Acute Sector Cancer Physiotherapy Service Provision and Workforce

Abstract

Aim
This audit aimed to quantify cancer physiotherapy workforce and services across the acute cancer services and to examine current priorities, barriers and facilitators to service delivery.

Methods
A cross-sectional survey tool was used to capture data from physiotherapist managers at 9 designated cancer centres (DCC) and 17 acute systemic anti-cancer therapy (SACT) hospitals, where regional cancer care is delivered. Quantitative data was analysed descriptively and qualitative data from open-text comments were analysed narratively.

Results
All 26 physiotherapist managers responded. Within the eight adult DCC’s the most frequently reported dedicated cancer physiotherapy services were lymphoedema management (7), exercise and rehabilitation during cancer treatment (6), and postoperative out-patient rehab for specific musculoskeletal conditions following surgery (5). In the SACT hospitals, the most frequent services were postoperative out-patient rehab for specific musculoskeletal conditions following surgery (8) and contribution to community cancer support centres (6). Paediatric and adolescent cancer physiotherapy services were provided to in-patients only. Nationally, 54 physiotherapy posts were dedicated (80-100% caseload) to cancer care, the majority (41) in the DCC’s, where physiotherapists were highly skilled and trained. Major barriers to service development were staffing, funding, and service prioritisation.

Discussion
National strategic development of a specialised cancer physiotherapy workforce is essential.