ‘remain viable and infectious in aerosols for hours…’

Currently

Basically, there are more supporting views in HSE documents than non-supporting views, the ISCP is seeking alignment of the next edition of the HPSC document with all HSE documents and the WHO.

 

 

Are there any e-learning activities to augment my clinical knowledge?

NEW 06-04-2020 Two-day virtual training course ‘Physiotherapy Virtual Cardiorespiratory ICU update’ provides a refresher and update for physiotherapy staff working in ICUs with increasing cases of COVID-19 and ventilated patients.
NSW Health and the Australian Physiotherapy Association have made this training available to the worldwide community. The webcast recording and the resources are available free internationally.
https://australian.physio/VirtualCardioICU. Many thanks to APTA for providing this valuable resource.

 

NEW 06-04-2020 webinar Physical Therapy Management of COVID-19 Patients, permission given to the ISCP from APTA Cardiovascular and Pulmonary Academy to share this link as well as the associated resources.
https://register.gotowebinar.com/recording/7342833725268746509
- The slide presentation used during the webinar.
- APTA PT in Motion article about the Physiotherapy Guidelines
- Prone Positioning: https://www.youtube.com/watch?v=E_6jT9R7WJs

 

WHO

While not directly related to physiotherapy the WHO provides some online training at

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/training...

 

The European Centre for Disease Prevention and Control

The European Centre for Disease Prevention and Control is a very useful resource https://ecdc.europe.eu and it provides free online courses on COVID-19. You have to sign on and then you are granted authorisation to join. Sign up at https://eva.ecdc.europa.eu/

Live streamed teaching for Respiratory Physios from Rachael Moses include: (available after live streaming) https://twitter.com/rachaelmoses/status/1241826942741028865
- Monday 23rd March - Acute AIRVO / HFOT and Airway clearance CF and Non CF
- Tuesday 24th March - NIV Home + Acute Devices 
- Wednesday 25th March - OT/PT Mobilisation Combo
- Thursday 26th March - Respiratory Rehab @ Home 
- Friday 27th March - Psychology 

 

CSP  On call respiratory modules(refresher) | https://www.csp.org.uk/documents/respiratory-call-e-learning-modules

 

UCC Excellent resources including links to video presentations from ICU Consultants https://ucc.instructure.com/courses/22984

 

Physioplushas a Coronavirus Disease Programmewhichconsists of four short courses: 
Understanding Coronavirus Disease (COVID-19), Infection Prevention Control, 
Role of Physiotherapy in Covid-19, and Respiratory Management of people with Covid-19. 
This programme is made up of four courses covering the following topics:

  1. Introduction to Coronavirus Disease (COVID19)
  2. Infection Prevention and Control
  3. Role of Physiotherapy in COVID-19
  4. Respiratory Management of People with COVID-19

Sign up at https://members.physio-pedia.com/learn/coronavirus-disease-programme/

 

HSE | How to put on and off PPE in acute hospital setting | https://youtu.be/BEbcuqWF-oE

 

Physiospot https://www.physiospot.com/2020/03/17/covid-19-what-do-i-need-to-know-as-a-physiotherapist/?utm_source=rss&utm_medium=rss&utm_campaign=covid-19-what-do-i-need-to-know-as-a-physiotherapist

 

Physio Matters Podcast
Physio Matters podcast with Jack Chew and Rachael Moses in the UK https://chewshealth.co.uk/blog/
https://m.facebook.com/story.php?story_fbid=2830564910331054&id=802126066508292&sfnsn=scwspmo&extid=tDDVXJvcCijIRm2G&d=n&vh=e
Useful information for physiotherapists everywhere looking at; What does care of #COVID19 patients look like? What are the risks to Physios? How to mitigate them? What is ‘Fit testing’? What could MSK therapists do now? What might MSK therapists do in the coming weeks and months? Thank you to Rachel Moss and Jack Chew, CSP, UK

Canadian Physiotherapy Society Discussion Platform
The Canadian Physiotherapy Society has started an Open Slack group for discussion of physiotherapy experiences around the world.  https://physiotherapy.ca/global-physiotherapy-community-practice

 

What about Manual Handling training at this time?

