CURRICULUM VITAE
Present Positions / Contact eHealth Clinical Lead
Scottish Government
Senior Lecturer
Glasgow Caledonian University
lkholdsworth@gmail.com
Personal website: www.lesleyholdsworth.com
@lesleyahpd
Winston Churchill Fellow
Chair, National Nursing Midwifery & Allied Health
Professions ehealth Network
Honorary Lecturer
Stirling University
Non Executive Member,
Bield Housing Association, Edinburgh
Professional Qualifications: PhD; MPhil; FCSP; Dip PT; SRP
Key Attributes
An Allied Health Professional by training who has spent the last 20 years working with and leading multi professional individuals, teams and services at local and national level to support improvement in patient services, care and experience. A strategic, innovative thinker with an international research profile, extensive experience of sharing theoretical and practical skills as well as empowering and leading teams to success and critical acclaim. Passionate about empowering the workforce through co-creation and innovation. Considerable experience of leading and contributing to national strategic development and policy in both Scotland and the UK. Highly developed interpersonal and academic skills with a style grounded in engagement, evidence and empowerment all focused on improvement. A flexible, innovative and intuitive worker who blends experience and style to deliver key objectives, meeting the requirements of stakeholders, team members, multi-professional and varied audiences. Previous and current international experience of working with health care policy makers, clinicians and the third sector, presenting and sharing experiences in support of policy and strategic development in a number of countries worldwide. Enthusiasm tempered with a range of skills ideally suited to leading teams within health and care communities.
Current Role: Scottish Government eHealth Clinical Lead August 2015 -
I was appointed Clinical Lead with the eHealth Directorate of the Scottish Government with a specific responsibility for developing Nursing, Midwivery and Allied Health Professional eHealth practice. This role developed as a consequence of my previous role of Chair of the National NMAHP eHealth network and the governments’ recognition that greater clinical support was required in this area. The role is hosted by Glasgow Caledonian University to whom I also provide advice and guidance about eHealth practice and input into their under and post-graduate programmes of education.
As this role is a part time role, it also allows me to undertake other key projects and at present, I am leading the development of the Quality Improvement infrastructure for AHPs on behalf of NHS Education Scotland and also formulating the action plan for the strategic direction of NMAHP research in Scotland on behalf of the Chief Nursing Officer.
Improvement Lead, Healthcare Improvement Scotland, 2013 to 2015
I returned to Healthcare Improvement Scotland in April 2013 following a planned 2.5 year secondment to a new role as the organisational Special Programmes and Improvement Lead. A major part of the role has been to lead the development of the organisational strategy and associated corporate and evaluation frameworks in line with the 20:20 vision. A specific focus is on ensuring that we become a high performing organisation. Additionally, working across the organisation and in partnership with key policy, clinical and third sector stakeholders I have led and co-created a range of specific national improvement initiatives ie. Heart Disease, Dentistry, Endoscopy and our approach to innovation and evaluation. In particular, the national work in relation to Chronic Pain, chairing the national multi professional Steering Group and authoring a national report published in April 2014. I am the organisations Innovation Champion and contribute to the Scottish Governments National Innovation Champions network. I also have responsibility for the ehealth programme across the organisation.
As well, I am currently contributing to a number of national and external organisational initiatives including:
In September 2014, I became a non-executive Board member of Bield Housing Association, Edinburgh, contributing specifically to the work of their Performance and Audit Committee
I was a volunteer at the 2014 Commonwealth Games responsible for managing the workforce at the National Hockey Centre
Previous Key Roles and Responsibilities
Director of Allied Health Professions, NHS24
I was appointed Director of Allied Health Professions (AHP) at NHS24 on a planned 2.5 year secondment and took up post in October 2010. This was a new national role established to provide leadership for AHP service delivery integration within NHS24 through their technological platform driving innovation in service delivery. The work programme primarily focused on developing and implementing a national main point of access for people with musculoskeletal (MSK) conditions and triaged into the most appropriate healthcare / occupational provision as well as developing an associated national self management technological platform using a range of media. It also included expanding and implementing national solutions using telehealthcare in areas including telerehabilitation, dietetics, speech and language services, patient discharge and falls management. The role placed a firm emphasis on establishing productive external relationships with key stakeholders at public, policy, strategic and operational level and particularly within the relevant clinical ehealth communities. Engagement and cultural shift were key aspects of this role. In 2011, I was a Winston Churchill Fellow and used this unique opportunity to visit key centres in Australia. The focus of the study tour was to learn from and share the Scottish experience of MSK service provision developments, telehealthcare, ehealth agenda, governance, leadership and the experience of world leading researchers and to use this new knowledge to inform the development of the AHP NHS 24 strategic framework. A report of this work is available. I also contributed to the national strategic direction of the Allied Health Directors in Scotland, leading on a number of national initiatives and contributed to the development of the AHP National Delivery Plan.
Key Achievements:
Head of Health Services Research & Effectiveness, Healthcare Improvement Scotland; (2007 to 2010)
The role of this unit was to act as knowledge broker, provide advice and guidance to NHSScotland in order to drive improvements in patient care and outcomes. It involved leading a large diverse team (30) with wide ranging skills, for example, health services researchers, economists, statisticians, project officers, information analysts and service secondees with a budget in excess of £2 million. The unit produced Health Technology Assessments, Evidence Summaries, Information Notes, systematic reviews and rapid assessments in response to service needs. This predominately, but not exclusively, related to secondary research. I established a development programme in relation to Patient Reported Outcome Measures (PROMs) and secured a Knowledge Transfer fellow to take forward aspects of this work. The unit also determined, commissioned and oversaw national programmes of audit, clinical guidelines, clinical indicator and cost effectiveness activities. I also had responsibility for the National Reproductive Health Programme which monitors maternal, peri and neonatal mortality and morbidity. The RHP also developed a national resource for Sudden Infant Death. I developed the evaluation framework for the Scottish Patient Safety Programme, developed the overall spec and secured the funding from the Scottish Government Health Directorate. Other responsibilities included Scotland’s commentary status on NICE guidance. We worked closely with NHSScotland and other key stakeholders throughout the UK and wider i,e, NICE, HQUIP, Academic Institutions, ISD, Health Technology Assessment UK / International, EuNEHTA, INATHA. I am an international networker with extensive multi-professional connections particularly within multi-professional health and care research and Allied Health Professions Communities.
Key Achievements:
Clinical Effectiveness/ Governance Co-ordinator, NHS Forth Valley: 2000-07
Until July 2007, I had responsibility for the co-ordination of clinical effectiveness / governance activity within NHS Forth Valley. Originally focusing on primary care, on ‘unification’, the role extended to all staff members including other independent contracted professional groups, i.e. general practitioners, dentists. It involved leading a support service of sixteen permanent and up to 12 temporary individuals/secondees and managing a significant budget. My overall role was to drive forward single system, continuous improvement in healthcare throughout the organisation including patient safety. I worked in partnership with a number of multi-agency stakeholders and had specific responsibility for strategy development, implementation and monitoring in relation to clinical effectiveness and governance.
Key Achievements:
During this time, I also contributed to a number of national initiatives, including:
Lead, Allied Health Professions Clinical Effectiveness Networks NHS Quality Improvement Scotland, 1998-2004 (1 day per week)
In conjunction with my colleague, Dr Valerie Blair, I initiated and led the formation of the Scottish Physiotherapy Clinical Effectiveness Forum in 1998. The forum aims to promote the sharing of good practice, develop mechanisms for dissemination and undertake projects of common interest involving physiotherapists throughout Scotland at both a local health board and national level. The success of this project was recognised by the Chartered Society of Physiotherapy who awarded the work a ‘Frontline Excellence Award’ in 1999. The work was also recognised by the Scottish Executive who provided £255,000 per annum through CRAG to develop similar networks for all the Allied Health Professions, a project which we led for three years (2001-04). Formal evaluation and publication of the report of the project led to responsibility for maintaining the national networks being assumed by the Practice Development Unit within NHS Quality Improvement Scotland and now involves 9,000 AHPs throughout Scotland. http://www.nhshealthquality.org/nhsqis/qis_display_home_ahp.
Personal Research Interest: Patient Self Referral to Physiotherapy: 1996 to date
In conjunction with my colleague, Professor Valerie Webster, we are the leading UK and worldwide researchers with regard to patient self referral to physiotherapy which represents a longstanding personal research interest. I am an international networker with extensive international multi-professional connections particularly within the Allied Health Professions Community.
