Learning from clinical experiences

Inevitably in your career you are going to have experiences that cause you an upset.  This could be a complaint against you – formal or informal, an adverse event after treatment, principal-associate issues, business disputes or lots of other situations.  A bad experience can really knock your confidence and have negative effects on how you practice.  Equally a bad experience could become a positive experience helping to develop and inform your practice to become a better practitioner. Negative or Positive? There are two factors that can make all the difference Continue Reading »

Advice on what to do in the event of a Complaint or Claim

By David Balen MD Balens Specialist Insurance Brokers None of us know when we may find ourselves in a potential claim situation.  You have purchased your insurance to give you peace of mind, knowing that should you ever find yourself in such a situation, you will have the back up to help and support you through the process.  However the reality is that regardless of the insurance, a complaint or claim against you or your business can be very stressful, time consuming and costly, with potential unexpected knock on effects Continue Reading »

What happens when a complaint is made?

Do you know how many committees the General Osteopathic Council has for dealing with complaints?  The answer is three – the Investigating Committee, the Professional Conduct Committee and the Health Committee.  The three committees for investigating allegations against osteopaths are statutory with their specific functions laid down in the Osteopaths Act 1993. If a complaint is made against an osteopath there are several stages that take place. Investigating Committee This committee conducts the initial investigation into a complaint against an osteopath.  The complaint may include unacceptable conduct, incompetence or ill Continue Reading »

More about Outcome Measures – a new and promising MSK measure

You may have seen the blog by Carol Fawkes from NCOR on PROMs – the outcome measure for osteopaths.  If you missed it see here. For completeness, I just thought I would mention some other outcome measures. Why would you use an outcome measure? Outcome measures can provide you with valuable data about your practice.  They are used a lot within the NHS to measure how services are performing and provide evidence for obtaining and maintaining contracts. When you start looking at outcome measures there are an enormous number of Continue Reading »

Using PROMs in osteopathic practice

Thank you to Carol Fawkes from NCOR who kindly agreed to write this blog on PROMs: Many of you will have heard of the term “PROMs” and might have read about the PROM app which has been developed for osteopaths, but what are PROMs and why might they be useful to your practice? PROM is the acronym for Patient Reported Outcome Measure.  It is “a report coming directly from patients about how they feel or function in relation to a health condition and its therapy without interpretation by healthcare professionals Continue Reading »

Have you thought about using the STaRT back tool?

The STaRT back tool is for risk stratisfication of back pain patients.  The recently produced NICE guidelines for low back pain recommended the use of a risk stratification tool as quoted below: Risk assessment and risk stratification tools 1.1.2 Consider using risk stratification (for example, the STarT Back risk assessment tool) at first point of contact with a healthcare professional for each new episode of low back pain with or without sciatica to inform shared decision-making about stratified management. 1.1.3 Based on risk stratification, consider: simpler and less intensive support Continue Reading »

What can you audit in your practice? And how?

There are many aspects of your practice that you could audit: Procedures for receiving consent Procedures for handling complaints Patient Records Storage of patient records Infection control Health and safety – manual handling, fire safety, electrical safety, work stations etc. Equipment in your practice An aspect of patient care – exercise prescription, HVT, diagnosis etc. An aspect of patient records – treatment plans, past medical history, recording active movements, recording psychosocial aspects Response to treatment – after first treatment or at end of treatment sessions Non-attending patients Letters written to Continue Reading »

Are you gaining the benefits of both audit and data collection?

Your practice is a hive of data and information and you can use this information to great benefit.  It will help you to build a picture of what your practice is doing and also help you to demonstrate areas of good practice and identify areas where care of patients and procedures could be improved.  Gathering data about your practice will provide you with a wonderful resource for use in marketing and will also help you to continuously improve your practice. It can be surprising to find that what you think Continue Reading »

How you can Reflect Together

Reflection is a personal journey but that doesn’t mean it has to be carried out alone.  Reflecting with someone else can open up different perspectives and challenge your thinking patterns. I recently attended the excellent NCOR conference on helping patients with pain management.  The afternoon sessions were all practical role plays relating to facilitation and goal setting.  Some of the skills we learnt there I thought could be helpfully be applied to reflecting together. Listen and don’t interrupt This is often difficult for osteopaths.  When listening our brain is in Continue Reading »

Have you got a Personal Development Plan?

Within the new CPD scheme you may come across the term Personal Development Plan or PDP.  We are going to look at what a personal development plan is and how to make one. In summary a PDP is a reflection on where you are now and where you want to be.  It details the steps that will be required to put your plans in place.  It can include both your career and lifestyle. Having a PDP gives you a record of your career that you can use to inform future Continue Reading »