JULY 10, 1990 VOLUME 76, NO 7

1991. The diary cover will be blue with the On sale from this year's Congress armorial bearings in gold. For the upwardly

onwards, the diary has five pages of useful mobile, we expect to have available to information about the CSP as well as many members a Filofax insert with the same other facts and figures of general use. Within information. the five-page supplement, there is a list Details of prices and how you can obtain of Council members, notes about each your diary will be given in future editions of department and the names of staff, a potted the Journal.

Physiotherapy

'Experiential Learning'

Come into t h e Nineties NOW at The Chartered Society of

Physiotherapy, October 5, 1990 For more details see page 386.

J O U R N A L OF T H E C H A R T E R E D S O C I E T Y O F P H Y S I O T H E R A P Y

14 BEDFORD ROW, LONDON WClR 4ED. TELEPHONE 071-242 1941 FAX 071-831 4509

Furore on Chiropractic A report by the Medical Research Council

which appeared to show that patients with back pain benefit more from chiropractic than from physiotherapy has met a farrago of opposition from physiotherapists and others throughout the country.'

The report was published in the British Medical Journal of June 2. Letters were published in the local and national press

from many members of the Chartered Society, including Mrs Joyce Wise, chair- man of the CSP Council.

The 8MJ of June 23 carried three pages of letters about the report from doctors and others, again including one from Mrs Wise.

For more detailed specialist opinion on the methodology and results of the study, see the letters published in this issue of Physiotherapy.

Review Body Will Stay for PAMs

Queen Honours Physiotherapists

Three physiotherapists were included in the Queen's birthday honours list last month.

The OBE was awarded to Mr Robin McKenzie FNZSP of New Zealand, who had also just been made an honorary Fellow of the CSP in recognition of his development of examination and treatment techniques.

Known internationally as an authority on the diagnosis and conservative management of mechanically originating spinal disorders, Mr McKenzie will give the Founders' lecture

Al l inquiries about the WCPT Congress, including requests for advance programmes and abstract forms, should be directed to Conference Associates (WCPT), Congress House, 55 New Cavendish Street, London W1M 7RE (tel 071-486 0531) and not to the CSP.

NHS Campaign: The Next Steps By the time this edition of the Journal

reaches you, the NHS and Community Care Bill will have become an Act of Parliament and the way wil l be clear for the Government's proposals to become a reality.

As the Society has said all along, once the Parliamentary phase is over, we would initiate a campaign of information and support, t o help members make the decisions required to maintain a compre- hensive physiotherapy service. This campaign starts now and is twofold.

A series of briefing papers on contracts, physiotherapy management models, norms and so on will be published over the next few months. These won't be designed to tell members what to do or how to do it; what they will do, however, is set out alternative ways of solving particular problems.

At the same time, a programme of

workshops and conferences is being drawn up, also with a view to setting out alternatives and hearing opposing points of view. In addition, the workshops will provide some training for those members involved in drawing up business plans and contracts, marketing and managing physiotherapy services. The first conference will be on Tuesday, November 6, in Solihull and will, most probably, be on the delivery of therapy services in the new NHS. It will be open to all therapists and other interested parties. The second will be in London on Monday, November 12, and will focus on community care in the new NHS. Details of the events will be circulated to Branches, Specific Interest Groups, District and Area physio- therapists as soon as they are known; they will also be featured in the Journal.

DLF Director Goes Mr Jim McKinnon is resigning his post

after only nine months as director of the Disabled Living Foundation. He has stated that he has achieved his aims of setting up a business plan and introducing new thinking in fundraising, and is resigning mainly for personal reasons.

Mr Barney Wilson, chairman of the DLF trustees, claims the director's departure is an entirely amicable arrangement. But he admits that some staff are disillusioned with Mr McKinnon's management style. The music and visual handicap advisory services were closed without prior consultation with staff, and an Integrated Disability Information Service was launched for local authorities without reference to established local advice-giving organisations which feared their funding might be withdrawn.

The telephone number of the DLF is 071-289 6111. We regret this was published incorrectly in our June issue.

Changes in the NHS The CSP will be running a series of

workshops and conferences on the recent developments in the NHS. It is hoped that these will attract participants from all levels of the profession.

