Meeting with Physiotherapists about Local Health Units

As part of the organisational reform of the National Health Service (SNS), namely the expansion of the Local Health Units (ULS), the Order of Physiotherapists organised a working meeting with physiotherapists who are coordinators in SNS institutions on 22 January.

At the meeting, chaired by President António Lopes and attended by the Board's Vice-Presidents, Nuno Cordeiro and Conceição Bettencourt, and Member Fátima Domingues, the Order's efforts to defend the principle of the need to create physiotherapy services and units in the NHS, with an organisational and operational model similar to the one already being implemented for other health professions, such as psychologists and nutritionists, were noted.  

Repeating the position it has presented to the Minister of Health and the Executive Director of the SNS, the Order of Physiotherapists believes that the Local Health Units should be reorganised with Physiotherapy Services and Units, as a guarantee of the transversality that Physiotherapy care should have in the National Health Service, with a strong commitment to its integration and direct intervention in the management of resources with a direct impact on the health of the citizen/user, since physiotherapists have the skills to intervene both in primary health care and in the community, as well as in hospitals.

The positions expressed by the physiotherapists who act as coordinators were noted and their fundamental role emphasised, in order to help safeguard the accessibility of users to the care provided by physiotherapists (a window of opportunity for achieving results); the differentiation of existing responses, particularly within the scope of primary healthcare; the autonomy and quality of the services provided by physiotherapists; the profitability of existing resources and the allocation of care.

For its part, the Board of the Order stressed that it will continue to defend the creation and integration of Physiotherapy Services and Units, which will contribute to the qualification of the NHS response and to the increase of articulation between teams of health professionals, with the citizen/user at the centre of the system.

With a view to monitoring this process of reorganising the NHS, scheduling future meetings to listen to colleagues in the field and registering physiotherapists who have not yet been identified as coordinators by the Order, permanent contact is available at the following address: rh@ordemdosfisioterapeutas.pt

Pedro Maciel Barbosa

Specialist physiotherapist at the Matosinhos Local Health Unit Sub-coordinator for Primary Health Care, Matosinhos Local Health Unit Visiting Assistant Professor at the Porto School of Health Member of the Board of Directors of the Foundation for Health - SNS Member of the General Council of the Order of Physiotherapists

Carlos Sand

Carlos Areia has been a physiotherapist since 2013, and has worked in various hospitals, clinics and clubs in both Portugal and the UK. He began his academic career at Oxford University in 2016, where he led a clinical trial comparing physiotherapy vs surgery in anterior cruciate injuries in 32 hospitals in England. In 2018 she moved to the neurosciences department, where she developed her own studies on remote monitoring of vital signs, which were implemented during the pandemic. Here he discovered his passion for data, and in 2022, he joined Digital Science as a Data Scientist. He completed his PhD earlier this year, and has more than 60 publications in journals such as The Lancet, BMJ, Cochrane, among others. He is also an honorary lecturer at Oxford Brookes University and a consultant in clinical research.

Eduardo José Brazete Carvalho Cruz

PhD in Physiotherapy from the University of Brighton, UK. Post-Doctorate in Epidemiology from the National School of Public Health at the New University of Lisbon.
Coordinator of the Studies and Planning Office of the Order of Physiotherapists. Coordinating Professor of the Physiotherapy Department of the School of Health of the Polytechnic Institute of Setúbal (ESS-IPS). President of the ESS-IPS Technical-Scientific Council. Coordinator of the Physiotherapy Department at ESS-IPS. Integrated Researcher at the Comprehensive Health Research Centre (CHRC) (a partnership between FCM-UNL, the National School of Public Health, the University of Évora, the Lisbon Institute of Global Mental Health and Santo Espírito Hospital, Terceira Island, Azores).

Sara Souto Miranda

Sara Souto Miranda has a bachelor's and master's degree in physiotherapy from the University of Aveiro, and a postgraduate qualification in adult respiratory physiotherapy from the same institution. In 2023 she completed her double doctorate in Rehabilitation Sciences/Health, Medicine and Life Sciences at the Universities of Aveiro and Maastricht (Netherlands) and is currently working as a technical-scientific advisor to the Studies and Planning Office (GEP) of the Order of Physiotherapists, and as a guest lecturer at the Piaget Institute in Vila Nova de Gaia. As a member of the Respiratory Research and Rehabilitation Laboratory at the University of Aveiro (Lab3R), she has carried out applied research in which she has assessed and treated patients with respiratory pathology, having taken part in 6 research projects. Throughout her career she has published 19 scientific articles in international peer-reviewed journals with an impact factor, 1 book chapter and more than 50 abstracts in conference proceedings. She was a research volunteer at the Ciro rehabilitation centre (Centre for expertise in chronic organ failure) in the Netherlands, and is currently a member of the Guideline Methodology Network of European Respiratory Society. She was honoured by European Lung Foundation e European Respiratory Society for carrying out patient-centred research, by the Directorate General for Higher Education with a merit grant for his master's degree, and by the Ciro Centre with a grant to support research abroad.

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