Key Achievements
Professional Links
Although I have not worked as a clinical physiotherapist since 1989, I have maintained strong links with my professional organisation, the Chartered Society of Physiotherapy through my research interests and by contributing at strategic level to the work of the organisation. I regularly act as professional advisor on behalf of the society and for other AHP views nationally including to parliament and internationally:
Key Achievements
Professional Experience Prior to 2000
Glasgow Caledonian University: Module Leader, MSc Clinical Effectiveness 1997-2004
Glasgow Caledonian University: Senior Lecturer (joint post with NHS Tayside) 1997-2000
Dundee Healthcare NHS Trust: (NHS Tayside)
Superintendent Physiotherapist II/1 & AHP Audit/Research Facilitator 1993-2000
Tayside: Physiotherapy Audit Facilitator 1992-93
Scottish Office Research Fellow 1991
Scottish Office Computing Fellow 1990
University of Dundee: Chest Heart and Stroke Ass, Research Physio 1988-90
Kemback Street Clinic, Dundee Senior Physiotherapist 1986-88
Knightswood Hospital, Glasgow Senior Physiotherapist 1985-86
Southern General Hospital, Glasgow Senior Physiotherapist 1985
Dundee Limb Fitting Centre Senior Physiotherapist 1983-85
City Hospital, Nottingham Senior Physiotherapist 1982-83
Northern General Hospital, Sheffield, Physiotherapist 1980–82
Awards
Post Graduate Supervision
Supervised fourteen masters dissertations to successful completion (1997-2004)
PhD Supervision
An investigation of the lived experience of accessing and attending NHS-based musculoskeletal physiotherapy services in Scotland using a Gadamerian hermeneutic approach. Helen Little, Glasgow Caledonian University, awarded 2009
Transformational Leadership Behaviours and Strategy Development in AHPs: David Wylie, Glasgow Caledonian University, Completion date May 2015
Currently supervising three PhD’s in relation to technology, started March 2013
In 2013/14, I examined two PhD theses, Aberdeen and Robert Gordon Universities
Appendix 1
Major Presentations (these relate to peer reviewed or invited keynotes only - presentations as part of my routine role commitments have not been included but occur regularly and at all levels to a range of audiences)
Holdsworth, LK, Anderson DM, Chimiak P. (1990). Simple Methods of Measuring Muscle Tone and Reducing Hypertonicity. Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Mutch, WJ, Part, NJ. (1990). Measurement of Tone in Stroke. British Geriatric Society, London.
Mutch, WJ, Holdsworth, LK, Part, NJ (1990) Measurement of Tone in Stroke. International Geriatric Conference, Washington.
Holdsworth, RJ, Holdsworth, LK, Part, NJ (1990). Changes in Muscle Tone following Parathyroidectomy. British Association of Endocrine Surgeons, London.
Holdsworth, RJ, Holdsworth, LK, Part, NJ, Gunn, A (1990). Effect of Parathyroidectomy on Muscle Hypertonicity associated with Primary Hyperparathyroidism. Surgical Research Society, Liverpool
Holdsworth, LK, (1993). Perceptions and Evaluations of Out-Patient Physiotherapy - A Subjective study. Scottish Physiotherapists Research Workshop
.
Holdsworth, LK, Goudie BM, (1994). The Effects of Providing an Immediate Access Facility for Physiotherapy assessment to Primary Care. Royal College of General Practitioners / Chartered Society of Physiotherapy Conference.
Holdsworth, LK, Goudie BM, (1995). The Effects of Providing an Immediate Access Facility for Physiotherapy assessment to Primary Care. CSP Annual Conference & Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Millar J, (1996) Minimum Data Sets & Information Management. Chartered Society of Physiotherapy Annual Congress.
Holdsworth, LK, Webster, V, (1996). Defining a More Accurate Assessment of Physiotherapy Need in the Primary Care Setting: Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Millar, J, (1997) Utilising Information. Association of Physiotherapists in Management Annual Congress, Birmingham.
Holdsworth, LK (1997), Information and Clinical Effectiveness. Scottish Office Information Master Class, Edinburgh.
Holdsworth, LK, Gowland H. (1998). The Development of an Opportunistic Screening Tool for the Identification of Urinary Incontinence in the Primary Care Setting. Scottish Physiotherapists Research Workshop
Holdsworth, LK, Miller, J (1999) Information, What Information? CSP Annual Congress.
Holdsworth L, Gowland H, (1999). The Development of an Opportunistic Screening Tool for Urinary Incontinence in the Primary Care Setting. World Congress of Physical Therapy, Japan.
Holdsworth, LK (1999). The Development, Implementation & Evaluation of a Pathway for the Management of Low Back Pain in Primary Care. Scottish Executive CRAG Annual Conference.
Holdsworth, LK (2000). Information – the key to Clinical Governance? Invited lecture Scottish Rehabilitation Society Annual Conference.
Holdsworth, LK (2001). IM&T, CPD & AHP’s. Nursing Board for Scotland, E-learning Conference, Kirkcaldy, (Invited Lecture).
The National Allied Health Professions Clinical Effectiveness Project: Numerous national and local conferences 2001 to date including all the involved allied professions national congresses - over 63 personal presentations.
Funai, G, Burnett, V, Holdsworth, LK, (2002). Developing Criteria for Pre-Discharge Home Visits. College of Occupational Therapists Annual Congress.
McDonald, R E, Chesson, R, Burnett, V W, Funia, G J, Holdsworth, L K & Upton, C. (2002) Pre-discharge home assessment visits with elderly patients: a collaborative study of current practice. Scottish NHS Research Day: Research into Practice/Development.
Holdsworth, LK (2003). The National Allied Health Professions Clinical Effectiveness Project. World Congress of Physical Therapy, Barcelona.
Holdsworth, LK, Murdoch, G, Renwick, C (2004). Patient Acceptability and Satisfaction of Sexual Health Service Provision in Primary Care. European Sexual Health Forum, Edinburgh
.
Wilson, A, Holdsworth, LK , Borland, H (2005). Developing a clinical governance and patient safety framework to support NHS Scotland. International Society of Quality in Healthcare, Vancouver.
Holdsworth, LK (2006) Patient Safety in Primary Care. NHS Quality Improvement Scotland Annual Congress, Airth (Invited keynote).
Holdsworth, LK (2006) Making the case for services. University of Warwick. Allied Health Professions UK Forum (Invited keynote).
Holdsworth, L, Orr M, Morson G (2007)- Improving the Quality of Antibiotic Prescribing within a Scottish General Dental Practitioner Population. IHI Conference, Barcelona.
Holdsworth, L, Borland H, Houston, N, Napier, A (2008) Patient Safety in Primary Care. NHS Quality Improvement Scotland Clinical Governance Conference, January 2008.
Borland H, Holdsworth, L, Houston, N, Napier (2008) A. Patient Safety in Primary Care: the Scottish experience. IHI Conference, Paris
Ferguson F, Holdsworth L. (2008) A national Audit of Physiotherapy management of low back pain: Scotland Moving Forward. CSP Annual Congress 2008
Holdsworth L, Webster V (2008). Defining and Agreeing an International Physiotherapy Dataset: Is it possible? CSP Annual Congress.
Holdsworth L (2008). Data into Evidence. NMAHP eHealth Stakeholder Event (invited keynote).
