{"id":293,"date":"2022-01-31T11:41:04","date_gmt":"2022-01-31T11:41:04","guid":{"rendered":"https:\/\/services.nhslothian.scot\/ecps\/gp-advanced-physiotherapy-practitioners\/"},"modified":"2022-01-31T15:27:58","modified_gmt":"2022-01-31T15:27:58","slug":"gp-advanced-physiotherapy-practitioners","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/ecps\/gp-advanced-physiotherapy-practitioners\/","title":{"rendered":"GP Advanced Physiotherapy Practitioners"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">General Practice Advance Physiotherapy Practitioners (GP APPs)- or &#8220;First Contact Practitioners&#8221;\u200b<\/p>\n\n\n<div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs.jpg\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs-764x1024.jpg\" alt=\"Two female nurses standing in waiting room area.\" class=\"wp-image-336\" width=\"573\" height=\"768\" srcset=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs-764x1024.jpg 764w, https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs-224x300.jpg 224w, https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs-768x1029.jpg 768w, https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs-851x1140.jpg 851w, https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/GPAPPs.jpg 1040w\" sizes=\"auto, (max-width: 573px) 100vw, 573px\" \/><\/a><figcaption> General Practice Advance Physiotherapy Practitioners (GP APPs) <\/figcaption><\/figure><\/div>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">The GP APP works within a GP practice as part of the primary care team assessing and managing people with muscle, bone or joint symptoms. They provide an alternative to a GP appointment and work as &#8220;First Contact&#8221; clinicians.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GP APPs provide advanced level assessment and management for people with musculoskeletal symptoms. They can recognise when a condition is not musculoskeletal and take appropriate action (i.e. referring on to the most appropriate service).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients can request an appointment with the GP APP; they can also be directed to them by reception staff. GPs can also request an expert MSK opinion from the GP APP. This service is now available in an increasing number of GP practices in Edinburgh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;Advanced Practice is a combination of advanced skills, knowledge and attitudes together with a core set of physiotherapy skills and knowledge, tailored to individual patients and local environments&#8221; (Chartered Society of Physiotherapy, 2018).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u200bA GP APP provides<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Advanced level assessment, clinical diagnosis and management of patients presenting with MSK symptoms<\/li><li>MSK triage: a very quick route to brief intervention, advice and support to facilitate self-management<\/li><li>Identification and appropriate escalation of those with a non-MSK presentation<\/li><li>Identify the need for and refer for x-ray investigations<\/li><li>Provide advice on simple analgesia under protocol<\/li><li>Sign post to pharmacy, community and voluntary sector support<\/li><li>Referral to physiotherapy, orthopaedics, integrated pathways and the Leisure sector where indicated<\/li><\/ul>\n\n\n\n<p class=\"has-text-align-center has-light-accent-grey-background-color has-background wp-block-paragraph\"><em>&#8220;The results suggest that patients with musculoskeletal conditions may be assessed and managed independently and effectively by physiotherapists instead of GPs. This has the potential to significantly reduce workload for GPs as the service requires minimal GP support. The majority of patients were managed within primary care, with low referral rates and highly appropriate referrals to orthopaedics. Patients reported positive views regarding the service.&#8221;<\/em><\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\">Downie et al. 2019 BJGP<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/gpapptimeline.gif\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" width=\"754\" height=\"902\" src=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/gpapptimeline.gif\" alt=\"How does seeing a GP App work poster\" class=\"wp-image-326\"\/><\/a><a href=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/gpapptimeline.gif\" data-fancybox=\"wpcp-wp-img-326\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/ecps\/wp-content\/uploads\/sites\/13\/2022\/01\/gpapptimeline-251x300.gif\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>General Practice Advance Physiotherapy Practitioners (GP APPs)- or &ldquo;First Contact Practitioners&rdquo;&#8203; The GP APP works within a GP practice as part of the primary care team assessing and managing people with muscle, bone or joint symptoms. They provide an alternative to a GP appointment and work as &ldquo;First Contact&rdquo; clinicians. GP APPs provide advanced level<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"page-templates\/widewidth.php","meta":{"_gspb_post_css":"","footnotes":""},"categories":[],"class_list":["post-293","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"davidmcbain","author_link":"https:\/\/services.nhslothian.scot\/ecps\/author\/davidmcbain\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"General Practice Advance Physiotherapy Practitioners (GP APPs)- or &ldquo;First Contact Practitioners&rdquo;&#8203; The GP APP works within a GP practice as part of the primary care team assessing and managing people with muscle, bone or joint symptoms. They provide an alternative to a GP appointment and work as &ldquo;First Contact&rdquo; clinicians. GP APPs provide advanced level","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/pages\/293","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/comments?post=293"}],"version-history":[{"count":1,"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/pages\/293\/revisions"}],"predecessor-version":[{"id":354,"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/pages\/293\/revisions\/354"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/media?parent=293"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/ecps\/wp-json\/wp\/v2\/categories?post=293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}