New 06-04-2020

FREE access to People handling training video https://vimeo.com/402857535

Please see information provided by Theresa Flynn, Chairperson on behalf of CPOHE here

Chartered Physiotherapists in Occupational Health and Ergonomics (CPOHE) guidance on delivering patient handling training during the COVID-19 Emergency

The Health Management Institute of Ireland together with The Learning Rooms have kindly made their Patient Handling resource free during the COVID-19 Crisis

The Health and Safety Authority (HSA) has indicated that it does not intend to relax the requirement of employers to provide Manual Handling Training during the COVID-19 Emergency, however they indicate that this is a fluid situation and will keep it under review. Its guidance can be found on the HSA website under Covid-19 additional HSA https://www.hsa.ie/eng/news_events_media/news/news_and_articles/covid-19_additonal_hsa_faqs.html

The HSE and the Irish Government’s guidelines advise to maintain physical distancing of 2 meters, to wash hands frequently, to follow respiratory etiquette and to keep surfaces clean during this crisis.

It is impossible to conduct practical patient handling training without being in close contact with other members of staff, thus increasing the risk of contact and droplet infection. 

The CPOHE urges members to carry out a careful risk assessment to determine if the benefits of providing practical patient training out-weigh the risks of passing on the COVID-19 virus to other employees or contracting it themselves. 

The CPOHE’s opinion, supported by the ISCP, is that practical patient handling should not continue during the COVID-19emergency[i] and every other learning resource should be first considered.

Instructors should look at blended learning using videos, course notes, local policies and other online resources.

To this end we are delighted to announce that the Health Management Institute (HMI) together with The Learning Rooms are making their online learning resource on practical patient handling available free of charge during the course of the COVID-19 crisis in Ireland. 

This resource was developed a number of years ago with the assistance of Chartered Physiotherapist in Occupational Health and Ergonomics (CPOHE) led by Lelia Jennings and was intended to be part of a blended learning programme.  Information on the resource can be found on The Learning Rooms blog https://thelearningrooms.com/people-handling-training-video-available-for-free-during-covid-19-pandemic/

The link to the video is https://vimeo.com/402857535

In these exceptional times CPOHE is most grateful for this generous offer from the HMI and The Learning Rooms. Together with other local resources, this should allow patient handling training to be delivered in a safer manner while physical distancing continues to be recommended by our Government.

If there is a situation where practical patient handling must go ahead the Instructor and the participants should be wearing appropriate PPE which should include surgical mask, gloves and gowns as per HSE guidance. Participants’ temperature should be checked and they should be asked to complete a COVID-19self-declaration and disclaimer form. All equipment and surfaces should be thoroughly cleaned before and after training. However careful consideration should also be taken as to whether use of PPE for practical patient handling sessions is an efficient use of a scare resource that could be better used in the front line of treating patients with COVID-19.

[1]Please note this refers to standard patient handling and does not refer to specific techniques such as prone turning which is ongoing training as part of management of patients with COVID-19.

Facebook: @elearningrooms

Twitter: @elearningrooms

Instagram: @elearningrooms

LinkedIn: The Learning Rooms, Ireland

 

Who should I follow on twitter?

E-Health

Does the ISCP have a policy on e-Health/telehealth?

Yes – the ISCP has a Policy and Guidelines on E-Health for Physiotherapists in Private Practice (March 2020)

In order to provide another option for physiotherapists; we have brought forward the approval of a Policy and Guideline on e-HEALTH for Physiotherapists in Private Practice (March 2020) which we hope will be of assistance to you. You can view this document here

Can I treat patients using e-Health/telehealth?