Holdsworth L, (2009) Transforming the Organisational Footprint: NHS Quality Improvement Scotland’s’ approach to driving improvements through coronary heart disease management. IHI Conference, Berlin
K Ritchie, K Macpherson, L Holdsworth (2010). Evidence-informed policy and complex interventions – a methodological gap? HSR in Europe, A Working Conference, The Hague 8-9 April
Holdsworth L, Ferguson F, Rafferty D (2010). No going Back for Scotland Physiotherapists. IHI Congress, April, Nice
Holdsworth L, Morrison D, McKeon A, Graham J. The Scottish Surgical Profile (2010) IHI Conference, April, Nice
Ritchie K, Macpherson K, Holdsworth L. (2010) Evidence-informed policy and complex interventions – a methodological gap? Health Services Research Europe Working Conference, The Hague, 8th-9th April 2010
Holdsworth L, Ferguson F, Rafferty D (2010). No going Back for Scotland Physiotherapists. NHS Event, Edinburgh, June
Holdsworth L, Morrison D, McKeon A, Graham J. The Impact of the Scottish Surgical Profiles (2010) NHS Event, Edinburgh, June
Ferguson F, Holdsworth L, Rafferty D (2010). A National Framework for Supporting Improvements in the Physiotherapy Assessment and Management of Low Back Pain: The Scottish Experience. CSP Congress, Liverpool, October
Ferguson F, Holdsworth L, Rafferty D (2010) Low Back Pain and Physiotherapy Use of Red Flags: The Evidence from Scotland. CSP Congress, Liverpool Oct
Holdsworth L (2011) National MSK Advice and Triage Service: An appropriate model for Scotland? APTA Melbourne, Australia (invited lecture) April
Holdsworth L (2011) National Redesign and Patient Self referral: evidence from the UK
Brisbane, Australia (invited lecture) April
Holdsworth L (2011) National Redesign of MSK Services in Scotland: Key lessons for other countries, Queensland Health, Gold Coast Australia (invited lecture) May
Holdsworth L, Ferguson F, Rafferty D (2011). No going Back for Scotland Physiotherapists. IHI Conference, April, Amsterdam
Holdsworth L, Ferguson F, Rafferty D (2011). Still No going Back for Scotland Physiotherapists. WCPT, June, Amsterdam
Holdsworth L, Mitchell S, MacDonald E, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? SSPC, April, Glasgow
Holdsworth L, Mitchell S, MacDonald E, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? NHS Event, June, Glasgow
Holdsworth L, Mitchell S, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? CSP Conference, October, Glasgow (invited keynote)
Holdsworth L, Douglas L, McDonald C, Hunter E, Smith C (2012) Can the use of social media raise the profile of AHPs in Scotland? Medicine 2.0, September, Boston USA
Holdsworth L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? CSP Conference, October, Liverpool (invited keynote)
Holdsworth L (2012) Physiotherapists and technology, better patient experience and outcome? Irish Society of Physiotherapy (invited keynote) Dublin, November (invited keynote)
Holdsworth L , Ferguson F, Mitchell S (2013) National MSK Advice and Triage Service: An appropriate model for Scotland? IHI Conference, London, April
Holdsworth L , Ferguson F, Mitchell S (2013) A National MSK Self Management and Advice Platform for Scotland, IHI Conference, London, April
Holdsworth L, Gilbert S, (2014) Chronic Pain in Scotland: Where are we now? IHI Conference, Paris April
Holdsworth L, (2015) The Future of Physiotherapy: Chartered Society of Physiotherapy, PhysioWorks Programme (invited keynote)
Holdsworth L, (2015) AHPs and Technology: Now and into the Future: NHS Education’s Festival of Learning, Edinburgh (invited keynote)
Patient Self Referral: Main presentations (Peer reviewed or invited keynotes where indicated)
Holdsworth, L. (2000) Direct Access (Self referral) to Physiotherapy in Primary Care: testing the concept. Scottish Physiotherapist’s Research Workshop,
Holdsworth, L, (2000) Direct Access (Self referral) to Physiotherapy in Primary Care Sharing Good Practice, Royal College of General Practitioners,
Holdsworth, L, (2000) Direct Access (Self referral) to Physiotherapy in Primary Care:, R & D Sharing Issues Workshop, Glasgow Royal Infirmary
Holdsworth, L, (2001) Direct Access (Self referral) to Physiotherapy in Primary Care
Primary Care 2001 Conference, Birmingham (CSP Invited Keynote Lecture).
Holdsworth, L, (2001) Direct Access (Self referral) to Physiotherapy in Primary Care
CSP Annual Congress, Birmingham.
Holdsworth, L, (2003) Direct Access (Self referral) to Physiotherapy in Primary Care
World Congress of Physical Therapy, Barcelona.
Holdsworth, L, (2003). Direct Access (Self referral) to Physiotherapy in Primary Care
CSP Annual Congress, Birmingham.
Holdsworth, L, Webster, V, (2004). Patient Self-Referral to Physiotherapy: Are there International Issues? International Private Practitioners Association, European Meeting, London (invited)
Holdsworth, L, Webster, V, (2005). Patient Self-Referral to Physiotherapy: An International Perspective. International Private Practitioners Association (IPPA) World Congress, Melbourne, Australia.
Holdsworth, L, Webster, V, (2005). An Overview of a Multi-centred Investigation into Patient Self-Referral to Physiotherapy across Scotland. IPPA World Congress, Melbourne, Australia (invited).
Holdsworth, L, Webster, V, (2005). Self Referral to Physiotherapy: Feasible, Appropriate, Acceptable? AHP UK Research into Practice Award Winner, Department of Health. London.
Holdsworth, L, Webster, V, (2006). Self Referral to Physiotherapy. The facts so far. Department of Health, London (invited)
Holdsworth, L, (2006). Musculoskeletal Conditions & Physiotherapy Management: Just what do we know? Connect Physical Conference, Newcastle (invited).
Holdsworth, L, Webster, V, (2006) An Overview of a Multi-centred Investigation into Patient Self-Referral to Physiotherapy across Scotland. Scottish Primary Care Research Conference, Perth.
Holdsworth, L, (2006). Self Referral to Physiotherapy: Just what do we know? Grampian Physiotherapy Research Hub Launch Conference, Robert Gordon University, Aberdeen. (invited)
Holdsworth, L, Webster, V, (2006). Self Referral to Physiotherapy: Department of Health Pilot Sites Awareness Session. London. (invited)
Holdsworth, L, Webster, V, (2006). International Investigation of Patient Self-Referral and Physiotherapy Practice. International Private Practitioners Association European Meeting, Hamburg.(invited)
Holdsworth, L, Webster, V, (2006). What are the NHS Costs of Self referral to Physiotherapy? Results of a National Trial. Chartered Society of Physiotherapy Annual Congress, Birmingham.
Holdsworth, L, Webster, V (2006) Are Self Referring Physiotherapy Patients Different from those Referred by their GP?: Results of a National Trial. NHS Scotland, Research Conference, Glasgow
Holdsworth, L. Self-referral to Physiotherapy: A Model for the Modern day NHS in the UK? Results of a National Trial. (2007) IHI Conference, Barcelona.
Holdsworth, L. (2007). Doing things differently: Just how can physiotherapists deliver health? Association of Chartered Physiotherapists in Management Annual Congress, Glasgow (invited keynote lecture).
Holdsworth, L, Webster, V, (2007). Are Self Referring (Direct Access) Patients Different from those Referred by their GP?: Results of a National Trial. World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V, (2007) Preparing to Introduce Patient Self Referral (Direct Access) in the UK: The key Steps - Sharing the learning. World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V. (2007) The Use of Clinical Datasets: International Opportunities, World Congress of Physical Therapy, Vancouver.
Little H; Webster V; Knussen C, Holdsworth L (2007). Gadamerian Hermeneutics: a new approach to qualitative research for Allied Health Professionals- overview of a study on patient experience of physiotherapy. World Congress of Physical Therapy, Vancouver.
Webster, V, Holdsworth, L, (2007). Self Referral (Direct Access) to Physiotherapy: What do the Physiotherapists and Referring Doctors Think?: Results of a National Trial, World Congress of Physical Therapy, Vancouver.
Webster, V, Holdsworth. L, (2007) Self Referral (Direct Access) to Physiotherapy: Views and Perceptions of Service Users and Non-Users, World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V . (2007) Preparing to Introduce Patient Self Referral to Physiotherapy in Scotland: Some key lessons and tips: Results of a Scottish National Trial. NHS Scotland, Research Conference, Glasgow
Holdsworth, L, Webster, V. (2007) Self Referral, Access and Physiotherapy: What do Patient’s think?: Results of a Scottish National Trial. Scottish NMAHP Research into Practice Conference. Glasgow
Little H; Webster V; Knussen C, Holdsworth L. (2007). Gadamerian Hermeneutics: A New Approach to Qualitative Research for AHPs- An overview of a study on patient experience of physiotherapy. Scottish NMAHP Research into Practice Conference. Glasgow.
Little H; Webster V; Knussen C, Holdsworth L. (2008) Gadamerian Hermeneutics: A New Approach to Qualitative Research for AHPs- An overview of a study on patient experience of physiotherapy. CSP Annual Congress.
Holdsworth, L, Webster, V (2009) An International Study of Physiotherapy Practice and Access Issues. IPPA International Conference, Capetown (Invited Keynote)
Holdsworth, L, (2009) Master Class: Access to Physiotherapy: Global Issues. APTA/WCPT Summit, Washington (Oct) (Invited Keynote)
Holdsworth, L, (2009) Master Class: Access to Physiotherapy: Global Issues. Spanish Physiotherapy Association, Barcelona (Dec) (Invited Keynote)
Holdsworth, L, Webster, V (2010) International Physiotherapy Practice and Access Issues. WCPT Summit, Berlin, May 25-27th (Invited Keynote & Master Class)
Holdsworth, L, Webster, V (2011) International Physiotherapy Practice Association. WCPT, International Congress, Amsterdam, Master Class (invited).
