Reports from across Scotland reveal that rehab facilities are being utilized for storage space and conference rooms while the rate of reopening and restarting services remains slow.
The Chartered Society of Physiotherapy (CSP) is alerting that clients in Scotland are losing out on essential physiotherapy and rehab services due to the fact that areas are being de-prioritised by Scottish health boards.
Despite this huge requirement, the society says rehab spaces in numerous health boards are being left without relocation plans and gymnasiums are being requisitioned for other functions such as storage and conference rooms.
Kenryck Lloyd-Jones, CSP Public Affairs and Policy Manager for Scotland, stated: “The reports we are receiving from across Scotland are deeply worrying. It appears that not only are physiotherapy and rehab services being slow to restart, they are being moved without moving strategies, reduced or underestimated. We recognise the obstacles in health settings and the need to re-organise, but it is vital that rehabilitation services are prioritised.
Echoing this point, in July 2020, the NHS launched a brand-new on-demand healing service called Your COVID Recovery. The service forms part of NHS plans to broaden access to COVID-19 rehabilitation treatments for those who have actually survived the virus but still have problems with breathing, psychological health issues or other complications.
” With the publication of the Scottish governments rehab framework, the emphasis must return to early intervention, lowering hospital admission, early supported discharge and enhanced outcomes. Musculoskeletal and community rehabilitation services are necessary to this.”
According to the society, there are several examples of services losing space and being reduced, including NHS Fife, where gymnasium space utilized for storage area without any plans to return it, while physiotherapists try to use rehabilitation in inadequate shared spaces with under-staffed provision.
CSP wrote to all regional health boards last month to advise them to prioritise rehabilitation as services are restarted, stating: “The CSP is highly advising action to resolve this lag in development, not least due to the fact that the post-Covid rehab requirements of Scotlands neighborhoods are pressing. Regional authorities and Integrated Joint Boards also need to ensure that where rehabilitation is needed in neighborhood settings, that health specialists can resume services.
Throughout this second wave of the pandemic, physiotherapy will be important to COVID-19 rehab, CSP emphasises.
CSP adds that physio therapists assist Covid and Long Covid clients recovering from tiredness, continuous breathing problems, deconditioning and poor psychological health. The closure of rehabilitation services indicates that numerous non-Covid patients with long-lasting conditions have weakened and now require more rehabilitation, alongside the continuous requirements of heart, stroke and breathing recommendations in the neighborhood, the society notes.
” Changes require proper assessment, threat evaluation and planning. It is vital that the rehab requirements of individuals are not forgotten.”
Furthermore, CSP says that in NHS Lothian, a rehabilitation ward has actually been lost and the gymnasium is now used for storage, leaving the remaining rehab areas on wards unreliable.
A variety of patient groups are likewise warning of a lack of financial investment and undervaluing of rehabilitation. While some rehab is taking location essentially, physiotherapists still require sufficient space and equipment to run sessions effectively, the society highlights.
According to a recent CSP survey, almost half of the members in Scotland reported that a loss of rehab areas has actually avoided essential services from resuming. In addition, the society states that moving and redesign are taking location without threat assessments, with bad preparation and a lack of consultation.