Lecture 7 Professional Autonomy & Accountability

Avanianban Chakkarapani
27.2.2015; 9.30-10.30 am
LT2
PROFESSIONAL AUTONOMY &
ACCOUNTABILITY

o Able to discuss
1. Standards, requirements and code of practice;
2. professional code of conduct, values, beliefs;
3. legal and ethical responsibilities of professional practice;
4. clinical governance, clinical guidelines, professional
standards;
5. health and safety legislation; and
6. continuing professional development & life long learning.
Learning Outcome:

STANDARDS, REQUIREMENTS
AND
CODE OF PRACTICE

STANDARDS ELEMENTS
Standard 1:
Demonstrate professional
behaviour appropriate to
physiotherapy
1.1 Demonstrate practice
that is ethical and in
accordance with
relevant legal and
regulatory requirements.
1.2 Demonstrate strategies to
maintain and extend.
professional competence
1.3 Operate within individual
and professional
strengths and limitations.

STANDARDS ELEMENTS
Standard 2
Communicate effectively
2.1 Communicate effectively with the
client.
2.2 Adapt communication style
recognising cultural safety, and
cultural and linguistic
diversity.
2.3 Communicate effectively with other
service providers.
2.4 Prepare and deliver presentations to
groups.
2.5 Prepare and provide
documentation according to legal
requirements and accepted
procedures and standards.

STANDARDS ELEMENTS
Standard 3
Access, interpret and apply
information to continuously improve
practice.
3.1 Demonstrate a working knowledge
and understanding of theoretical
concepts and principles relevant to
physiotherapy practice.
3.2 Apply contemporary forms of
information management to
relevant areas of practice.
3.3 Apply an evidence-based
approach to own practice.
3.4 Acquire and apply new knowledge
to continuously improve own
practice.

STANDARDS ELEMENTS
Standard 4
Assess the client
4.1 Collect client information.
4.2 Form a preliminary hypothesis.
4.3 Design and conduct an
assessment.
4.4 Conduct assessment safely.
Standard 5
Interpret and analyse the assessment
findings
5.1 Compare findings with ‘normal’
5.2 Compare findings with what is
expected for the condition, and
include or exclude alternative
diagnoses.
5.3 Prioritise client needs.
5.4 Re-evaluate as required, to
develop a justifiable and
sustainable hypothesis.
5.5 Identify areas that are outside
skills and expertise and refer client
appropriately.

STANDARDS ELEMENTS
Standard 6
Develop a physiotherapy
intervention plan
6.1Develop rationale for
physiotherapy intervention.
6.2 Set realistic short and long term
goals with the client.
6.3 Select appropriate intervention.
6.4 Plan for possible contingencies
that may affect intervention plan.
6.5 Prioritise intervention plan in
collaboration with the client.
6.6 Determine plan of evaluation that
uses valid and reliable outcome
measures.

STANDARDS ELEMENTS
Standard 7
Implement safe and effective
physiotherapy intervention(s)
7.1 Obtain informed consent for the
intervention.
7.2 Prepare equipment and
treatment area appropriate to
the intervention.
7.3 Implement intervention safely
and effectively.
7.4 Manage adverse events.
7.5 Provide strategies for client self
management.
7.6 Implement health promotion
activities.

STANDARDS ELEMENTS
Standard 8
Evaluate the effectiveness and
efficiency of physiotherapy
intervention(s)
8.1 Monitor the outcomes of the
intervention.
8.2 Evaluate the outcomes of the
intervention.
8.3 Determine modifications to
intervention.

STANDARDS ELEMENTS
Standard 9
Operate effectively across a range
of settings
9.1 Use a model of service delivery
relevant to the practice setting.
9.2 Work effectively within a team.
9.3 Manage own work schedule to
maximise safety, efficiency and
effectiveness.
9.4 Operate within own role and
according to responsibilities.
9.5 Participate in quality
improvement processes.

REQUIREMENTS
AND
CODE OF PRACTICE

o Respect for the patient as an individual is central to
all aspects of the physiotherapeutic relationship and
should be demonstrated at all times, ensuring that
professional responsibilities and standards of
practice are not influenced by age, gender,
religion, sexual preference, nationality, party politics,
social or economic status or nature of a patient’s
health problems.
CODE OF PRACTICE - PHYSIOTHERAPY

o Patients are given information about the proposed
physiotherapy procedure, taking into account their
age, emotional state and cognitive ability, to allow
informed consent.
o Information which the patient gives to the
physiotherapist is to be treated in the strictest
confidence. No information may be disclosed
without the consent (preferably written) of the
patient, except when compelled by law.

o In order to deliver effective care, information
relating to treatment options is identified, based on
the best available evidence.
o Information relating to the patient and his/her
presenting problem is collected via the assessment
and recorded.
o Taking account of the patient’s problems, continual
re-assessment is done to evaluate the change in the
patient’s health status. This is recorded.

o Following information gathering and assessment,
analysis will be undertaken in order to formulate a
treatment plan. This is to be recorded.
o Every patient who receives physiotherapy must
have a record which includes information
associated with each episode of care. Patient
records are signed and retained in accordance
with existing policies.
o A treatment plan is formulated in partnership with
the patient/ relatives/ carers/ guardian.

o The treatment plan is delivered in a way that benefits
the patient, ensuring that it is effective and relevant to
the patient’s circumstances and health status.
o On completion of treatment plan, arrangements are
made for the transfer of care/ discharge.
o Physiotherapists should communicate effectively with
registered medical practitioners, other health
professionals and relevant outside agencies to provide
effective and efficient service to the patient.

o Patients are treated in an environment that is safe for
patients, physiotherapists and relatives/ carers, ensuring
that actual and/or potential risks (equipment,
environment, actual treatment) are eliminated.
o Physiotherapists are obliged to take all reasonable
measures to eliminate or minimize the risks of working
alone.
o The physiotherapist assesses his/ her learning needs,
plans his/ her continuing professional development and
implements the plan.

Lecture 7 Professional Autonomy & Accountability

Lecture 7 Professional Autonomy & Accountability

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