Extended Scope Physiotherapy
What is an Extended Scope Physiotherapist?
An Extended Scope Physiotherapist (ESP) is a clinical physiotherapy specialist with an extended scope of practice. This implies working beyond the recognised scope of physiotherapy practice, for example requesting investigations e.g. US scans/nerve conduction studies, using the results of investigations to assist clinical diagnosis and appropriate management of patients; listing for surgery and referring to other professionals.
ESP's hold post graduate qualifications, e.g. MSc, Society of Orthopaedic Medicine (SOM) membership or equivalent, and most have a Diploma in Injection Therapy.
North Cumbria ESP Service
North Cumbria ESP service is an integral part of the North Cumbria Physiotherapy Service. The Extended Scope Physiotherapy Service manages patients with complex non - surgical musculoskeletal conditions. North Cumbria ESP's have at least 5 years experience in working in musculoskeletal clinics and have specialised in musculoskeletal conditions by undergoing extra training and have close working links with the orthopaedic department.
The ESP service provides diagnostic triage which forms the basis for decisions about referral, investigations and further management.
Criteria for referral to musculoskeletal ESP Clinics
- Patients with complex musculoskeletal conditions unlikely to require surgery or consultants advice.
- Diagnosis and advice when the referrer is uncertain whether a consultant referral is required e.g. patients previously unresponsive to outpatient physiotherapy for the same condition.
- Patients who may benefit from corticosteroid injection therapy for peripheral conditions.
ESP clinics' locations
- Carleton Clinic, Cumwhinton Drive, Carlisle
- North Carlisle Medical Centre, Eden Street, Carlisle
- Penrith Community Hospital, Penrith
- Mary Hewetson Hospital, Keswick
- Wigton Community Hospital, Wigton
- Workington Community Hospital, Workington
- West Cumberland Hospital, Whitehaven
What happens at the patient's initial appointment?
The ESP will assess the patient and decide upon their management:
- Advice/Exercise and discharge
- Peripheral soft tissue or joint injection
- Referral to physiotherapy
- Ultrasound imaging
- Referral to orthopaedic consultant
- Referral to other consultants or clinics e.g. Rheumatology or Pain Clinic
In House ESP Service
Some GP surgeries have an in house ESP to triage and treat patients with musculoskeletal conditions.
ESP's perform peripheral intra-articular and soft tissue injections using corticosteroid and local anaesthetic to patients over 18 years of age.
Diagnostic indications for corticosteroid injection therapy:
- Impingement syndromes
- Ligamentous injury
All new patient appointments should be made via Choose & Book
For ESP appointments phone:
West Cumberland Hospital Physiotherapy Department: 01946 523636
Workington Physiotherapy Department 01900 705100
Penrith Hospital Physiotherapy Department: 01768 245440
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Physiotherapists in west Cumbria are encouraging people to use a spring clean as an opportunity to uncover and return any walking aids
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Published: 27th March 2015
The £90 million new West Cumberland Hospital is expected to open its doors to patients this autumn.
Published: 25th February 2015
Physiotherapists at Workington Community Hospital have welcomed the gifts of new equipment from the League of Friends.