Yes, provided you work within the ISCP Policy and Guidelines.

Please Note if you are providing on-line classes you will have to screen participants whom you have not previously treated. 

NEW 26-04-2020 Notes on operationalizing Telehealth - Key bits of info you need to consider as you embark on e-Health. Best practices should be considered in context of local professional standards and clinical guidelines.

UPDATED 21-04-2020

Reminder about Insurance cover and physiotherapist-led classes

The ISCP has received several enquiries recently related to insurance cover for on-line classes. The cover that applies to on-line classes is the same as that which applies to in-person classes and is stated below.  

The ISCP professional liability insurance only covers in-person and on-line physiotherapist led exercises classes where the physiotherapist has screened the individuals in advance of participating in the class. This does not apply where the individual has already been attending a physiotherapist for treatment and is referred into a class that is led by the same physiotherapist.

There are a few pre-exercise screening tools available; probably the most widely used is the Physical Activity Readiness Questionnaire (PAR—Q) or PAR-Q+ which are available from http://eparmedx.com/wp-content/uploads/2013/03/January2020PARQPlus_Image... It has a one year validity from the date of signing. 

The PAR-Q developers review the questionnaire annually, so if you decide to use this tool, it would be advisable to consult the website for updates.

See below for important advice about what to think about when recommending exercises via on-line media or videos.

Does the ISCP insurance cover me to work via e-health?

Yes, provided you work within the ISCP Policy and Guidelines, the Glennon’s insurance policy covers you.

UPDATED 21-04/2020

  1.        Insurance cover and e-Health physiotherapy

The ISCP professional liability insurance covers members to provide e-Health physiotherapy as long as they comply with the Policy and Guidelines on e-Health (March 2020).

This document has been agreed by the ISCP Professional Liability Insurers.

 If the insurance cover is not with the ISCP, the physiotherapist must ensure that the cover is at least comparable to that of the ISCP cover.

Are my patients covered by their Health insurance for e-health physiotherapy?

Following representation made by the ISCP to the three private health insurers (VHI, LAYA and ILH) to make the case for covering e-Health physiotherapy, we are delighted to report that all three insurers have agreed to do so. 

See below for details of response from each insurer

NEW 20-04-2020  

 Irish Life Health 

From 20/04/20 until 30/06/20 (? end of Covid 19 hospital emergency and current legislative provisions), ILH will be accepting from ILH members for payment under our Day to Day outpatient plans ( plan dependant) receipts from ISCP members for treatments performed by video link, where such consultation in clinically appropriate (as now) and follows the ISCP E-Health Guidelines of March 2020.

 The receipt must have the following data (as is currently required)

o    The amount paid;

o    The full name of the patient receiving the treatment and their date of birth;

o    The date the treatment was received;

o    The type of practitioner you attended;

o    The name address and qualifications of the practitioner providing the care on the practitioner’s headed paper

Please note the following are NOT regarded as a treatment

o    Participation in Group call or

o    The viewing mainly or solely of  a video or pdf online (but certainly would form part of a treatment which would be allowable)

Added 06-04-2020

LAYA

The details of each response are summarised as follows:

    Physiotherapist must be a member of the ISCP

    Virtual consults will be paid in line with current benefit and schemes rules on submission of a paid e- receipt/ invoice from LAYA  member   

    The maximum visits per scheme for Chartered Physiotherapist with a 20% cost reduction of in-person fee up to maximum payment of €40

VHI

VHI will cover Chartered Physiotherapy sessions done on-line and by telephone if deemed clinically appropriate during the month of April 2020 (VHI will review and consider extending this time period prior to the end of April).  These will be covered in accordance with a customer’s normal benefits, terms and conditions.  Customers should check that Physiotherapy benefit is provided under their plan.  This is a temporary change to our customers’ terms & conditions for the period of social distancing up to the end of April and will be reviewed thereafter.  

VHI plans to communicate this extension of cover and other areas to its customers.   

