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First Contact Physiotherapy Practitioner

Viaduct Care will provide direct access to First Contact Physiotherapy practitioners (FCP) in Primary Care. The aim of this service is to increase capacity by enabling patients presenting with a musculoskeletal (MSK) condition to gain direct access to an MSK assessment by the FCP Physiotherapist without having to first see a GP and be referred into a service. Patients will be able to contact their practice and be offered an appointment with a FCP physiotherapist as an alternative to an appointment with their GP.

Patients will then undergo specialist MSK assessment by practitioners in Primary Care and where appropriate be able to be referred for diagnostic investigation, injection therapy or receive treatment in Primary Care. This service will also have access to on-going community physiotherapy.

Wellbeing and Self-Care Co-ordinators

Viaduct Care has been asked to deliver a service providing Mental Wellbeing and Self-care support to meet the needs of those patients presenting to General Practice with lifestyle and social needs and/or low level mental health related conditions, where there is no specific medical intervention required.

GP’s will be able to refer patients to a Mental Health and Wellbeing & Self Care Navigator who will support people to develop a personalised care and wellbeing plan and access a range of services such as social prescribing, self-care resources (online and face to face), peer support, mental health alliance and other voluntary sector groups. People may also be signposted to other services for housing, relationships, employment or debt advice too.

Access to Mental Health and Wellbeing Coaches and Self-care workers referrals will also be offered to people with a long-term condition or with risk factors which increase the likelihood of developing a long-term condition to support lifestyle changes, social connection and resilience and behavioural improvements.

People will be supported to take control of their own health and focus on changing what matters to them. Supporting people living with a long-term condition requires a partnership with patients over the longer term rather than providing single, unconnected “episodes” of care. Using Patient Activation tools the service will appropriately match services to people depending on their level of confidence and motivation to change their behaviours. The service will offer five evidence based interventions which have significant potential to improve quality of life for people with long-term conditions and deliver benefits across the three dimensions of value: Mental and Physical health and wellbeing, NHS sustainability and wider social outcomes.

These are:
1.Peer support
2.Self-management education
3.Health coaching
4.Group activities to support health and wellbeing
5.Asset-based approaches in a health and wellbeing context

Key benefits of this service are:
•Support to General Practice releasing capacity in an already stretched service.
•Patients underlying problems are appropriately identified.
•Improved and appropriate care navigation within the health and social care system for the neighbourhood population, i.e. patients referred to the appropriate services based on their needs.
•Improving access to the community and voluntary sector services and resources available to support people Better value for all, i.e. more people can access the service with outcomes that will have a positive impact on both physical and mental well-being.
•Facilitating access to informative and motivational online resources, including space for online mutual support.
•Proactive engagement and support for people to improve their self-care, tailored according to need using the Patient Activation Measure.
•Increasing numbers of people actively engaging in voluntary activity, complementing and adding value to the work of Stockport Together to improve health, wellbeing and interdependence.

Please ask at the reception if you would like to access any of these services.


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