Holdsworth, L, Webster, V (2011) The case for Self referral, German Physiotherapy Congress, Bochum. Key Note (invited).
Holdsworth L (2013) Self referral: The educational implications of autonomous practice? WCPT European chapter education forum, (invited keynote) Vienna, November
Holdsworth L (2015) The experience of self referral in the UK (invited keynote) JFK conference, Lille, France – Key note (invited)
Publications
Holdsworth, R.J, Holdsworth, L.K, Part N.J (1990). Changes in Muscle Tone following Parathyroidectomy. British Journal of Surgery 77:A696.
Holdsworth, R.J, Holdsworth, L.K, Part N.J, Gunn A (1990). Effect of Parathyroidectomy on Muscle Hypertonicity associated with Primary Hyperparathyroidism. British Journal of Surgery;77:A1310.
Brown, A, Holdsworth, L.K, Leslie G.C, Mutch W.J, Part N.J. (1993) The Effects of Time after Stroke and Selected therapeutic techniques on Quadriceps Muscle tone in Stroke Patients Physiotherapy Theory & Practice vol 9, pp 131-142.
Holdsworth, L.K, Anderson D.M (1993) Effectiveness of Ultrasound used with a hydrocortisone Coupling Medium or Epicondylitis Clasp to Treat lateral Epicondylitis: Pilot Study. Physiotherapy, vol. 79, pp 19-26.
Holdsworth, L.K, Gowland H. (2003). Identifying and Managing Urinary Incontinence Opportunistically in Primary Care. British Journal of General Practice
Holdsworth, L.K (2003). Implementing Evidence – experience in Forth Valley, Scottish Dentist, July/August, Issue 63, p 19.
McDonald, R.E, Chesson, R.A, Burnett, V.W, Funai, G.J, Holdsworth, L.K, Upton, C.D.J (2003). Pre-discharge Home assessment Visits with Elderly Patients: a collaborative study of current practice. Physiotherapy, vol.89; no.5; p323.
Holdsworth, L, Webster, V (2004). Direct Access to Physiotherapy in Primary Care: Now and into the future? Physiotherapy, vol.90 pp 64 –72.
Holdsworth, L, Webster, V. (2004) Self-Referral to Physiotherapy: a practical proposition? The New Generalist. vol.2. pp 66-67.
Holdsworth, L.K, Blair V.A, Miller J (2005). The Scottish Physiotherapy Clinical Effectiveness Network: Supporting clinical effectiveness activity? Clinical Governance. Vol.10, no.2 pp 148-164.
Holdsworth, L, Webster, V., McFadyen, A, (2006) Self-Referral to Physiotherapy: Deprivation and Geographical Setting: Is there a relationship? Results of a National Trial, Physiotherapy. 92, 16-25
Holdsworth, L, Webster, V, McFadyen, A. (2006) Are Patients who refer themselves to Physiotherapy Different from those Referred by GPs?: Results of a National Trial. Physiotherapy, 92. 26-33.
Holdsworth L, Webster V (2006). Self referral to Physiotherapy. Scottish Primary Care. 49: p 16-18.
Holdsworth, L, Webster, V, McFadyen A. (2007). What are the Costs to NHSScotland of Self Referral to Physiotherapy?: Results of a National Trial. Physiotherapy 93: 3-11.
Webster, V, Holdsworth, L, McFadyen, A (2008) What do patients think about Self Referral, Access & Physiotherapy? Results of a National Trial. Physiotherapy 94: 141-149.
Holdsworth, L, Webster, V, McFadyen A. (2008). Physiotherapist and General Practitioner Views of Self Referral and Physiotherapy Scope of Practice: Results from a National Trial Physiotherapy 94: 236-243
Ferguson F, Holdsworth L, Rafferty D (2010). A National Framework for Supporting Improvements in the Physiotherapy Assessment and Management of Low Back Pain: Physiotherapy 96:198-205
Ferguson F, Holdsworth L, Rafferty D (2010) Low Back Pain and Physiotherapy Use of Red Flags: The Evidence from Scotland. Physiotherapy 96: 206-213
Holdsworth, L, Webster, V, Rafferty D. (2012). Defining, Agreeing and Testing an International Physiotherapy Core Dataset: Results of a Feasibility Study. Physical Therapy Journal vol 92 pp 378 – 387
Holdsworth L , Douglas L, Hunter E MacDonald C (2013) can the Use of Social Media Raise the Profile of the AHPs in Scotland? British Journal of Healthcare Management – Vol. 19, Iss. 2, 11 Feb 2013, pp 85 - 92
Gilbert S, Holdsworth L, Smith B (2014). The Scottish model for chronic pain management services. British Journal of Healthcare Management, Vol 20. No 12 http://www.magonlinelibrary.com/doi/abs/10.12968/bjhc.2014.20.12.568
Holdsworth L.K (2014). Patient Self Referral (Direct Access): The Story from the UK. PhysioActive (Swiss) Vol 6. Pp7-12
Book/s
Holdsworth L.K, Webster V.S (2006). Patient Self referral: A Guide for Therapists. Radcliffe Publishing Ltd. ISBN-101 84619 165 3.
Holdsworth L. 2010 Managing Money, Measurement and Marketing in the Allied Health Professions (Chapter: Demonstrating Worth: Marketing and Impact Measurement) Radcliffe Publishing Ltd. ISBN: 9781946191985
CURRICULUM VITAE
Present Positions / Contact eHealth Clinical Lead
Scottish Government
Senior Lecturer
Glasgow Caledonian University
lkholdsworth@gmail.com
Personal website: www.lesleyholdsworth.com
@lesleyahpd
Winston Churchill Fellow
Chair, National Nursing Midwifery & Allied Health
Professions ehealth Network
Honorary Lecturer
Stirling University
Non Executive Member,
Bield Housing Association, Edinburgh
Professional Qualifications: PhD; MPhil; FCSP; Dip PT; SRP
Key Attributes
An Allied Health Professional by training who has spent the last 20 years working with and leading multi professional individuals, teams and services at local and national level to support improvement in patient services, care and experience. A strategic, innovative thinker with an international research profile, extensive experience of sharing theoretical and practical skills as well as empowering and leading teams to success and critical acclaim. Passionate about empowering the workforce through co-creation and innovation. Considerable experience of leading and contributing to national strategic development and policy in both Scotland and the UK. Highly developed interpersonal and academic skills with a style grounded in engagement, evidence and empowerment all focused on improvement. A flexible, innovative and intuitive worker who blends experience and style to deliver key objectives, meeting the requirements of stakeholders, team members, multi-professional and varied audiences. Previous and current international experience of working with health care policy makers, clinicians and the third sector, presenting and sharing experiences in support of policy and strategic development in a number of countries worldwide. Enthusiasm tempered with a range of skills ideally suited to leading teams within health and care communities.
Current Role: Scottish Government eHealth Clinical Lead August 2015 -
I was appointed Clinical Lead with the eHealth Directorate of the Scottish Government with a specific responsibility for developing Nursing, Midwivery and Allied Health Professional eHealth practice. This role developed as a consequence of my previous role of Chair of the National NMAHP eHealth network and the governments’ recognition that greater clinical support was required in this area. The role is hosted by Glasgow Caledonian University to whom I also provide advice and guidance about eHealth practice and input into their under and post-graduate programmes of education.
As this role is a part time role, it also allows me to undertake other key projects and at present, I am leading the development of the Quality Improvement infrastructure for AHPs on behalf of NHS Education Scotland and also formulating the action plan for the strategic direction of NMAHP research in Scotland on behalf of the Chief Nursing Officer.
Improvement Lead, Healthcare Improvement Scotland, 2013 to 2015
I returned to Healthcare Improvement Scotland in April 2013 following a planned 2.5 year secondment to a new role as the organisational Special Programmes and Improvement Lead. A major part of the role has been to lead the development of the organisational strategy and associated corporate and evaluation frameworks in line with the 20:20 vision. A specific focus is on ensuring that we become a high performing organisation. Additionally, working across the organisation and in partnership with key policy, clinical and third sector stakeholders I have led and co-created a range of specific national improvement initiatives ie. Heart Disease, Dentistry, Endoscopy and our approach to innovation and evaluation. In particular, the national work in relation to Chronic Pain, chairing the national multi professional Steering Group and authoring a national report published in April 2014. I am the organisations Innovation Champion and contribute to the Scottish Governments National Innovation Champions network. I also have responsibility for the ehealth programme across the organisation.