There will be two workshops at the CSP headquarters, on October 8 and 29, and three conferences, aimed at managers, to discuss the different aspects of the changes as they affect the delivery of therapy services. The conferences will be open to a larger audience than the workshops and they will take place on the following dates:

November 6, 1990

November 12, 1990

London

St John's Swallow Hotel, Solihull

Queen Elizabeth II Conference Centre,

March 1991 Queens Hotel, Leeds

The registration fee for the conferences will be €75. The workshop delegate rate will be €30 per person.

Further information is available from the Events Unit, Chartered Society of Physiotherapy, 14 Bedford Row, London (tel 071-242 1941).

Standards of Physiotherapy Practice The first-ever document 'Standards of Physiotherapy Practice' produced by The Chartered Society of Physiotherapy was launched on Monday, July 9. It provides a framework within which local standards can be set and will be a tool for clinical audit.

The document is presented in a ring binder, together with copies of five Clinical Interest Group 'Guide Lines of Good Practice':

Acupuncture Association of Chartered Physiotherapists - Policy for the Practice of Acupuncture by Chartered Physiotherapists.

Association of Chartered Physiotherapists interested in Neurology - Guide Lines of Good Practice for Physiotherapists Working in Neurology.

Association of Chartered Physiotherapists in Obstetrics and Gynaecology - Guide Lines of Good Practice.

Association of Paediatric Chartered Physiotherapists - Paediatric Physiotherapy Guide Lines for Good Practice.

Association of Chartered Physiotherapists in Respiratory Care - Guide Lines Towards Good Practice in Respiratory Care.

This will allow further booklets to be included as they become available.

The package is available from the Professional Affairs Department at an all-inclusive cost of f12. Cheques, made payable to The Chartered Society of Physiotherapy, should be included with orders.

Keep Good

Up the Work

Now we've all had time to recover from the enormous efforts put into the National Physiotherapy Week, it's time to sit back and take stock. Members made contact with their local newspapers, radio and, in some cases, TV stations. Many of you wrote articles and appeared on various programmes.

Whatever you do don't lose contact with journalists you spoke to during the Week. Build on your relationship with the media. Keep them informed of any special events taking place in your area. If one of your members wins an award, is invited to a Buckingham Palace garden party, or gets elected to a top job, let your local journalist know. It might generate a small newspiece on the radio or in your local newspaper.

Surveys or 'straw polls' on subjects such as any increase in tennis injuries during Wimbledon, and simple preventive advice

will always be of interest. Look for suitable publicity opportunities. Why not offer to give warm-up tips for runners in your local marathon? Send journalists information about any fundraising activities, presenta- tion of cheques, open days, and Royal visits or openings that are taking place in your area. There should be no shortage of potential news stories. Keep your ear to the ground and your eyes open and you will be surprised at the number of physiotherapy stories which could interest your local media.

Don't wait for another NPW to organise an open day, have displays in your local library or shopping centre, or invite schoolchildren to visit your department. The work you do as a profession will be of interest any day of the week or year. So do keep up the good work and build on the excellent start you made to your PR work during NPW. It would be a pity to lose all the experience you gained by not putting it into practice on a regular basis.

380 physiotherapy, July 1990, vol76, no 7

CSP at Northern Bodyworld Many members will be aware that this

year's national garden festival is in Gateshead and that a large part of the area has been given over to a Bodyworld exhibition. You may not, however, be aware that physiotherapy will be on display at this exhibition for one week in August (13-18).

If you are considering a summer visit to Gateshead, why not go during that week and pay a visit to the physiotherapy exhibition - and support your profession and your Society.

To All ACPIN Members Would all members of the Association of

Chartered Physiotherapists Interested in Neurology please read the motions to be debated at the Representatives Conference during the Annual Congress 1990, published on pages 387-390.

We would like your opinion on any or all of the motions so that your views can be expressed by the voting representatives from ACPIN.

Please send any comments by August 30 in writing to Di Johnson MCSP, Physio- therapy Department, South Cleveland Hospital, Morton Road, Middlesbrough.

Open All Hours After the success of the open days during

NPW the Society has produced a new factsheet (No 17) on how to organise an open day. Drawing on the advice and experience of the many people who held open days during the week, the factsheet gives practical advice on organising the event, timing, publicity, displays, and how to make the day itself work effectively. It is available free of charge, from the PR Department at the CSP.

