Priority 3 from the Physiotherapy PSP

UNCERTAINTY: What are the best ways to deliver physiotherapy services to meet patients' needs and improve outcomes for patients and services? (JLA PSP Priority 3)
Overall ranking	3
JLA question ID	0061/3
Explanatory note	This question asks what the best ways to deliver physiotherapy are e.g. self-referral, having physiotherapists in GP surgeries etc., It was developed from patient, carer and physiotherapist survey responses.
Evidence	Hussenbux, A., Morrissey, D., Joseph, C. and McClellan, C.M., 2015. Intermediate Care pathways for musculoskeletal conditions–Are they working? A systematic review. Physiotherapy, 101(1), pp.13-24. Jeppesen, E., Brurberg, K.G., Vist, G.E., Wedzicha, J.A., Wright, J.J., Greenstone, M. and Walters, J.A., 2012. Hospital at home for acute exacerbations of chronic obstructive pulmonary disease. The Cochrane Library. Ojha, H.A., Snyder, R.S. and Davenport, T.E., 2014. Direct access compared with referred physical therapy episodes of care: a systematic review. Physical therapy, 94(1), pp.14-30.
Health Research Classification System category	Generic Health Relevance

Extra information provided by this PSP
Original uncertainty examples	Which model of NHS delivery of physiotherapy is most cost efficient and effective? Is patient self referral better than medical/health care professional referral to physiotherapy in terms of cost, benefit and outcome? [Question ID 82, Clinical Physiotherapist]
Submitted by	Question submitted 255 times across all groups of people

PSP information
PSP unique ID	0061
PSP name	Physiotherapy
Total number of uncertainties identified by this PSP.	65 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	7 February 2018