As well, I am currently contributing to a number of national and external organisational initiatives including:
- Chair of ‘The Holdsworth Group’: Developing a new approach to the Inspection of Hospital Acquired Infection throughout Scotland
- Chair, National Nursing, Midwifery and Allied Health Professions (NMAHP) ehealth Group and member of National ehealth Clinical Change Leadership Group
- Member of the National NMAHP Quality Co-ordinating Council (during its lifetime)
- Member of the Scottish Government’s National NMAHP Research & Development Steering Group
- Advisor to the Royal College of Surgeons, Edinburgh on Physical Activity
- Member of the Scottish Government’s Heath and Social Physical Activity Delivery Group
- Member of the National Clinical Decision Support Steering Group being led by NES
- Member of Department of Work and Pensions Information and Assessment Expert Group Scotland
- Supervising two PhD’s in relation to MSK/technology
- Steering Group member of Medical Research Council funded direct access trial being led by Prof Chris Salisbury, University of Bristol
- Organising and participatory role for the NMAHP ehealth leadership programme being delivered by NHS Education Scotland and British Computer Society’s Scottish Annual Conference
- Providing mentorship to five participants on the national ehealth leadership programme
- Member of the National Innovation Champions Network
- Member of Chartered Society of Physiotherapy Awards Committee
- Member of Chartered Society of Physiotherapy Top Strategic Leaders Group
- Strategic advisor to the Health Department of the state of Queensland, Australia in relation to their overall service redesign of musculoskeletal services
In September 2014, I became a non-executive Board member of Bield Housing Association, Edinburgh, contributing specifically to the work of their Performance and Audit Committee
I was a volunteer at the 2014 Commonwealth Games responsible for managing the workforce at the National Hockey Centre
Previous Key Roles and Responsibilities
Director of Allied Health Professions, NHS24
I was appointed Director of Allied Health Professions (AHP) at NHS24 on a planned 2.5 year secondment and took up post in October 2010. This was a new national role established to provide leadership for AHP service delivery integration within NHS24 through their technological platform driving innovation in service delivery. The work programme primarily focused on developing and implementing a national main point of access for people with musculoskeletal (MSK) conditions and triaged into the most appropriate healthcare / occupational provision as well as developing an associated national self management technological platform using a range of media. It also included expanding and implementing national solutions using telehealthcare in areas including telerehabilitation, dietetics, speech and language services, patient discharge and falls management. The role placed a firm emphasis on establishing productive external relationships with key stakeholders at public, policy, strategic and operational level and particularly within the relevant clinical ehealth communities. Engagement and cultural shift were key aspects of this role. In 2011, I was a Winston Churchill Fellow and used this unique opportunity to visit key centres in Australia. The focus of the study tour was to learn from and share the Scottish experience of MSK service provision developments, telehealthcare, ehealth agenda, governance, leadership and the experience of world leading researchers and to use this new knowledge to inform the development of the AHP NHS 24 strategic framework. A report of this work is available. I also contributed to the national strategic direction of the Allied Health Directors in Scotland, leading on a number of national initiatives and contributed to the development of the AHP National Delivery Plan.
Key Achievements:
- Developed, implemented and evaluated within three Health Boards a national telephony main point of access for MSK conditions, and supportive self management platform delivered via web, digital TV and app (MSK Help) media, launched in December 2011
- Developed a NHS 24 AHP strategic framework and action plan endorsed by NHS 24 Board June 2011
- Convened national MSK Programme Board and Expert Panel
- Winston Churchill Fellow, 2011, Undertook a travel fellowship to Australia for five weeks April – May 2011 report available
- Led a project on behalf of Scottish AHP Directors to determine the value of using social media to raise the awareness and recognition of AHP activity. This work was presented at Medicine 2.0 Harvard, Boston September 2012 and published in the Journal of healthcare management in 2013
- Led the national review of Telerehabilitation and associated action plan
- Co-developed a national evaluation framework for telehealthcare
- Led a national pilot project on redesigning orthopaedic outpatient reviews through the use of technology
- Developed a national pledge to increase physical activity within the AHPs impacting on 500,000 new patient contacts per annum. Led a national NHS physical activity initiative working with Scottish Governments Physical Activity Champion funded through national Chief Executive’s Group
- NHS 24 clinical lead for Telehealth and Falls
- Member of National Knowledge Advisory Board
- Supervised three PhD’s in relation to technology
- Runner up award at 2012 ehealth insider Awards
- Nine peer reviewed abstracts accepted for international conferences
- Chair, National NMAHP ehealth Group and member of National ehealth Clinical Leadership Group
- Four keynote invitations from international organisations and numerous UK events
- Mentoring four national AHP leads and one educational service head
Head of Health Services Research & Effectiveness, Healthcare Improvement Scotland; (2007 to 2010)
The role of this unit was to act as knowledge broker, provide advice and guidance to NHSScotland in order to drive improvements in patient care and outcomes. It involved leading a large diverse team (30) with wide ranging skills, for example, health services researchers, economists, statisticians, project officers, information analysts and service secondees with a budget in excess of £2 million. The unit produced Health Technology Assessments, Evidence Summaries, Information Notes, systematic reviews and rapid assessments in response to service needs. This predominately, but not exclusively, related to secondary research. I established a development programme in relation to Patient Reported Outcome Measures (PROMs) and secured a Knowledge Transfer fellow to take forward aspects of this work. The unit also determined, commissioned and oversaw national programmes of audit, clinical guidelines, clinical indicator and cost effectiveness activities. I also had responsibility for the National Reproductive Health Programme which monitors maternal, peri and neonatal mortality and morbidity. The RHP also developed a national resource for Sudden Infant Death. I developed the evaluation framework for the Scottish Patient Safety Programme, developed the overall spec and secured the funding from the Scottish Government Health Directorate. Other responsibilities included Scotland’s commentary status on NICE guidance. We worked closely with NHSScotland and other key stakeholders throughout the UK and wider i,e, NICE, HQUIP, Academic Institutions, ISD, Health Technology Assessment UK / International, EuNEHTA, INATHA. I am an international networker with extensive multi-professional connections particularly within multi-professional health and care research and Allied Health Professions Communities.
Key Achievements:
- Achieved ‘superior rating’ from the remuneration committee each year
- Completed a national leadership development programme and participated in a long term action learning set
- Reviewed and realigned the HSR work programme in response to the needs of decision makers in NHSScotland
- Established a reciprocal staffing arrangement with Health Research Unit, Aberdeen
- Established formal agreements with each Research Consortia in Scotland
- Established the Scottish Heath Technology Group to provide key clinical and cost effective evidence to health service decision makers
- Reviewed and refreshed the staffing structure within HSRE, re-aligning with the overall objectives of the organisation
- Established a senior management team and robust systems for staff management and development
- Secured a Knowledge Transfer Partnership with the Alliance for Self Care to develop and test a national toolkit for Patient Reported Outcome measures (PROMs)
- Introduced a six month writing for publication course within NHS QIS resulting in 11 peer reviewed publications and annual showcasing events
- Introduced integrated programme working across the organisation
- Developed and implemented a new national strategy for the collection and use of national data
- Established a National Clinical Data Advisory Group
- Member of steering groups with responsibility for developing national Quality Scorecard and Measurements framework associated with the SGHD’s Quality Strategy
- Member of National Clinical Dataset Development Programme
- Member of Adult Rehabilitation Framework Steering Group
- Member of Database of research into Stroke (DORIS)
- Led a national improvement programme in relation to Coronary Heart Disease that spanned the majority of functions of the organisation and wider stakeholders.
- Recognised at the 2009 Institute of Healthcare Improvement conference in Berlin, winner of Transforming Organisations category for national Coronary Heart Disease Improvement programme (Programme Lead)
- Oversaw the implementation and evaluation of the National Surgical Profiles Project, developed the national Medical Profiles Initiative
- Developed a National Reproductive Health Programme that oversees national maternal mortality and morbidity and a programme of national clinical effectiveness
- Led the National physiotherapy management of low back pain initiative involving all service providers and 55,000 patients in a one-year programme of improvement and evidence relating to the quality of practice (in top 5 abstracts submitted for IHI conference, 2010, two peer reviewed publications, 2010, 6 peer reviewed presentations) .
