Due to COVID-19 I have had to change my practice. This has effected when, where and how I work.
Risks of Face to Face treatment
My governing body, The Chartered society of Physiotherapy (CSP) has provided it’s members with a flowchart that I should follow when deciding whether a face-to-face (F2F) consultation is appropriate. As part of this process I need to speak with you prior to making an appointment and will be asking a series of questions. At the moment it may not be appropriate or necessary for everyone to attend a F2F appointment. You may fall into a group where, should you catch the virus, the risk of a very bad outcome (including death), is moderate to very high and the risks involved versus the benefits of attending need to be considered particularly carefully in this case. You may prefer a remote appointment by phone or video call.
The virus is transmitted through respiratory droplets which can enter the body through the eyes, nose and mouth either directly (through sneezing, coughing or speaking) or after touching a contaminated object. This is the reason why washing our hands with soap and water for 20 seconds and social distancing are so important.
We should still remain socially distant from anyone who is not in our own household (a "support bubble" is considered part of a household. A support bubble is a close support network between a household with only one adult in the home and one other household of any size). Wherever possible we should keep 2m from anyone not in our household. If this is not possible then, if other measures are put in place, Im distance is acceptable. Examples of “other measures” include the use of facemasks / coverings and other personal protective equipment (PPE), screens and barriers or orientating ourselves so that we are not facing each other.
The amount of time we are close to someone plays a part in the risk of infection – the shorter the time the lower the risk. NHS Test and Trace considers someone to be a contact if you have been within 2m of someone or within 1m of someone if other measures are in place, for a period of 15 minutes or more.
When the decision is made to have hands on treatment both the giver and receiver of that treatment are taking a risk by making a choice to ignore the social distancing rules and coming into very close contact. Therefore some of the measures listed above, plus others, will be in place to help mitigate this risk. However it is not possible to completely eradicate the risk of catching this coronavirus.
Although I will be screening people twice re symptoms of COVID 19 you need to be aware that the virus is highly infectious and there is a long incubation period. A person may have the virus but symptoms haven't developed yet (pre-symptomatic) or they may never go on to develop symptoms (asymptomatic). These people can still spread the virus.
Your consent is required if we decide it is appropriate to go ahead with a F2F appointment.
Please note that I also need consent from you to pass on your contact details to NHS Test and Trace should the need arise. You do not need to give this latter consent but if you decline then I am unable to offer any form of face to face treatment. A remote treatment is still possible.
What to expect when you attend for treatment.
What am I doing?
- Screening patients before each attendance
- Implementing an enhanced cleaning regime before and after each patient
- 15 minute gaps between appointments in order to clean and ventilate the room
- Washing / sanitising hands regularly
- Wearing PPE in line with Public Health England guidelines ( apron, gloves, surgical face mask, visor if necessary)
- Scheduling higher risk patients either first thing or directly after my lunch break whenever possible so fewer people have been in the room directly prior to your attendance.
What am I asking you to do?
- Do not make an appointment if you or anyone in your family have any symptoms of COVID-19 or feel unwell and let me know as soon as possible if you need to cancel an appointment
- Wear a facemask / covering to your appointment
- Only bring essential items with you.
- Arrive on time for your appointment but stay outside the clinic. I will come and meet you.
- Use the hand sanitiser available
- Observe social distancing whenever possible within the clinic
- Attend alone unless a parent, guardian or carer is needed. Let me know if this is the case as I will need to book a larger treatment room.
More information will be sent to you once an appointment has been made.
At your first appointment I will make an initial assessment of the problem for which you are attending. I ask questions about your problem, such as how and when it started, your current symtoms and what makes them better and worse. I also need to get some background information, ask about your general health and what medication, if any, you take. My aim is not just to treat the symptoms but to try and find the cause of the problem, if this is not already obvious, and to achieve this the initial assessment is crucial.
I will then do a physical assessment which will involve examining the problem area(s), and performing special tests. I need to be able to see the area concerned so please be prepared to undress to your underwear in some instances.