N.B. VHI requests that ISCP members record on receipts whether it was a face-to-face, on-line or telephone consultation.  This will help VHI keep track of volumes.

How do I seek patient consent for e-health physiotherapy?

As with all treatments you need to seek consent from the patient

Some options (depending on the platform of App you are using)

  1. Prior to using this service, email your data consent and information form to the patient outlining how their information will be stored and why you take information. Then ask the patient to reply to this email stating they have read and accepted the terms before you proceed.
  2. To streamline the appointment process, you can put your data protection and information statement on your website and copy and paste that link into WhatsApp prior to the consultation. Then ask the patient to text into WhatsApp stating they have read and accepted the terms prior to the consultation beginning.
  3. A website option is to have a check box when someone is making their booking online and they can read the document and sign that they have read, understood and accepted.

Courtesy of member John Shanahan MISCP

How do I calculate how I charge for e-health physiotherapy?

This depends on the individual practitioner; 20% lower than the fee you would be charging the patient in face to face treatment is followed by some. 

What platforms are available for e-health?

New 17-04-2020 This website gives an  over view of e-health https://vsee.com/what-is-telemedicine/

 and has also review of some platforms https://vsee.com/telemedicine-platform-reviews

 

NEW 06-04-2020 How to choose a telehealth platform (This link is included here with the kind permission from from the  Australian Physiotherapy Association)

https://www.karenfinnin.com/how-to-choose-a-telehealth-video-platform/

Below is a list of platforms the ISCP knows about, this, however, is not an exhaustive list.

Please Note that providing this list does not imply endorsement

List – (alphabetical order)

 

Are there some resources to help me navigate e-health?

NEW 26-04-2020 Research documents  e-health in practice 

JOSPT Review Telehealth Physical Therapy in Musculoskeletal Practice. Systematic reviews in musculoskeletal telehealth literature deliver comparable patient satisfaction and outcomes 

NHS Video consulting with your patients - How to make a good video consultation. Discusses when video consults are appropriate, how to do a high-quality video consultation, how can patients make the most of the consult as well as evidence for quality and safety 

Telerehabilitation: Review of the state of the art and areas of application. This review evaluates different application fields of telerehabilitation highlighting its benefits and drawbacks

A systematic Review. Real time telerehab for the treatment of musculoskeletal conditions is effective and comparable to standard practice

RCT: PhysioDirect; supporting physios to deliver a telephone assessment and advice centre. Conclusion drawn was a computer-based system assists the delivery of a physiotherapy-led musculoskeletal assessment and advice service

Royal Society of medicine 30th Symposium | Cystic Fibrosis in children and adults | Telemedicine in CF 

Effectiveness of physiodirect telephone assessment and advice services for patients with MSK problems: a RCT. Patients receiving treatment via telehealth received treatment more quickly and had equivalent clinical outcomes. 

Validation of teleconference -based goniometry for measuring elbow ROM. This study reports ROM through teleconferencing medium is comparable to clinical ROM measurements

Agreement between telehealth and in person assessment of patients with chronic musculoskeletal conditions presenting to an advanced private physiotherapy screening clinic. With respect to clinical management and decision and diagnosis it was reported that there was a high level of agreement between telehealth and in person assessments. The study concluded that for those service users who are unable to attend the clinic in person, telehealth can be considered a viable and effective medium for assessment

Discussion article in Physiotherapy Journal. Evidence for and against PhysioDirect Telephone assessment and advice service. 

 

NEW 06-04-2020 The Australian Physiotherapy Association has a link to a Free online assessment to check practice readinessfor e-health
/telehealth practice https://digitalhealth.typeform.com/to/YkvPY4. It covers the basics of what practitioners
should be thinking about. 

NEW 06-04-2020 The AustralianPhysiotherapy Association has links to Webinars on telehealth: (APA)

Please note these links and information have been
obtained from the APA (with thanks). The ISCP has an e-health policy which
includes details on insurance, please familiarise yourself with these
documents.