- Published numerous national reports, guidance documents, Health Technology Assessments, systematic reviews (over 30)
- Contributed to organisational development, particularly with regard to organisational transitioning to new organisation with the developing emphasis on improvement and improvement science
- Developed the national specification and secured funding from Scottish Government for the evaluation of the Scottish Patient Safety Programme
- Member of the review panel for the Chief Scientists Office Improvement Funding stream
- Developed and implemented a scooping exercise to determine the support, training and educational needs of clinical governance and risk management staff and Chairs of Clinical Governance Committees within NHS Scotland with particular reference to the draft Healthcare Governance Standards.
- Successfully led the development and implementation of a risk management framework for NHSScotland.
- Led the development and delivery of a National workshop for Non-Executive Directors to determine their specific support requirements to fulfil their role in clinical governance at NHS Board level
Clinical Effectiveness/ Governance Co-ordinator, NHS Forth Valley: 2000-07
Until July 2007, I had responsibility for the co-ordination of clinical effectiveness / governance activity within NHS Forth Valley. Originally focusing on primary care, on ‘unification’, the role extended to all staff members including other independent contracted professional groups, i.e. general practitioners, dentists. It involved leading a support service of sixteen permanent and up to 12 temporary individuals/secondees and managing a significant budget. My overall role was to drive forward single system, continuous improvement in healthcare throughout the organisation including patient safety. I worked in partnership with a number of multi-agency stakeholders and had specific responsibility for strategy development, implementation and monitoring in relation to clinical effectiveness and governance.
Key Achievements:
- Led the development of systems of governance primarily in primary care and latterly, throughout Forth Valley
- Developed and led a highly functional clinical effectiveness support service
- Key member of numerous organisational committees including Research and Governance related fora.
- Developed training and education programmes in relation to improvement; from informal to SVQ accredited to a MSc programme
- Attracted additional funding from external bodies for a range of projects in excess of £980,000.
- Led numerous re-design and improvement initiatives demonstrating improvements in patient care
- Led the redesign of epilepsy services, won Guidelines in Practice Award in 2004 and Health Services Journal Award in 2005.
- Developed a programme of clinical effectiveness in Dentistry (89% GDP involvement over 5 years)
- Member and Chair of the Forth Valley Ethics Committee.
During this time, I also contributed to a number of national initiatives, including:
- Scoping and defining the Clinical Governance Support function of NHS QIS (2003).
- SIGN Council member
- Member of the group who developed the NMAHP National Research Training Programme
- Member of Centre for Change and Innovation Out Patient Programme Leadership Group
- Member of Centre for Change and Innovation: National Orthopaedic Redesign Sub Group lead
- Honorary appointments at Glasgow Caledonian and Stirling Universities
- Reviewer for various UK and international journals and funding bodies
- Chair, The Alliance for Self Care Research:
- NHS QIS National Clinical Indicators Strategy, Development Group Member
- NHS QIS Patient Safety in Primary Care: Steering Group Member & Pilot Site Lead
- NHS QIS Healthcare Governance Standards Reviewer
- Evaluated the NHS Education Scotland: Quality Indicators within Nursing Project
- European Healthcare reviewer: funded by European Union through the WHO
- Member of a high profile National Advisory Group who were tasked to develop the National Framework for Service Change in Scotland (The Kerr Report). I led the Older People’s, and in conjunction with a colleague from social care, co-led the Carers and Self care workstreams- subsequent member of the National Rehabilitation Framework steering group and Long Term Conditions Alliance.
- Provided evidence to the Parliamentary Health Committee on reshaping the NHS and workforce planning in relation to the AHPs
Lead, Allied Health Professions Clinical Effectiveness Networks NHS Quality Improvement Scotland, 1998-2004 (1 day per week)
In conjunction with my colleague, Dr Valerie Blair, I initiated and led the formation of the Scottish Physiotherapy Clinical Effectiveness Forum in 1998. The forum aims to promote the sharing of good practice, develop mechanisms for dissemination and undertake projects of common interest involving physiotherapists throughout Scotland at both a local health board and national level. The success of this project was recognised by the Chartered Society of Physiotherapy who awarded the work a ‘Frontline Excellence Award’ in 1999. The work was also recognised by the Scottish Executive who provided £255,000 per annum through CRAG to develop similar networks for all the Allied Health Professions, a project which we led for three years (2001-04). Formal evaluation and publication of the report of the project led to responsibility for maintaining the national networks being assumed by the Practice Development Unit within NHS Quality Improvement Scotland and now involves 9,000 AHPs throughout Scotland. http://www.nhshealthquality.org/nhsqis/qis_display_home_ahp.
Personal Research Interest: Patient Self Referral to Physiotherapy: 1996 to date
In conjunction with my colleague, Professor Valerie Webster, we are the leading UK and worldwide researchers with regard to patient self referral to physiotherapy which represents a longstanding personal research interest. I am an international networker with extensive international multi-professional connections particularly within the Allied Health Professions Community.
Key Achievements
- PhD awarded 2002
- Pilot work 1999-2002, published 2003
- National trial, 2003-05 involving over 3,000 patients from 29 sites throughout Scotland.
- Advisor to Department of Health, England 2004-2008
- Advisor to Department of Health, Northern Ireland 2006-2008
- Advisor to Chartered Society of Physiotherapy 2001 to date
- Advisor to Department of Work and Pensions 2010- to date
- Advisor to World Congress of Physiotherapy 2005 to date
- Advisor to the state of Queensland, Australia on modes of access
- International trial, nine countries and 6 million patients. Funded by the International Physiotherapy Practitioners Association 2005-2009
- International collaboration and advisor: Dutch Healthcare System, University of Leiden
- On-going collaboration with NIVEL (Dutch research institute, 2005 to date)
- Ten peer reviewed first author publications relating to: referral modes and rates, patient clinical and demographic influences, NHS costs, patient, clinician and public views. (appendix 1)
- 44 peer reviewed or invited key note presentations internationally (appendix 1)
- Published a book: 2006 Patient Self referral: A Guide for Therapists. Radcliffe Publishing Ltd. ISBN-101 84619 165 3. website www.lesleyholdsworth.com
- Awarded:
- The Bob Williams Travel Scholarship: (2003) Funded visit to American Physical Therapy Association, Washington, USA
- Scottish Executive 2005: Innovation in Service Improvement Award for the Allied
- UK Allied Health Professions Award for Research into Practice, 2005.
- Health Services Journal, 2006: Overall winner for Improving Access.
Professional Links
Although I have not worked as a clinical physiotherapist since 1989, I have maintained strong links with my professional organisation, the Chartered Society of Physiotherapy through my research interests and by contributing at strategic level to the work of the organisation. I regularly act as professional advisor on behalf of the society and for other AHP views nationally including to parliament and internationally:
Key Achievements
- Awarded Fellowship of the Chartered Society of Physiotherapy (2002)
- Clinical Effectiveness and Research & Development Committee (Previous Chair and current committee member)
- Chair: of Musculoskeletal Panel Sharing Effective Practice Project (2005)
- Chair: Congress Management Group (2006- 2010)
- Official Spokesperson with regard to Self Referral and Access (2004 to date)
- UK AHP Research Forum: panel member (2009 to date)
- Physiotherapy Awards Committee member (2011 to date)
Professional Experience Prior to 2000
Glasgow Caledonian University: Module Leader, MSc Clinical Effectiveness 1997-2004
Glasgow Caledonian University: Senior Lecturer (joint post with NHS Tayside) 1997-2000
Dundee Healthcare NHS Trust: (NHS Tayside)
Superintendent Physiotherapist II/1 & AHP Audit/Research Facilitator 1993-2000
Tayside: Physiotherapy Audit Facilitator 1992-93
Scottish Office Research Fellow 1991
Scottish Office Computing Fellow 1990
University of Dundee: Chest Heart and Stroke Ass, Research Physio 1988-90
Kemback Street Clinic, Dundee Senior Physiotherapist 1986-88
Knightswood Hospital, Glasgow Senior Physiotherapist 1985-86
Southern General Hospital, Glasgow Senior Physiotherapist 1985
Dundee Limb Fitting Centre Senior Physiotherapist 1983-85
City Hospital, Nottingham Senior Physiotherapist 1982-83
Northern General Hospital, Sheffield, Physiotherapist 1980–82
Awards
- eHealth Insider Awards: Runner up (2012) The National Musculoskeletal Advice and Triage Service
- Winston Churchill Fellowship: (2011) 6 week travel scholarship to Australia to review Telehealthcare
- Institute of Healthcare Improvement: (2009) Transforming the Organisational Footprint: A National Model for Improvement of CHD in Scotland, Berlin: Category Winner
- Health Service Journal Awards (2006): Overall Winner Improving Access. Self-referral to Physiotherapy; Providing the evidence.
