Children’s physiotherapy is in crisis, with long-term health implications

The intense pressure on paediatric therapy, where children are often kept waiting for far longer than they should be, can cause lifelong health problems. It also affects the mental health and well-being of practitioners.

The Chartered Society of Physiotherapy has issued this stark warning following a survey of paediatric physiotherapists conducted by the Association of Paediatric Chartered Physiotherapists.

Nearly all (94%) 155 paediatric physical therapists surveyed expressed concern that their patients would not be able to receive the rehabilitation treatment they require. More than one third (38%) of paediatric physiotherapists polled said they were concerned about their patients not being able to access the rehab treatment they need.

They were concerned that this would have implications for their long-term mental and physical health and development, as well as their health prospects, even into adulthood.

Over a third of respondents also stated that the inability to provide the rehabilitation that children and youth need affected their mental health. One third of respondents said that they even considered quitting their job as a result.

The CSP, in light of these findings, has called for a review on paediatric therapy and for rehabilitation services to be included in the upcoming NHS England Ten Year Plan.

CSP emphasized that the reasons for not being able to provide diagnosis, treatment, and support were multifaceted.

These include staff shortages and a lack in dedicated rehabilitation space or equipment. Budget and service cuts are also a problem, as is the ignorance of health leaders about the need for services that respond to children and youth with long-term health conditions.

Georgina Ashley, vice-chair of the APCP said: “Sadly long waiting lists and limited access are causing irreversible damage due to staffing shortages.

“It’s a painful reality for us paediatric physiotherapists. We are acutely aware of the risks to children’s lives today by not providing timely treatment. It also sets up the future foundations for health, economic, and social problems.”

The heartbreaking truth is, while quick, quality rehabilitation can transform the lives of young people, what’s currently available in acute and community settings is simply not enough. We have poor data in this area, and services could be further diluted if they are not recognized by the public.

Sara Hazzard is the CSP assistant director, and the co-chairperson of the Community Rehabilitation Alliance. She said, “More that a third (35%) of physiotherapists who were surveyed reported that their inability of providing critical care was damaging their mental health. Many physiotherapists even considered leaving the profession, at a moment when they are needed most and can relieve system pressures.

She added, “This is the reason we urgently require a review of services for paediatric rehabilitation and physiotherapy to be launched as part of the government’s Ten Year Plan NHS England.”

As part of the Community Rehabilitation Alliance (CRA), CSP is promoting universal access to high-quality rehab. It highlights how this helps people live independent and fulfilling lifestyles.