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Introducing our Community Physiotherapy Service

Jo, therapy assistant, teaching a seated exercise class

The Community Physiotherapy Service aims to provide goal-focused physiotherapy intervention for people supported by Hospice in the Weald who are physically unable to attend the Hospice, and whose needs are not met by existing statutory or specialist physiotherapy services.

The service supports people to maintain independence, manage symptoms, and improve functional ability within their home environment, in line with palliative and rehabilitative care principles.

Who is and isn’t eligible?

Someone may be considered for community physiotherapy if they:

  • Are physically unable to attend the Hospice (inability to arrange transport alone does not meet criteria; transport support can be provided)
  • Are not currently receiving physiotherapy from another more appropriate service
  • Have a clearly identified physical rehabilitation goal
  • Would benefit from short-term, goal-orientated physiotherapy intervention
patient being walked in his garden by a member of the hospice outreach team

Someone is not appropriate for this service if they are currently under, or would be better supported by, the following services:

  • Community Neuro Rehabilitation Team (e.g. stroke, Parkinson’s disease, multiple sclerosis, motor neurone disease)
  • Outpatient Musculoskeletal Services (e.g. arthritis of knee, hip or shoulder, fractures)
  • Urgent Therapy team (patients requiring short-term input)
  • Respiratory Services (hospital or community-based, including pulmonary rehabilitation)
  • Falls Prevention Team

Referrals and goal setting

Referrals may be accepted for people experiencing:

  • Weakness or fatigue impacting: Activities of daily living, mobility, transfers, balance
  • Recent deterioration or change in mobility
  • Neurological symptoms not related to a musculoskeletal condition, including: Paralysis or reduced movement, loss of muscle control, involuntary movements, numbness or pins and needles, balance impairment

People must have a clearly defined physical goal. Goals must be SMART, meaning: Specific, Measurable, Achievable, Realistic, Timely.

Examples:

  • Someone wants to progress from a wheeled Zimmer frame to a walking stick within 4–6 weeks
  • Someone hopes to regain access to your upstairs bedroom
  • Someone aims to mobilise independently to the end of the road using a walking aid
  • Someone wishes to access and mobilise safely within your garden to undertake light activities
susie with sussanah at her home

What are the limitations?

Ongoing intervention will be reviewed based on:

  • Goal progression
  • Functional outcomes
  • Patient tolerance and clinical appropriateness

For more information, contact Susie Lowden, Manager of Therapy at: susie.lowden@hospiceintheweald.org.uk, or call us on: 01892 820500

Overview
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