- The UK AHP Federation; UK AHP Award (2005): Overall Winner, Research into Practice. Self-referral to Physiotherapy; A National Trial.
- Scottish NHS Research Day (2005): Overall poster winner; Self referral to Physiotherapy in Primary Care: A National Multi-centred Trial
- The Guidelines in Practice Award (2004): Overall UK Winner of: Improving the Management of People with Epilepsy in Forth Valley; Guidelines in Practice, Vol. 7 (10) pp 41 – 47.
- Health Service Journal Awards (2004): Improving the Management of People with Epilepsy in Forth Valley; Highly Commended Runner Up, Improving Patient Access Category. Health Services Journal 18th November 2004 pp. 32-33.
- The Bob Williams Travel Scholarship: (2003) Travel scholarship: American Physical Therapy Association, Washington, USA
- Scottish Executive; Award for Innovation in Practice (2003): Self Referral to Physiotherapy
- Chartered Society of Physiotherapy; Innovation in Practice Award (1999): Scottish Physiotherapists Clinical Effectiveness Forum
Post Graduate Supervision
Supervised fourteen masters dissertations to successful completion (1997-2004)
PhD Supervision
An investigation of the lived experience of accessing and attending NHS-based musculoskeletal physiotherapy services in Scotland using a Gadamerian hermeneutic approach. Helen Little, Glasgow Caledonian University, awarded 2009
Transformational Leadership Behaviours and Strategy Development in AHPs: David Wylie, Glasgow Caledonian University, Completion date May 2015
Currently supervising three PhD’s in relation to technology, started March 2013
In 2013/14, I examined two PhD theses, Aberdeen and Robert Gordon Universities
Appendix 1
Major Presentations (these relate to peer reviewed or invited keynotes only - presentations as part of my routine role commitments have not been included but occur regularly and at all levels to a range of audiences)
Holdsworth, LK, Anderson DM, Chimiak P. (1990). Simple Methods of Measuring Muscle Tone and Reducing Hypertonicity. Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Mutch, WJ, Part, NJ. (1990). Measurement of Tone in Stroke. British Geriatric Society, London.
Mutch, WJ, Holdsworth, LK, Part, NJ (1990) Measurement of Tone in Stroke. International Geriatric Conference, Washington.
Holdsworth, RJ, Holdsworth, LK, Part, NJ (1990). Changes in Muscle Tone following Parathyroidectomy. British Association of Endocrine Surgeons, London.
Holdsworth, RJ, Holdsworth, LK, Part, NJ, Gunn, A (1990). Effect of Parathyroidectomy on Muscle Hypertonicity associated with Primary Hyperparathyroidism. Surgical Research Society, Liverpool
Holdsworth, LK, (1993). Perceptions and Evaluations of Out-Patient Physiotherapy - A Subjective study. Scottish Physiotherapists Research Workshop
.
Holdsworth, LK, Goudie BM, (1994). The Effects of Providing an Immediate Access Facility for Physiotherapy assessment to Primary Care. Royal College of General Practitioners / Chartered Society of Physiotherapy Conference.
Holdsworth, LK, Goudie BM, (1995). The Effects of Providing an Immediate Access Facility for Physiotherapy assessment to Primary Care. CSP Annual Conference & Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Millar J, (1996) Minimum Data Sets & Information Management. Chartered Society of Physiotherapy Annual Congress.
Holdsworth, LK, Webster, V, (1996). Defining a More Accurate Assessment of Physiotherapy Need in the Primary Care Setting: Scottish Physiotherapists Research Workshop.
Holdsworth, LK, Millar, J, (1997) Utilising Information. Association of Physiotherapists in Management Annual Congress, Birmingham.
Holdsworth, LK (1997), Information and Clinical Effectiveness. Scottish Office Information Master Class, Edinburgh.
Holdsworth, LK, Gowland H. (1998). The Development of an Opportunistic Screening Tool for the Identification of Urinary Incontinence in the Primary Care Setting. Scottish Physiotherapists Research Workshop
Holdsworth, LK, Miller, J (1999) Information, What Information? CSP Annual Congress.
Holdsworth L, Gowland H, (1999). The Development of an Opportunistic Screening Tool for Urinary Incontinence in the Primary Care Setting. World Congress of Physical Therapy, Japan.
Holdsworth, LK (1999). The Development, Implementation & Evaluation of a Pathway for the Management of Low Back Pain in Primary Care. Scottish Executive CRAG Annual Conference.
Holdsworth, LK (2000). Information – the key to Clinical Governance? Invited lecture Scottish Rehabilitation Society Annual Conference.
Holdsworth, LK (2001). IM&T, CPD & AHP’s. Nursing Board for Scotland, E-learning Conference, Kirkcaldy, (Invited Lecture).
The National Allied Health Professions Clinical Effectiveness Project: Numerous national and local conferences 2001 to date including all the involved allied professions national congresses - over 63 personal presentations.
Funai, G, Burnett, V, Holdsworth, LK, (2002). Developing Criteria for Pre-Discharge Home Visits. College of Occupational Therapists Annual Congress.
McDonald, R E, Chesson, R, Burnett, V W, Funia, G J, Holdsworth, L K & Upton, C. (2002) Pre-discharge home assessment visits with elderly patients: a collaborative study of current practice. Scottish NHS Research Day: Research into Practice/Development.
Holdsworth, LK (2003). The National Allied Health Professions Clinical Effectiveness Project. World Congress of Physical Therapy, Barcelona.
Holdsworth, LK, Murdoch, G, Renwick, C (2004). Patient Acceptability and Satisfaction of Sexual Health Service Provision in Primary Care. European Sexual Health Forum, Edinburgh
.
Wilson, A, Holdsworth, LK , Borland, H (2005). Developing a clinical governance and patient safety framework to support NHS Scotland. International Society of Quality in Healthcare, Vancouver.
Holdsworth, LK (2006) Patient Safety in Primary Care. NHS Quality Improvement Scotland Annual Congress, Airth (Invited keynote).
Holdsworth, LK (2006) Making the case for services. University of Warwick. Allied Health Professions UK Forum (Invited keynote).
Holdsworth, L, Orr M, Morson G (2007)- Improving the Quality of Antibiotic Prescribing within a Scottish General Dental Practitioner Population. IHI Conference, Barcelona.
Holdsworth, L, Borland H, Houston, N, Napier, A (2008) Patient Safety in Primary Care. NHS Quality Improvement Scotland Clinical Governance Conference, January 2008.
Borland H, Holdsworth, L, Houston, N, Napier (2008) A. Patient Safety in Primary Care: the Scottish experience. IHI Conference, Paris
Ferguson F, Holdsworth L. (2008) A national Audit of Physiotherapy management of low back pain: Scotland Moving Forward. CSP Annual Congress 2008
Holdsworth L, Webster V (2008). Defining and Agreeing an International Physiotherapy Dataset: Is it possible? CSP Annual Congress.
Holdsworth L (2008). Data into Evidence. NMAHP eHealth Stakeholder Event (invited keynote).