Trial Day Physiotherapy, occupational therapy and

computer equipment used in treatment of elderly people was on show at a special open day last month at St George's Hospital, London.

Professionals involved in the field were invited to try out the equipment and the items approved will be used to equip a centre of excellence for rehabilitation of the elderly at the hospital.

The centre will be established with a f l million gift from an anonymous donor, and is expected to open this autumn.

Your Patients are Waiting . . , . . . in Fiji, Morocco, Palestinian camps, Papua New Guinea, Romania, Tanzania, Thailand and Zimbabwe.

Experienced physiotherapists are needed for overseas contracts of varying lengths and with many different voluntary government or mission agencies.

Contact: lsobel McConnan, Bureau for Overseas Medical Service, Africa Centre, 38 King Street, London WC2E 8JT (telO71- 836 5833).

Picture Parade Miss Marianne Waters of the CSP Membership Department admires pictures given by Boards to mark the opening of the Jockeys Fields building. Clockwise from the top they are a painting donated by the North West Board; Plymouth Hoe, and the Brunel and Saltash Bridges from the South Western Board; the Pantiles, Tunbridge Wells, from South East Thames; and a marsh mill on the Bure given by the East Anglian Board. They were grouped here for the purpose of the photograph but they are now hung at strategic points throughout the complex.

OBITUARY

Miss Laura Yuill Mitchell MCSP DipTP

Laura Mitchell died on May 5 at the age of 83. She qualified as a physiotherapist in 1930 at the Western Infirmary, Glasgow, and subsequently trained in the Margaret Morris Movement in Edinburgh. She also did a course in elocution and drama and during the Second World War took her Teachers' Certificate at the Swedish Institute, London. After working in Edinburgh for some time she moved to London where she joined the staff of St Thomas's School of Physiotherapy and for many years taught living anatomy at the London School of Occupational Therapy.

It was while working with expectant mothers that she started to develop her method of relaxation based on the study of the physiology of muscle action. In 1963 she was invited to present a paper on the subject at the World Congress of Physical Therapy in Copenhagen. This launched her on a career of lecturing and broadcasting here and overseas. In 1977 John Murray published Simple Relaxation - the classic guide to the relief of stress. This was followed by Simple Movement (written in collaboration with Barbara Dale) and Healthy Living over 55. But it is for her relaxation method that her name is famous and today it is practised in clinics and hospitals throughout this country as well as in many other parts of the world. (It is the approved

method for the Association of Chartered Physiotherapists in Obstetrics and Gynaecology.)

Despite long periods of ill-health (she remained crippled after four hip operations) Laura continued to work until her last illness, appearing regularly in the 'Getting On' programmes produced by ITV; in 1988 Age Concern published The Magic o f Movement - A tonic for older people. This is a brilliant little book encouraging the elderly in positive physical and mental attitudes of which she was a living example.

She was a life member and vice-president of the Association of Chartered Physio- therapists in Obstetrics and Gynaecology - regularly lecturing on the Association's training courses and attending their study weekends when her health permitted. Many members will remember with gratitude her lucid lecture/demonstrations of physiological relaxation. They will be grateful also for the invaluable help she gave in the skills of public speaking.

Laura will be sadly missed by friends and colleagues. Her enthusiasm and courage through her periods of ill-health were an inspiration to all. Despite all her hard work she still made time to indulge in her hobby of gardening and to attend to her beloved cats. She was a regular church-goer and left a request for a memorial service of thanksgiving for her life. This was held in the chapel of the Royal Free Hospital, Pond Street, London NW3 on June 16.

JMcK

Wsiotherapy, July 1990, vol 76, no 7 38 1

Harkness Fellowships The Harkness Fellowships' Programme is

now seeking applicants for 1991. The Fellowships provide a unique opportunity for people w i th substantial professional experience to spend six to nine months in the USA. The aims are primarily t o expose potential leaders to new ideas, approaches and contacts in the USA and to enhance their ability to bring about change and improvement in the UK; and to build up enduring relationships of value to both countries. The three main subject areas are promoting good health, education for the 21st century, and people in cities.