Member Susan Coote has kindly provided her notes and practical helpful hints on using e-Health. These can be viewed HERE. We acknowledge and thank her for permission to share her document which can be read in conjunction with the Policy and Guidelines on e-Health.

How to use Zoom for YOUR business.

Using Zoom, you can share images and your computer screen. It has a nice ‘whiteboard’ feature where you can add text or draw, and you can have multiple users. You could run an exercise group or Pilates class through it.  Zoom allows you to send an invitation to patients which includes a meeting ID and link for people to join the ‘meeting’. You can also add a virtual background if you wish.

Courtesy of Tom Goom, MCSP

Muireann Fitzmaurice from themarketingcoach.ie has kindly provided this step-by-step presentation on using Zoom for your Business. View these HERE. We acknowledge and thank her for permission to share her document.

Skype

Many patients will have Skype set up already and it is free to register. It is straight forward to use; you just need the patient’s ‘Skype Name’ and you can find them and connect prior to the appointment. It can be used within an App and you can share images and video. There is also the option for multiple users and to share your screen if you want to show other programmes such as exercise prescription software.

Courtesy of Tom Goom MCSP

 

 

 

Is there any information for patients looking for e-health?

The American Physical Therapy Association (APTA) has a piece for the public on Reasons to Consider Telehealth Physical Therapy - ChoosePT.com
https://www.choosept.com/resources/detail/6-reasons-to-consider-telehealth-physical-therapy?fbclid=iwar3a8tqwyeal3cwmapg5w2rzovbnkz42qjtkcz4zqvwkp5pwvle1pm5odfe

 

NEW 06-04-2020 The Australian Physiotherapy Association has a link relating to - Help communicate the benefits of telehealth to consumers (APTA) 

https://www.youtube.com/watch?v=eX33QXWN8Dg&feature=youtu.be

 

Many thanks to the Australian Physiotherapy Association for permission to share very valuable resources and links

What should I think about when recommending exercises via online media or videos?

ADDED 21-04-2020

Reminder about Insurance cover and physiotherapist-led classes

The ISCP has received several enquiries recently related to insurance cover for on-line classes. The cover that applies to on-line classes is the same as that which applies to in-person classes and is stated below.  

The ISCP professional liability insurance only covers in-person and on-line physiotherapist led exercises classes where the physiotherapist has screened the individuals in advance of participating in the class. This does not apply where the individual has already been attending a physiotherapist for treatment and is referred into a class that is led by the same physiotherapist.

There are a few pre-exercise screening tools available; probably the most widely used is the Physical Activity Readiness Questionnaire (PAR—Q) or PAR-Q+ which are available from http://eparmedx.com/wp-content/uploads/2013/03/January2020PARQPlus_Image.pdf  It has a one year validity from the date of signing.  

The PAR-Q developers review the questionnaire annually, so if you decide to use this tool, it would be advisable to consult the website for updates.

NEW 06-04-2020  ISCP has endorsed ‘Make Movement your Mission’ sessions, developed by the evidenced-based exercise training providers Later Life Training (LLT) UK.  

Facebook - https://bit.ly/2QMDDPF

Also available on YouTube - https://bit.ly/3apxPnc

iCAN Calendar and movement diary- https://bit.ly/LLTcalendar

The WCPT subgroup for older people (IPTOP) has collated as series of online resources available HERE

Thank you to IPTOP

Member Vanda Cummins has developed some really helpful advice in terms of contacting people online and assessing individual circumstances as no one size fits all. This is available HERE

Thank you to member Vanda Cummins MISCP

 

Can I run classes using e-Health?

