Friday, February 16, 2007

Uk physiotherapy crisis

Is there a crisis in UK physiotherapy? I think so. There's a serious problem with the number of new graduates qualifying when there's nearly no new physiotherapist posts in the whole of the UK. I think there is the serious possibility that the next thing we will see is the closure of university training departments because in the short to medium term there will be no growth in the number of new jobs available. The other thing to look out for is the downward pressure on job gradings. Because of the surplus in potential candidates for jobs and the prevailing crisis in finances there will be a growing tendancy to lower the grade of jobs to make financial savings and take advantage of the surplus in the labor market. There is a fundamental problem with job grading levels because there is no objective measure of the grade a given job should be. Ultimately the grading given is what an employer was willing to pay. Knowledge and Skills Framework reveals how arbitrary the grading system is and how it isopen to wide local interpretations. The final thing we might see is the gradual abolition of the rotational post. And just one question to finish with. If a band 5 physiotherapist is non-rotational, in a post for a number of years, supported with good post graduate training, how will their level of skills and clinical outcomes be different to someone doing the same post for the same time at a higher grade?

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