Fellows are likely to be between their late 20s and early 40s. They will be selected on the basis of their qualities as potential leaders, the quality and relevance of their project proposals, their career achieve- ments, interest in applying new ideas and approaches, and a commitment to advanc- ing international understanding.

Further information and application forms are available from The Harkness Fellowships, 28 Bedford Square, London WC1B 3EG (tel 071-631 04111.

Change of Chairman for Association of Continence Advisers

Mrs Dorothy Mandelstam MCSP DipSocSci, founder member and first chairman of the Association of Continence Advisers, has given up her chairmanship this year.

She will continue to run the Incontinence Advisory Service at the Disabled Living Foundation.

The new chairman is Jean Swaffield MSc RGN.

The multidisciplinary Association of Continence Advisers has appointed its first professional development officer, Christine Horton MA RGN.

The Association welcomes physio- therapist members. Its address is the same as that of the Disabled Living Foundation - 380-384 Harrow Road, London W 9 2HU (tel 071-266 3704).

EC Council Adopts Two Safety Directives

The European Community Council of Ministers has recently adopted directives on minimum health and safety requirements for work with display screen equipment (formerly 'visual display units') and for the manual handling of loads where there is risk particularly of back injury to workers. Member States have until the end of 1992 to implement both directives, and the Health and Safety Executive today announced the next steps towards their implementation in Great Britain.

The Health and Safety Commission (HSC) will be considering how to implement the directives in Great Britain. Some changes to British law will be necessary and it is likely that new regulations under the Health and Safety at Work etc Act 1974 will prove to be the best means of achieving this. Work has already begun on the development of suitable proposals and HSC expects to publish consultative documents during 1991 with its proposals for implementing the directives

CONGRESS 1990

Back to Basics The Founders' lecture this year will be

given by Robin McKenzie who is an' acknowledged authority on back and neck problems. He has lectured extensively on the subject and with colleagues formed the McKenzie Institute. His self-help books for the public and those for physiotherapists are ever popular, as is the McKenzie or lumbar roll which he developed for back pain sufferers. This summer he has been awarded the OBE in the Queen's birthday honours list, and had an honorary Fellowship conferred by the CSP.

His Founders' lecture 'Patient - Heal thyself' wi l l undoubtedly be a both fascinating and stimulating session. The lecture takes place on the opening day of Congress, Thursday, September 27.

Later in the day delegates will have the opportunity to hear Mr McKenzie speak again, on 'Altering pain patterns in mechanical therapy of the spine' which is one of the concurrent sessions. Places will be limited and the session will not surprisingly be in great demand, so book now to avoid disappointment.

Robin McKenzie is but one of the array of

high calibre speakers at this year's Congress. If you would like to find out more about the conference programme and book a place, look in the May issue of the Journal for details.

McKenzie Course

Immediately after Congress, Robin McKenzie will be presenting a course on The Lumbar Spine. The course will run from September 29 until October 2 and will be held at the Bournemouth General Hospital Education Centre.

Mr McKenzie will be joined on the course by two members of the teaching faculty of the McKenzie Institute (UK) - Juliet Moss MCSP and Malcolm Robinson MCSP.

The course consists of lectures and demonstrations accompanied by examina- tion and treatment of patients wi th complaints of lumbar pain with or without radiation. Participants will have the rare opportunity of observing Mr McKenzie examining and treating patients using the principles he has developed.

Following completion of the course, participants will be able to:

Perform an evaluation on a lumbar spine patient following Mr McKenzie's outline.

0 Define the three syndromes - posture, dysfunction and derangement as described by Mr McKenzie.

0 Plan and administer the self-treatment and prophylaxis regime for each of the three syndromes.

0 Become familiar with the lateral shift correction technique and able to deal with the lateral component of lumbar derangements.

Attendance on the four-day lumbar course is a pre-requisite for acceptance on other courses (parts 6-D) presented by the McKenzie Institute.

Applications for the course should be made to Mrs A Trigg, Physiotherapy Department, St Leonard's Hospital, near Ringwood, Hants.

______ ~~

For the motions to be debated at the Representatives' Conference and more information about the poster session and travel arrangements please see elsewhere in this issue.

CSp CONGRESS 1990