Technology in healthcare: innovation, acceptance and adoption #physiotalk 8 August 2016

On Monday 8th August at 8pm UK time we’ll be discussing technology in health and healthcare. We’ll be covering the knowledge, skills, values and behaviours we need to develop and evaluate new and existing technologies, and put them into routine use.

Technology and physiotherapy

apple-watch-right-handTechnology isn’t new to physiotherapy. Electrotherapy has been in use for years, but the pace of change for new devices coming onto to market means that there is now far more choice of technology for healthcare professionals, patients and communities to use and improve health and healthcare.

The NHS is notoriously slow at putting proven technologies into practice, so how do we keep up with the pace of technological changes and make sure we are making the most of all that technology has to offer in improving clinical and cost effectiveness, as well as improving health, outcomes and patient experience?

Earlier this week I attended an ecosystem event in Manchester, a network that brings together academic expertise, industry partners, NHS, Public Health and local government, and patient and service user representatives. The event focused on technology promoting physical activity & healthier lifestyles. I was struck by both how relevant the afternoon was for AHPs, but also how much we could add to the discussion and debate.

Devices, diagnostics, genomics, drugs, telecare, electronic patient records, apps, websites, messaging, Skype, social media, wearables, genomics to name but a few. How do we develop our understanding of what adds value when and where, and a structured, systematic approach to putting technology into practice and evaluating impact?

Questions to think about before the chat

  1. What technology is out there for us to use in health promotion, clinical practice and learning/education?
  2. What skills do we need to use, critique, and adopt technology into routine practice?
  3. What knowledge and skills do patients and communities need?
  4. What support is out there to help us?
  5. How can we get involved in influencing technology development and adoption at a local, regional and national level?
  6. Do we need a national (or international) physiotherapy forum or network to focus on supporting and leading technology development and adoption?

Pre-chat resources


#Physiotalk: Understanding the impact of participating in a social media community 22nd Aug

We are are planning a slightly different tweetchat for Monday 22nd August – at the usual time of 8pm BST. That’s because we are using this chat to start our research on the impact that Physiotalk has had on your CPD. We are primarily using Twitter via a tweetchat to undertake the research (of course!). If you take part in the chat on the 22nd August then you will have given implied consent to take part in our research. Because of this we are asking you all to read the research participant information that is below prior to the chat:


Physiotalk (who are Naomi McVey, Janet Thomas and Rory Twogood) would like to invite you to take part in a research study called ‘Physiotalk – Understanding the impact of participating in a social media community’. Physiotalk tweetchats have been running for over 2 years and it is important to evaluate what the impact in taking part in chats has been for people who have participated. We are collaborating with Queen Margaret University in this research, with advice on research design, analysis and interpretation from Dr. Cathy Bulley, Reader at the university.


To enable you to consider whether you would like to take part we would like to explain about the research project and how it is to be conducted. If you do decide to take part then your participation would be voluntary and you can contribute as little or as much as you like to the research.

The aim of the research is to explore the impacts of taking part in Physiotalk Tweetchats on continual professional development and professional practice, from participants’ perspectives.

Stage one of the research

The first stage of the research will use a tweetchat on the 22nd August to explore questions around your participation in a physiotherapy tweetchat (Physiotalk) and what the outcomes of this have been from your personal perspective.

The tweetchat questions will include:

What does Physiotalk mean to you’

‘How do you use Physiotalk?’

‘What prompts you to participate in physiotalk activities?’

‘What affects your participation in physiotalk activities?’

Has taking part in Physiotalk impacted on or contributed to your CPD?’

Has taking part in Physiotalk impacted on your practice?’


If you participate in the tweetchat then your consent to take part in the research will be implied: this stance will be reiterated at the start of the chat and at intervals throughout the chat.  The responses from the tweetchat will be collected as a transcript and analysed for emerging themes.

Stage two of the research (after the tweetchat)

The second stage of the research will allow participants to more fully respond via Twitter, or by Direct messaging or Email if you wish your response to be seen only by the research team. This response will be your fuller personal response following the tweetchat about what taking part in a physiotherapy based tweetchat has meant for your practice and CPD. The researchers may also add supplementary questions following any insights gained from the first stage of the research. If you choose to respond in this manner, then as with stage one your consent to participate will be implied following receipt of your tweet, direct message or email. There will be a further blog posting around this after the 22nd August.

Am I eligible to take part?

You are eligible to participate in either or both stages of the research if you have had any interaction with a tweetchat; this includes posting a tweet during a chat, following during the chat, but not posting any tweets in response (‘lurking’) reading the transcript following the chat or reading the pre or post chat information on

What will be the benefit of taking part for me?

