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LETTERS TO THE EDITOR<br />

Members express their views<br />

Embracing integration<br />

I read with interest the latest editorial<br />

commenting on the projected changes<br />

to the health work<strong>for</strong>ce, and the direction<br />

<strong>of</strong> the Heath Work<strong>for</strong>ce NZ service<br />

reviews. Finding more effective ways<br />

<strong>of</strong> utilising the available health work<strong>for</strong>ce<br />

to cater <strong>for</strong> burgeoning need is<br />

a worldwide challenge. A recent WHO<br />

report (2010) recognises interpr<strong>of</strong>essional<br />

collaboration as an important<br />

factor in managing the global health<br />

work<strong>for</strong>ce crisis, resulting in stronger<br />

health systems and improved health<br />

outcomes. Yet how many <strong>of</strong> us have<br />

a clear understanding <strong>of</strong> just what<br />

“interpr<strong>of</strong>essional collaboration”<br />

actually means?<br />

Physiotherapists have always<br />

been innovative and worked<br />

well alongside other pr<strong>of</strong>essions.<br />

As the editor noted, the<br />

challenge now is to “embrace<br />

the integrated approach” and<br />

adapt to both the challenges<br />

and benefits to be gained from<br />

collaborative working.<br />

The recent opening <strong>of</strong> the National<br />

Centre <strong>for</strong> Interpr<strong>of</strong>essional Education<br />

and Collaborative Practice at AUT<br />

University demonstrates the commitment<br />

to embedding collaborative training<br />

into undergraduate programmes.<br />

However, it is unknown what happens<br />

when these newly trained colleagues<br />

enter a work<strong>for</strong>ce untrained in collaborative<br />

skills and where pr<strong>of</strong>essional<br />

patch guarding has too <strong>of</strong>ten been<br />

the norm.<br />

To explore this further, I am currently<br />

undertaking a PhD qualitative<br />

study into collaborative practices in<br />

community-based teams, with the aim<br />

<strong>of</strong> exploring how community-based<br />

health care workers view collaborative<br />

practice and how they work together.<br />

Interpr<strong>of</strong>essional collaboration and<br />

devolving health services into the<br />

community have been identified as<br />

the way <strong>of</strong> health care in the future.<br />

By exploring current practices I hope<br />

to add knowledge that can in<strong>for</strong>m future<br />

service provision, team functioning<br />

and training.<br />

Physiotherapists have always been<br />

innovative and worked well alongside<br />

other pr<strong>of</strong>essions. As the editor noted,<br />

the challenge now is to “embrace the<br />

integrated approach” and adapt to<br />

both the challenges and benefits to<br />

be gained from collaborative working.<br />

Pauline Penney MPNZ<br />

Enthusiastic UK fundraiser<br />

<strong>for</strong> Christchurch<br />

The following letter was published in<br />

Frontline, the newsletter <strong>for</strong> the (UK)<br />

Chartered Society <strong>of</strong> Physiotherapists,<br />

on 20 July. Reproduced with permission<br />

from Frontline.<br />

I would like to thank Alison Taylor,<br />

Clinical Specialist Physiotherapist,<br />

Hinchingbrooke Hospital, Huntingdon<br />

<strong>for</strong> a tremendous ef<strong>for</strong>t in fundraising<br />

<strong>for</strong> the Red Cross Christchurch<br />

Earthquake Appeal.<br />

Alison is a New Zealand trained<br />

physiotherapist who I met some years<br />

ago in Invercargill, NZ. Following our<br />

devastating earthquake she started<br />

baking “Quake Cakes”; which she<br />

sold at work and raised an astounding<br />

£1300.44.<br />

The earthquake has had a pr<strong>of</strong>ound<br />

effect on us all here in Christchurch<br />

with most <strong>of</strong> us knowing people who<br />

lost family and friends on February<br />

22nd. Thankfully our hospitals<br />

were largely undamaged, however<br />

the service infrastructure <strong>of</strong> many<br />

parts <strong>of</strong> Christchurch was severely<br />

damaged and at Burwood Hospital<br />

staff and visitors were required to use<br />

“portaloos” <strong>for</strong> 3 months after the<br />

February Quake. Travelling around<br />

the city was challenging initially as<br />

many roads were in need <strong>of</strong> repair<br />

and removal <strong>of</strong> liquefaction. Our city<br />

centre is slowly being demolished in<br />

preparation <strong>for</strong> rebuilding and there<br />

are a large number <strong>of</strong> internet sites<br />

with photos <strong>of</strong> central Christchurch<br />

be<strong>for</strong>e and after the quakes.<br />

We have lost our Rugby <strong>World</strong><br />

Cup games and our beloved<br />

Cathedral is in ruins but the<br />

city is open to visitors and<br />

Christchurch is still a great<br />

place to start a tour <strong>of</strong> New<br />

Zealand or to come and work.<br />

Our physiotherapists have proved resilient<br />

through these past months, many<br />

have damaged houses and some have<br />

had to move. We have since welcomed<br />

some new therapists to Christchurch -<br />

after the quake our hospitals returned<br />

to “business as normal” as soon<br />

as possible.<br />

A large part <strong>of</strong> Christchurch is undamaged<br />

and those <strong>of</strong> us living in the<br />

western suburbs are very grateful that<br />

life is relatively normal. We have lost<br />

our Rugby <strong>World</strong> Cup games and our<br />

beloved Cathedral is in ruins but the<br />

city is open to visitors and Christchurch<br />

is still a great place to start a tour <strong>of</strong><br />

New Zealand or to come and work.<br />

A big thank you to Alison and all her<br />

colleagues at Hinchingbrooke.<br />

Liz Wilkinson MPNZ<br />

Clinical Manager Physiotherapy<br />

Burwood Hospital, Christchurch,<br />

New Zealand<br />

24 | PHYSIO MATTERS AUGUST 2011

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