There will be time for questions and to discuss treatment options or whether physiotherpy is the appropriate treatment for you. If physio is an appropriate option, some form of treatment will be provided.
Sometimes it can take a while to get to the bottom of things which is why 1 hr is allowed for this assessment. If your problem is complex, or you have multipe sites that you would like treating, I recommend you book 90 mins for your initial assessment.
I am keeping F2F appointments to a maximum of 1 hour. For those seeking Myofascial Release (MFR) I am dividing the initial assessment into 2 parts: an appointment is made to ask questions either over the phone or preferably via video call; the second part (an hour) is done in person to do the physical assessment and treatment. The normal fee for the 85 mins will apply and include both parts.
How many sessions will I need?
This is difficult to say as it will depend on a number of factors such as what the problem is, how long you have it and how much you are prepared to do self treatment . Everyone is unique so it will also depend on how you respond to treatment. I will be able to give an estimate after your initial physiotherapy assessment. It is harder to estimate the number of MFR sessions.
What should I wear?
Please wear something loose that allows the area concerned, and it's surrounds, to be easily exposed (within reason). For example if you have a problem with the elbow I need to see the whole arm. Be prepared to undress to your underwear in some instances, particulalry if you are attending for MFR. I would suggest bringing some loose, stretchy shorts to change into if you are attending regarding any part of your leg or lower back area. Ladies, please no racer back bras or all-in-one gym tops if you are seeing me for MFR or re your shoulder, neck or upper back area.
It is very difficult to do MFR if the skin is slippy, so please do not apply any lotions or creams, etc immediately before attending if you are having this treatment.
Currently the earliest start time is 9.15am and I finish between 5pm and 5.30pm. I am not working weekends. I do try to be relatively flexible and I will try to accommodate your needs where possible.
At present I work at Kings Norton only on Monday, Tuesday, Thursday, Friday. Remote sessions are available on Wednesday - other times may be available.
Availability at either clinic may be subject to change.
- initial consultation, up to 85 mins £68
- follow up treatment up to 55mins £46
- extended follow up treatment up to 85 mins £68
- initial physio consultation up to 55 mins £48
- standard follow up treatment up to 25 mins £36
- extended physio follow up treatment up to 55 mins £46
An additional fee may be charged for some pieces of equipment.
How do I pay?
I am accepting payment by card. Bank transfer may be available. Payment by cash or cheque is not accepted at the moment.
Any more questions?
Please do not hesitate to call me if you have any questions, there will be no obligation to book an appointment. I would prefer you to gather information to make a decision and find a practitioner with whom you feel comfortable. Contact me directly on the phone number on the contact page - I will most likely be with a client so leave a message and I will return the call as soon as possible that same day.
Data protection policy - why I collect your data and what I do with it
When a client supplies personal details to this clinic they are stored and processed for 3 reasons (the wording in bold are the relevant terms used in the General Data Protection Regulation).
1) I need to collect personal information, including health details, in order to provide the most appropriate treatment. When a client requests treatment and I agree to provide that care this constitutes a contract.
2) I have a legitimate reason for collecting that information because without it I could not do my job effectively or safely.
3) It is important to sometimes contact you regarding your appointments and on occasions to provide information about which you have expressed an interest. In this case it is your legitimate interest that I do so.
I have a legal obligation to retain client records for a minimum of 8 years after your most recent appointment (or age 25 if this is longer) after which time your records will be deleted.
Client data will never be shared with anyone unless I have the express consent of the client to do so. A proviso is that this confidentiality does not endanger the therapist’s own safety or that of the client, the client’s family members or other members of the public, nor contravene any legal action or legal requirement.
You have the right to see what personal data of yours I hold and you can also ask me to correct any factual errors.
You have the right to request that your data is made portable so that it can be transfered to another data processor (ie someone else who may process your data, for eg another health professional)
If you feel I may be mishandling your data in any way you have the right to complain directly to me. If you are not satisfied with my response then you have the right to raise the matter with Information Commissioner’s Office.
Facebook business page stores your information so is a ‘third party’. Please be aware of this.