As a leading healthcare provider we not only strive to deliver the best care possible to our patients but we are also committed to the advancement of healthcare and the improvement of standards nationally.

The Musculoskeletal Services Framework (Department of Health, 2006) sets a clear vision that people with MSK conditions should have access to high quality, effective services to ensure they ‘fulfil their optimum health potential’. Following a review of our MSK physiotherapy service in 2012, it was established that a robust framework was required which combined staff competency measures with outcomes for patients. Matthew Carr, then the MSK Clinical Quality Manager at Horder Healthcare, brought the two sets of measures together into one framework, aiming to support the staff in their professional development and to improve patients’ experiences and outcomes.

The framework includes all stages of clinical contact with patients, from their first interview and diagnosis, through prognosis and different treatment choices, to treatment itself and end results. This unique combination of measures allows the Horder Healthcare MSK team to review results every two months. Matthew says: “This is an approach that can be tailored for both junior and senior staff and we review results every two months, looking at the trends to inform our in-service training needs. It is accomplishing what we intended – improvements for staff and for patients. Linking the two measures is innovative; even though the physiotherapy team has grown rapidly, from a handful of therapists when I started to 32 now, we have seen staff skill levels increasing alongside an increase of significant improvements in patients’ conditions – that latter measure rising from 66% to over 90% at its peak.” 

Contributing to the advancement of healthcare

As a leading healthcare provider we not only strive to deliver the best care possible to our patients but we are also committed to the advancement of healthcare and the improvement of standards nationally.

The framework, which is in place at all of our physiotherapy sites – Crowborough, Seaford, Eastbourne and Tunbridge Wells – has not only had benefits for patients but is also welcomed by our teams of physiotherapists. “Our team are positive about our focus and support for clinical skills improvement. It is not difficult to get used to and staff engagement has been high throughout. It means that we can take people straight out of university and bring them up to a standard where patients benefit very quickly.”

Matthew Carr is currently working towards a National Institute of Health Research (NIHR) supported Masters in Clinical Research at the University of Brighton. This is a two year part-time programme that commenced in October 2017. This will enable development of skills to lead healthcare research in practice and will allow Matthew to undertake a piece of research working with the MSK physiotherapy team at Horder Healthcare. In November 2016 this innovative approach to staff training and patient care took Matthew Carr to the European Region of the World Congress of Physical Therapy in Liverpool.

 As an example of good practice, Matthew shared this framework with his fellow clinicians and healthcare managers to show how combining staff competency measures with outcomes for patients is working positively for both groups.

TRIO-Physio (Targeted Rehabilitation to Improve Outcomes after total knee replacement – A Physiotherapy Study)

 

Horder Healthcare MSK Physiotherapy team has also been involved in a multicentre randomised controlled clinical research trial investigating if intense physiotherapy with patients who are not doing well at the first review 6 weeks after total knee replacement surgery can improve their one year outcomes. The study is called TRIO-Physio (Targeted Rehabilitation to Improve Outcomes after total knee replacement – A Physiotherapy Study) and is sponsored through the University of Edinburgh and NHS Lothian and funded by Arthritis Research UK. Data collection finished in July 2017 and initial results are due to be published in due course. Horder Healthcare was the only independent hospital in the country that was accepted to be involved in the study which aimed to recruit 440 patients from across the nation including such diverse places as Aberdeen, Derby, Oxford, London and Weston-Super-Mare.

Enabling you to make healthy lifestyle choices

Health and wellbeing classes led by our experts

Horder Healthcare offers a wide range of health and fitness classes designed to keep you in shape and help strengthen joints and muscles. For more information please choose from the locations below.

Book a class online

You can book and pay for your health and fitness classes online.

We are a leading physiotherapy provider

  • Horder Healthcare offers physiotherapy services from The Horder Centre and several clinics located in the South East. We provide expert service and treatment affordably priced at just £50 for the initial consultation and £35 for follow up appointments. If you would like an appointment with one of our physiotherapists, please complete the form or call us on 01892 601466.

     

    Request an appointment

  • In addition to joint replacement surgery, we have created a list of common conditions and how a variety of physiotherapy techniques can help achieve an optimum result for every patient.

    Back 
    Hip 
    Knee
    Neck
    Shoulder

  • We offer a range of health and wellbeing classes led by our physiotherapists and fitness experts.

    Classes in Crowborough
    Classes in Seaford
    Classes in Tunbridge Wells

     

  • All of our Physiotherapists are Members of the Chartered Society of Physiotherapy (MCSP) and registered with the Health Professions Council (HPC) and attend regular training and development activities to ensure current evidence-based practice.

     

    See physiotherapists profiles