Engaging in Primary Health Care - Physiotherapy New Zealand

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Physiotherapists can also provide more targeted interventions for some of theirclients and advice on the provision of walking aids. The Otago Exercise Programmeis a well recognised intervention for the prevention of falls for people over 80.DiabetesPhysiotherapists are the health professionals who are recognised as providersof physical activity programmes, especially for those requiring an individualisedprogramme.Again this is an opportunity to get involved at your local level – physiotherapistsshould be part of every Diabetes Service and involved in programmes in thecommunity perhaps at the local Marae or Pacific Island Centre.Cardiopulmonary RehabilitationThe New Zealand Guidelines document on Cardiac Rehabilitation (2002)recommends that for people with cardiac disease including CHF:• Exercise advice should be individualised and consider clinical characteristics,lifestyle, attitudes, culture and environmentPhysiotherapists are obviously an essential part of the team which usually includesdieticians, social workers, occupational therapists and nurses.CancerEvidence strongly suggests that exercise is not only safe and feasible during cancertreatment but that it can also improve physical functioning and quality of life.The evidence is particularly strong for breast and colorectal cancer survival ratesand there is some evidence that exercise can help in the prevention of colorectalcancer.Implications for physiotherapyPhysiotherapists as providers of health services are in a position to promote and reinforce activitiesof the PHO especially with regards to the needs of the local population. There is a growing body ofevidence on the areas where physiotherapy could add value to the delivery of primary health careservice. The key is to understand the needs of your own local population and engage with your localPHO regarding the skills that physiotherapy brings in addressing local health needs.16Primary Health Care
Developing Innovative Services and Programmes– What Do I Need To Do?Includestakeholdersat the outsetof the proposalrather than afterinvesting a lot oftime polishing theperfect proposalKeep proposalsbrief, 1-2 pageswith key/relevantinformationonly; furtherinformationcan always beprovided asnecessary at alater dateKey Messages• Get to know your local PHO and find out what health priorities they haveidentified within your community. Focus on those needs that would benefitfrom physiotherapy.• You might be able to help your PHO by letting them know about needs youhave identified from your patients. For example, you may have a number ofpatients who have heard about a cardiac exercise programme available inanother suburb or town and asked if there was one available in their owncommunity.• Focus strongly on the positive health outcomes from physiotherapy for thepatient or community group.• Explore options with your PHO for ways that physiotherapy services could beincluded in their programmes.• See if the PHO would consider an initial draft proposal which you couldexplore and discuss together prior to finalising. Remember that collaborative,multi-disciplinary and community-centred approaches are favoured.• It is most likely that your discussions with the PHO will lead to a proposal thatincludes other stakeholders as well as physiotherapists being put forward topotential funders (such as the DHB).• Find out how the PHO assesses and makes decisions on business proposals.Are they willing to explore and discuss a draft proposal?• Work with the planning and funding division of your DHB. They maysometimes put out requests for proposals (RPF) for programmes on theirlocal DHB website• Innovation funding is supported by the MOH through funding initiativessuch as the rural innovation fund (RIF) http://www.moh.govt.nz/moh.nsf/indexmh/rural-innovations-fundWriting a Business Proposal – What do I need to consider?• Introduction/Summary• What exactly am I proposing?• What identified need is it fulfilling?• What is the expected outcome?• The proposed initiative• How and where will it be delivered?• Timeframes? (e.g. lead-in time, start, finish, one-off or ongoing initiative)Primary Health Care17
Page 3 and 4: Engaging inPrimary Health CareNew Z
Page 5 and 6: IntroductionHealthcare both within
Page 10 and 11: The attainment of the vision and di
Page 12: Funding Under the Primary Health Ca
Page 15 and 16: • Health Promotion: The Primary H
Page 17: Opportunities for the Physiotherapi
Page 21 and 22: Implications for physiotherapyPhysi
Page 23 and 24: Ministry of Health. (2007). Health
Page 25 and 26: APPENDIX Evidence supporting physio
Page 27 and 28: focused on increasing range of move
Page 31: ISBN 978-0-473-13845-5 (Paperback)I

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