NEW 06-04-2020 ISCP has endorsed ‘Make Movement your Mission’ sessions, developed by the evidenced-based exercise training providers Later Life Training (LLT) UK.  See here for details 

Facebook - https://bit.ly/2QMDDPF 

Also available on YouTube - https://bit.ly/3apxPnc

iCAN Calendar and movement diary- https://bit.ly/LLTcalendar

The WCPT subgroup for older people (IPTOP) has collated as series of online resources available HERE 

Thank you to IPTOP

Member Vanda Cummins has developed some really helpful advice in terms of contacting people online and assessing individual circumstances as no one size fits all. This is available here https://www.iscp.ie/sites/default/files/documents/Vanda%20Cummins%20Advice%20to%20PTs%20about%20online%20exercise%2024-03-2020%20%281%29.pdf 

Thank you to member Vanda Cummins MISCP

Private Practice

Private Practice

Following consultation with our Professional Advisor and our Private Practitioners’ Employment Group (CPPP), the following Interim guidance for healthcare professionals from the HSE and HCSP is the most relevant guidance to share with any member working in private practice. This guidance is in relation to the management of individuals with suspected COVID-19 infection presenting to community health care settings other than General Practice and would, therefore, appear to be the guidance closest in relevance to private practice settings. This document can be viewed here.  
 This includes guidance on

  • Key principles for preventing the spread of COVID-19 in community health care settings
  • Early identification of potential cases
  • Visual Flow Chart - What to do if someone telephones to make an appointment
  • What to do if concerns about possible COVID-19 are identified in the course of a consultation/procedure
  • Environmental Cleaning/Disinfection
  • General precautions that can be taken in community health care settings to prevent the spread of respiratory viruses including Influenza and Coronavirus infection

 

Will the private health insurance companies allow for their members to be covered in the same way as they are for GP referrals when a physiotherapist directly refers them for an MRI scan?

Following representation made by the ISCP to the three private health insurers (VHI, LAYA and ILH) to make the case for covering MRI referrals by physiotherapists, some progress has been made. See below for details. 

___________________________________________________________________

 

Added 06-04-2020  LAYA has responded positively and its response is as follows:

In light of the current circumstances and the difficulties that face LAYA members and providers at this time, LAYA has agreed to cover MRI referrals from ISCP members  for a three month time period commencing April 1st and ending 30th June 

 The following payment rules will apply

 •              Physiotherapist must be a member of the ISCP

•               Clinical indicators will apply for referral for MRI - this listing is available here

 

What do I have to do before I see patients in my practice?

Please view Inventory of Documents in the the members area for more information:  https://www.iscp.ie/members-area/inventory/information-members-seeing-pa...

What do I need if the Gardai stop me while I am on my way to work?

As you are providing an essential service - the Gardai have been accepting ISCP membership cards/certs as proof.

 

PPE for Private practitioner Physiotherapists

The ISCP is recommending that all private practitioners when treating patients in their practices adhere to the current recommendations for the use of Personal Protective Equipment (PPE) in the management of suspected or confirmed COVID-19 published by the HSE. Members should ensure that PPE that they purchase meets these recommended standards. Click here to view the HSE recommendations

 

 

Business

Insurance cover under ISCP Professional Liability and Employers/Public Liability insurance policies in relation to COVID-19
Will my ISCP insurance protect me from loss of income – if I need to close the practice?

Information has been provided by our insurers Glennon’s

Insurance Cover for Interrupted Business / Loss of Revenue as a consequence of COVID-19

A number of questions have been asked of ISCP in relation to the operation of insurance cover for interrupted business/loss of revenue as a consequence of COVID-19. 

Our insurance brokers, Glennon Insurance, have advised us that there is either no or minimal insurance cover for this event.
 
The policies that ISCP members have do provide protection for loss of revenue for some infectious diseases but these must occur at the insured's premises. A Government recommendation or instruction to cease operations for a period would not trigger this insurance cover.  Secondly, on most policies, there is a specific exclusion relating to AIDS / HIV and SARS. Insurers have always excluded infectious diseases that could result in a pandemic. These events, because of their scale, are considered uninsurable. It is also important to note that this position in relation to COVID-19 is common to most insurers and most business sectors.  

