Memorandum submitted by the Chartered
Society of Physiotherapy
DRAFT NHS (WALES) BILL
The Chartered Society of Physiotherapy (CSP)
is very pleased to have been approached by the Welsh Affairs Committee
for comments on the Draft NHS (Wales) Bill.
The CSP is the educational, professional and
trade union body representing the 38,000 qualified, assistant
and student members across the UK. There are 1,500 members in
In addressing the three main components of the
Bill the CSP will concentrate on the establishment of the Health
Professions Wales (HPW) but has brief comments to make on the
other two components.
Community Health Councils (CHCs)
The Society welcomes the continuation and strengthened
role for the CHCs in Wales. There is support from the profession
for the work of the CHCs and the involvement of patients and the
public in the NHS in Wales is seen as very important. The strengthened
role as set out in the legislation is welcomed and the Society
is pleased to see that CHCs will be able to address services delivered
for patients in all settings and sectors through regulations to
be drawn up by the Assembly.
It is seen as important that organisational
structures should develop appropriate patient and public involvement.
Such wide-ranging involvement will also need to be a feature of
the membership of the CHC. There will be a need to demonstrate
involvement and representation from the full spectrum of the patients
and public, the length and breadth of Wales. The Society notes
the move to change the proportions of the membership to allow
for greater numbers to be drawn from open interview, by Assembly
regulation. In light of the previous comment from the CSP, the
profession notes that this process will need to be carried out
with great care to ensure equity of opportunity.
Wales Centre for Health
The CSP supports the establishment of this new
corporate body and looks forward to working closely with it. The
Society applauds the Assembly's approach in co-ordinating public
health skills across Wales and placing a high emphasis on ill
health prevention and health promotion.
The Society considers that allied health professions
such as physiotherapy will have much to offer the Wales Centre
for Health. Much of the holistic work of physiotherapists involves
health promotion, exercise and life-style change. Whilst not an
issue for primary legislation, the Society will be looking to
the Assembly to fully involve the allied health professions and
reflect this within the regulations.
The Society notes that the Wales Centre for
Health is a new body. As such, it is assumed by the profession
that it will be funded by new monies rather than out of current
Health Professions Wales
The CSP supports the establishment of Health
Professions Wales (HPW) as an Assembly sponsored public body.
We consider it will play a vital role in building the workforce
that NHS Wales needs, in developing much needed initiatives in
post graduate education and training for physiotherapists and
health care support workers and in supporting continuous professional
development across the range of professions.
There are, however, some important considerations
highlighted by the profession:-
The Society will want to ensure that
HPW works closely, and in partnership with.
(a) The professions.
(b) The trade unions.
(c) The Health Professions Council (HPC) and the
Nursing and Midwifery Council (NMC).
(d) The higher education establishments.
There must be a clear recognition
that regulation and registration for qualified allied health professionals
will remain the duty of the regulatory body, the HPC.
Undergraduate issues must continue
to be the concern of the HPC in relation to the allied health
professions. The HPC will have the power to devolve specific aspects
to HPW. (This may be an area of joint working for HPC and HPW
but it will be essential for HPC to have full knowledge of and
agreement with HPW developments in this area).
The Society believes that any additional
funding set aside for HPW should be recurring. In order to deliver
on the NHS Plan for Wales the profession considers that HPW will
require an enhanced budget in the coming years if it is to successfully
achieve its objectives and carry out its important role.
HPW will be a body catering for a
wide range of professions from nursing, therapy and scientific
backgrounds. It will be essential for such a body to demonstrate
support for all those professions for whom it is providing services.
In addition, any changes in
professional groups covered by HPC
duties carried out by HPW
relationships with other bodies
must be fully discussed within the assembly,
with professions and trade union and with the NMC and HPC.
The Society fully believes the HPW offers great
opportunities for qualified and unqualified staff from the nursing
and allied health professions and looks forward to working closely
with this important Assembly sponsored public body.
The profession in Wales hopes that this written
submission will be valuable to the deliberations of the Welsh
Affairs Committee and appreciates the opportunity to be involved
in the legislative process.
Phillipa Ford MCSP
CSP Policy Officer for Wales
Assistant Director of Industrial Relations
17 June 2002