Material related to the Physiotherapy mostly depicts diverse direction of thinking by different practitioners, since there are not specified scientific theories. A gap, which was realised, was that there is an enormous amount of knowledge on the problems related to Physiotherapy as profession but most of the writers fail to describe a course of action to get a result. The second gap was that there is not much material provided about the impact of change in NHS on Physiotherapists.
The 'Physiotherapy' journal publishes an up to date and well informing articles. Many terms were tried but those, which helped a lot, were Change management, physiotherapy, NHS plan, NHS escalators, KFS served the purpose.
The NHS has an important place in the history of medical treatment in the U.K. An organisation noble in conception has two dimensions to put up with. The dual dimension challenges are to cope up with the changing needs of patients with ever increasing costs due to advances in medical knowledge, medicines and technology. From the other side the pressure is to find solutions in the restricted budget and to handle the changing political pressures. From its beginning the NHS gone through many reforms. (Short NHS History)
In the last few years NHS has contributed to medical innovations ...
Coote (2005) identifies few challenges facing NHS in order to cater the needs of the patients. They are keeping it clear to engage service users in decisions or engaging the wider public.
Secondly to develop a link between the public and the health system.
Third, Quick solutions through open discussions.
The fourth is to take a long run at this.
Finally, achieving above goals and much more from the NHS by engaging users and patients in the decision making process.
Requirement of change in NHS: The last few decades have seen a major change in the Primary care requirements, increase in the ageing population, widespread of chronic diseases, increase in the patient's awareness, and greater accountability due to increased exposure (Coote, 2005). This has created a paradigm shift in the requirements of patients. The increasing trend of client centred services has made it important for the NHS to find ways to provide rapid and easy to access primary care to the patients (NHS, 2005). In 1999 it was estimated by the then secretary of state for health Mr Alan Milbun that it will take 10 years to modernise the NHS. He stated the fact that the NHS will have to train and recruit the extra staff needed BMJ, 1999).
The vision of the change was to improve the services according to the convenience of the patients. He emphasised the need of 24 hours delivery of services to the patients (BMJ, 1999). The Government in the past has recruited and encouraged professionals to the NHS (Frontline, 2000). Extra budget for training of physiotherapists was provided. There are many physiotherapy graduates who were graduating in 2005 through NHS funded, 3