Glennon Insurance is keeping us informed of insurance-related issues arising from COVID-19 and we will pass any information we receive from them to members.

Am I entitled to Sick Pay Benefit? Am I entitled to sick leave if I have to self-isolate?

Sick pay benefit is being extended to the self employed and is being paid from day 1. Information is available on the Government website at https://www.gov.ie/en/publication/99104a-covid-19-coronavirus/

This will apply to members working as;

1. Owners of Private Practices

2. Employees in Private Practices (clinical and administrative)

3. Sub-contractors in Private Practices

This may also apply to some temporary employees in the public service.

 

Please check these websites for regular updates:

COVID-19 (Coronavirus) Information for Employers and Employees

https://www.gov.ie/en/publication/99104a-covid-19-coronavirus/ 

REVENUE

www.revenue.ie

What support can I get for my Business?

The Department of Business Enterprise and Innovation (DBEI) have announced supports from the government for businesses affected by COVID-19.  Revenue will be handling some of these supports.

 

The Irish SME Association (ISME) and local Chambers of Commerce may provide your business with supports.

 

Please check these websites for regular updates:

SUPPORTS FOR BUSINESSES IMPACTED BY COVID-19

https://dbei.gov.ie/Djei/en/News-And-Events/Department-news/2020/March/10032020.html

EMPLOYER COVID-19 REFUND SCHEME

https://www.revenue.ie/en/news/articles/employer-covid-19-refund-scheme.aspx

https://www.revenue.ie/en/employing-people/documents/pmod-topics/employer-covid-refund-scheme.pdf

https://www.gov.ie/en/news/965011-covid-19-introduction-of-simplified-unemployment-payments-for-employ/

IRISH SME ASSOCIATION (ISME)

https://isme.ie/Coronavirus/

LOCAL CHAMBER OF COMMERCE

https://www.chambers.ie/media/coronavirus-covid-19-information-for-business/covid-19-business-impacts-survey-report/

What do I do if I have lost my income and need urgent support?

The Department of Employment Affairs and Social Protection (DEASP)

If you have lost your income/work and need to get income support urgently, visit website http://gov.ie/pandemicsupport   

A dedicated PHONE LINE for payment queries is open from 9am to 5pm: 01-2481398/1890-800-024

 

PLEASE CHECK for regular updates:

COVID-19 Pandemic Unemployment Payment

http://gov.ie/pandemicsupport

Meeting with Fianna Fáil Health Spokesperson Stephen Donnelly

CEO Rúaidhri O’Connor followed up on a physiotherapy related exchange in Dáil Eireann last week between Stephen Donnelly TD, Fianna Fáil Health Spokesperson, and Minister Simon Harris, with a 50 minute telephone meeting with Stephen Donnelly earlier this week. The meeting was very positive with Rúaidhri briefing Stephen on the ISCP Position Statement on the Redeployment of Physiotherapists. Other issues discussed in depth included the ISCP call for the establishment of a Health and Social Care Advisory Unit in the Department of Health, advanced practice opportunities for physiotherapists in the context of Sláintecare with particular emphasis on the argument for physiotherapists being able to refer patients directly for x rays, and the tax reimbursement issue for patients of private practitioners. Stephen undertook to consider these initiatives in the context of the draft Programme for Government that will be negotiated in the coming weeks.

CPD

Are there any online courses I can do to maintain my CPD while I am self-isolating or not working?

Physiopedia Plus https://members.physio-pedia.com/  is the online CPD service that is free to members.

All ISCP members have free access to Physiopedia Plus. A wide range of clinical areas are covered through courses, videos, articles and many more resources.

Other resources:

 

Are there any online courses to learn more about the COVID-19 virus?