There will be no direct benefit from taking part in the research for participants. However, it will increase insights into accessible and effective methods of promoting and maintaining continuing professional development, with potential indirect benefits to patients and to professional morale.

Will my responses be private?

As Twitter is a public space, then if you participate in stage one of the research then your responses will be in the public domain. You can choose a method of response for stage two which allows your responses to remain private and only seen by the research team. These responses will be received via Email or Twitter (Direct messaging). The email account and Twitter account are password protected with only the research team having access. The content will be also stored on a password protected ‘One Drive’ site with only the researchers having access.

The research will be presented for publication to appropriate journals and professional conferences, but no participants will be identified in these publications.

Can I withdraw from the study?

Any participant can withdraw from the study at any time without any reason given. If you wish to remove your responses from the study analysis at any stage then you should email stating the method in which you have participated (your @twittername or email) and all your responses will be removed from the study and subsequent analysis. Your tweets will remain in the public domain unless you choose the delete your tweets.

Ethical approval

The study has received ethical approval from Queen Margaret University Ethics Committee (REP0133)

Tweetchat support

Advanced Practice in Physiotherapy: training, governance and impact #physiotalk 25 July 2016

On Monday 25th July at 8pm(BST) we’ll be discussing Advanced Practice in physiotherapy in a #physiotalk tweetchat.

Advanced practice enables physiotherapists to incorporate advanced level skills and knowledge within their physiotherapy practice. Advanced Practice Physiotherapists (APPs) have the skills to address complex decision making processes and manage risk in unpredictable contexts. Physiotherapists incorporating advanced practice will have completed an advanced programme of studies and/or, are able to demonstrate the ability to work at an advanced/ Master’s level of practice’. CSP, 2016

APWorkforce shortages, financial pressures, changing patient needs, service and care pathway redesign and non-medical prescribing have led to an increased focus on Advanced Practice roles across professions and in a range of areas of care. This brings both opportunities and challenges for physiotherapy.

During our chat we’ll be discussing what Advanced Practice is, how it varies, opportunities, risks and impact. Although many Advanced Physiotherapy Practice roles can be found in MSK services a number can also be found in other areas of practice, so the chat will explore common themes as well those unique to different specialties.

Pre-chat resources:

Questions to think about:

  1. What is Advanced Practice? What isn’t it?
  2. What examples of Advanced Physiotherapy Practice are there across the country and internationally?
  3. Is there a consistent understanding of Advanced Practice roles, and how standardised are educational requirements, competencies and job descriptions? How could this be improved?
  4. Have we got the governance of these roles right to ensure safe and effective care?
  5. How can we identify and share best practice, as well as learning and impact?

Tweetchat support

Chat host:

The chat will be hosted by Naomi McVey, member of the physiotalk team and also Programme Manager for AHP Workforce in the North West of England.

Physiotherapists as leaders in physical activity #PEPA16 tweetchat 13 June 2016

We are delighted to be collaborating with @exerciseworks and @annalowephysio for our physiotalk tweetchat on Monday 13th June 2016 at 8pm UK time. We’ll be using the hashtag #PEPA16.

Physiotherapy, exercise and physical activity MOOC

BJSM NM 4On 4th July Physio-pedia and Exercise Works! are launching a Physiotherapy, Exercise and Physical Activity MOOC (#PEPA16). A MOOC is a Massive Open Online Course; it is free and available globally. MOOCs offer a flexible CPD option; you can lurk quietly, dip in and out, or get stuck in, complete the activities, contribute to the discussions and evidence your CPD with a certificate of completion. The MOOC will be a global learning experience on a highly topical subject…and from the comfort of your own home! Continue Reading

Learning from lived experience #physiotalk 30 May 2016

Lived experience of health and healthcare: how it shapes the way we work and lead

lived experienceWhile we spend the majority of our time as the healthcare providers inevitably there will come a time when the roles are reversed and we become a patient, or carer. This provides an (unwelcome!) opportunity to see how the system works from a service-user’s perspective and can often provide important insights, lessons and knowledge which can be taken on and applied to our professional practice and services. Continue Reading

NICE guidance on low back pain & sciatica: #physiotalk Monday 18 April 2016

??????????????????????????????????????????????????????????????????????????????????????On Monday 18th April at 8pm UK-time we will be joining with Steve Nawoor, Roger Kerry, Chris McCarthy and Chris Mercer for a #physiotalk tweetchat on the draft NICE guidance on low back pain and sciatica. We’re aiming to facilitate constructive discussion on the draft recommendations, tackle some myths about NICE guidance in general, and highlight how you can get involved in the consultation and more broadly in the work of NICE.  Continue Reading