Physiopedia

Physiopedia (via its online learning platform at Physioplus) is providing a FREE online programme of courses. Here you can learn about the COVID-19 pandemic from a physiotherapy perspective

Outline

This programme is made up of four courses covering the following topics:

  1. Introduction to Coronavirus Disease (COVID19)
  2. Infection Prevention and Control
  3. Role of Physiotherapy in COVID-19
  4. Respiratory Management of People with COVID-19

Sign up at https://members.physio-pedia.com/learn/coronavirus-disease-programme/

 

WHO

While not directly related to physiotherapy the WHO provides some online training at

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/training...

 

The European Centre for Disease Prevention and Control

The European Centre for Disease Prevention and Control is a very useful resource https://ecdc.europe.eu and it provides free online courses on COVID-19. You have to sign on and then you are granted authorisation to join. Sign up at https://eva.ecdc.europa.eu/

What about ISCP courses?

In view of the current situation with regard to COVID-19, the likelihood that most, if not all, courses which have been organized by Branches of CIG’s will be cancelled.  Cancellation of these events is at the discretion of the course organisers.  They may be cancelled for the following reasons:

  • Numbers attending likely to be above the Government Guidelines
  • Cancellation by the Venue
  • Cancellation by members registered to attend.

If a Branch or CIG intends to cancel a course, the normal ISCP cancellation policy will not be enforced.  Those who had registered and paid to attend will be given a full refund.  Where the course has been uploaded to the ISCP Calendar of Events via the Professional Development Unit, you will need to advise them directly of the cancellation.  In that instance please email claregdooley@rcsi.ie

Has CORU made any decisions about CPD, Fitness to Practise Hearings?

CORU has issued two statements to date

- A statement from the Chairperson and Chief Executive Officer of the Health and Social Care Professional Council, CORU, to all registered health and social care professionals in relation to COVID-19. Issued 11 March 2020

- Advice for Redeployed registered Health and Social Care Professionals from CORU. Dated Issued 20 March 2020

All CORU statements are available at

https://www.coru.ie/health-and-social-care-professionals/covid-19-updates/.

 

In addition to above, the below email was issued to Physiotherapists who have applied through Grandparenting/ transition process, Section 91 and are still not on the Register​:

Physiotherapists who have applied through Grand parenting/ transition process, Section 91 and are still not on the Register

CORU want to reassure you that you can continue to use the title ”physiotherapist” or “physical therapist”, if you move roles, in light of the current COVID19 emergency. The HSE has been informed of the following:

Due to the very large number of late applications some physiotherapists who have applied under the grandparenting provisions are not yet registered. These professionals are allowed to continue to work as physiotherapists and use the protected title of “physiotherapist/physical therapist” while their application is being considered. This status still applies to a physiotherapist who might be redeployed or moves roles.

 

Benevolent Fund

How can I make a donation to the Benevolent Fund at this time?

Thank you for considering a donation to the Benevolent Fund – the only fund for physiotherapists funded by physiotherapists.

The Benevolent Fund Trustees fully recognise the serious implications that the COVID-19 pandemic will have on members;  on physical health – e.g. getting the virus, having a family member who is vulnerable or ill, - e.g. mental health such as social isolation, financial concerns, family worries, closing practices etc.  Any or all of these can have a devastating effect on members’ livelihoods.

The Trustees will endeavour to assist as many members as possible from within the existing funds but believe that the needs arising from these extraordinary times will be great. In their effort to provide help for as many members as possible (through its totally confidential service), they are making an urgent plea for donations. The Trustees are appealing to members who are in a position to contribute to assist colleagues, during this pandemic collegiality has never been more vital.

If you would like to make a donation, you can make it directly into the Benevolent Fund account via electronic bank transfer.  Details are available on the Benevolent Fund section of the website via the following link: https://www.iscp.ie/members-area/other-benefits/benevolent-fund

Your support for colleagues is deeply appreciated.

 

Advertisements