Holdsworth L, (2009) Transforming the Organisational Footprint: NHS Quality Improvement Scotland’s’ approach to driving improvements through coronary heart disease management. IHI Conference, Berlin
K Ritchie, K Macpherson, L Holdsworth (2010). Evidence-informed policy and complex interventions – a methodological gap? HSR in Europe, A Working Conference, The Hague 8-9 April
Holdsworth L, Ferguson F, Rafferty D (2010). No going Back for Scotland Physiotherapists. IHI Congress, April, Nice
Holdsworth L, Morrison D, McKeon A, Graham J. The Scottish Surgical Profile (2010) IHI Conference, April, Nice
Ritchie K, Macpherson K, Holdsworth L. (2010) Evidence-informed policy and complex interventions – a methodological gap? Health Services Research Europe Working Conference, The Hague, 8th-9th April 2010
Holdsworth L, Ferguson F, Rafferty D (2010). No going Back for Scotland Physiotherapists. NHS Event, Edinburgh, June
Holdsworth L, Morrison D, McKeon A, Graham J. The Impact of the Scottish Surgical Profiles (2010) NHS Event, Edinburgh, June
Ferguson F, Holdsworth L, Rafferty D (2010). A National Framework for Supporting Improvements in the Physiotherapy Assessment and Management of Low Back Pain: The Scottish Experience. CSP Congress, Liverpool, October
Ferguson F, Holdsworth L, Rafferty D (2010) Low Back Pain and Physiotherapy Use of Red Flags: The Evidence from Scotland. CSP Congress, Liverpool Oct
Holdsworth L (2011) National MSK Advice and Triage Service: An appropriate model for Scotland? APTA Melbourne, Australia (invited lecture) April
Holdsworth L (2011) National Redesign and Patient Self referral: evidence from the UK
Brisbane, Australia (invited lecture) April
Holdsworth L (2011) National Redesign of MSK Services in Scotland: Key lessons for other countries, Queensland Health, Gold Coast Australia (invited lecture) May
Holdsworth L, Ferguson F, Rafferty D (2011). No going Back for Scotland Physiotherapists. IHI Conference, April, Amsterdam
Holdsworth L, Ferguson F, Rafferty D (2011). Still No going Back for Scotland Physiotherapists. WCPT, June, Amsterdam
Holdsworth L, Mitchell S, MacDonald E, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? SSPC, April, Glasgow
Holdsworth L, Mitchell S, MacDonald E, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? NHS Event, June, Glasgow
Holdsworth L, Mitchell S, Ferguson F, Cree S, Douglas L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? CSP Conference, October, Glasgow (invited keynote)
Holdsworth L, Douglas L, McDonald C, Hunter E, Smith C (2012) Can the use of social media raise the profile of AHPs in Scotland? Medicine 2.0, September, Boston USA
Holdsworth L, (2012) National MSK Advice and Triage Service: An appropriate model for Scotland? CSP Conference, October, Liverpool (invited keynote)
Holdsworth L (2012) Physiotherapists and technology, better patient experience and outcome? Irish Society of Physiotherapy (invited keynote) Dublin, November (invited keynote)
Holdsworth L , Ferguson F, Mitchell S (2013) National MSK Advice and Triage Service: An appropriate model for Scotland? IHI Conference, London, April
Holdsworth L , Ferguson F, Mitchell S (2013) A National MSK Self Management and Advice Platform for Scotland, IHI Conference, London, April
Holdsworth L, Gilbert S, (2014) Chronic Pain in Scotland: Where are we now? IHI Conference, Paris April
Holdsworth L, (2015) The Future of Physiotherapy: Chartered Society of Physiotherapy, PhysioWorks Programme (invited keynote)
Holdsworth L, (2015) AHPs and Technology: Now and into the Future: NHS Education’s Festival of Learning, Edinburgh (invited keynote)
Patient Self Referral: Main presentations (Peer reviewed or invited keynotes where indicated)
Holdsworth, L. (2000) Direct Access (Self referral) to Physiotherapy in Primary Care: testing the concept. Scottish Physiotherapist’s Research Workshop,
Holdsworth, L, (2000) Direct Access (Self referral) to Physiotherapy in Primary Care Sharing Good Practice, Royal College of General Practitioners,
Holdsworth, L, (2000) Direct Access (Self referral) to Physiotherapy in Primary Care:, R & D Sharing Issues Workshop, Glasgow Royal Infirmary
Holdsworth, L, (2001) Direct Access (Self referral) to Physiotherapy in Primary Care
Primary Care 2001 Conference, Birmingham (CSP Invited Keynote Lecture).
Holdsworth, L, (2001) Direct Access (Self referral) to Physiotherapy in Primary Care
CSP Annual Congress, Birmingham.
Holdsworth, L, (2003) Direct Access (Self referral) to Physiotherapy in Primary Care
World Congress of Physical Therapy, Barcelona.
Holdsworth, L, (2003). Direct Access (Self referral) to Physiotherapy in Primary Care
CSP Annual Congress, Birmingham.
Holdsworth, L, Webster, V, (2004). Patient Self-Referral to Physiotherapy: Are there International Issues? International Private Practitioners Association, European Meeting, London (invited)
Holdsworth, L, Webster, V, (2005). Patient Self-Referral to Physiotherapy: An International Perspective. International Private Practitioners Association (IPPA) World Congress, Melbourne, Australia.
Holdsworth, L, Webster, V, (2005). An Overview of a Multi-centred Investigation into Patient Self-Referral to Physiotherapy across Scotland. IPPA World Congress, Melbourne, Australia (invited).
Holdsworth, L, Webster, V, (2005). Self Referral to Physiotherapy: Feasible, Appropriate, Acceptable? AHP UK Research into Practice Award Winner, Department of Health. London.
Holdsworth, L, Webster, V, (2006). Self Referral to Physiotherapy. The facts so far. Department of Health, London (invited)
Holdsworth, L, (2006). Musculoskeletal Conditions & Physiotherapy Management: Just what do we know? Connect Physical Conference, Newcastle (invited).
Holdsworth, L, Webster, V, (2006) An Overview of a Multi-centred Investigation into Patient Self-Referral to Physiotherapy across Scotland. Scottish Primary Care Research Conference, Perth.
Holdsworth, L, (2006). Self Referral to Physiotherapy: Just what do we know? Grampian Physiotherapy Research Hub Launch Conference, Robert Gordon University, Aberdeen. (invited)
Holdsworth, L, Webster, V, (2006). Self Referral to Physiotherapy: Department of Health Pilot Sites Awareness Session. London. (invited)
Holdsworth, L, Webster, V, (2006). International Investigation of Patient Self-Referral and Physiotherapy Practice. International Private Practitioners Association European Meeting, Hamburg.(invited)
Holdsworth, L, Webster, V, (2006). What are the NHS Costs of Self referral to Physiotherapy? Results of a National Trial. Chartered Society of Physiotherapy Annual Congress, Birmingham.
Holdsworth, L, Webster, V (2006) Are Self Referring Physiotherapy Patients Different from those Referred by their GP?: Results of a National Trial. NHS Scotland, Research Conference, Glasgow
Holdsworth, L. Self-referral to Physiotherapy: A Model for the Modern day NHS in the UK? Results of a National Trial. (2007) IHI Conference, Barcelona.
Holdsworth, L. (2007). Doing things differently: Just how can physiotherapists deliver health? Association of Chartered Physiotherapists in Management Annual Congress, Glasgow (invited keynote lecture).
Holdsworth, L, Webster, V, (2007). Are Self Referring (Direct Access) Patients Different from those Referred by their GP?: Results of a National Trial. World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V, (2007) Preparing to Introduce Patient Self Referral (Direct Access) in the UK: The key Steps - Sharing the learning. World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V. (2007) The Use of Clinical Datasets: International Opportunities, World Congress of Physical Therapy, Vancouver.
Little H; Webster V; Knussen C, Holdsworth L (2007). Gadamerian Hermeneutics: a new approach to qualitative research for Allied Health Professionals- overview of a study on patient experience of physiotherapy. World Congress of Physical Therapy, Vancouver.
Webster, V, Holdsworth, L, (2007). Self Referral (Direct Access) to Physiotherapy: What do the Physiotherapists and Referring Doctors Think?: Results of a National Trial, World Congress of Physical Therapy, Vancouver.
Webster, V, Holdsworth. L, (2007) Self Referral (Direct Access) to Physiotherapy: Views and Perceptions of Service Users and Non-Users, World Congress of Physical Therapy, Vancouver.
Holdsworth, L, Webster, V . (2007) Preparing to Introduce Patient Self Referral to Physiotherapy in Scotland: Some key lessons and tips: Results of a Scottish National Trial. NHS Scotland, Research Conference, Glasgow
Holdsworth, L, Webster, V. (2007) Self Referral, Access and Physiotherapy: What do Patient’s think?: Results of a Scottish National Trial. Scottish NMAHP Research into Practice Conference. Glasgow
Little H; Webster V; Knussen C, Holdsworth L. (2007). Gadamerian Hermeneutics: A New Approach to Qualitative Research for AHPs- An overview of a study on patient experience of physiotherapy. Scottish NMAHP Research into Practice Conference. Glasgow.
Little H; Webster V; Knussen C, Holdsworth L. (2008) Gadamerian Hermeneutics: A New Approach to Qualitative Research for AHPs- An overview of a study on patient experience of physiotherapy. CSP Annual Congress.
Holdsworth, L, Webster, V (2009) An International Study of Physiotherapy Practice and Access Issues. IPPA International Conference, Capetown (Invited Keynote)
Holdsworth, L, (2009) Master Class: Access to Physiotherapy: Global Issues. APTA/WCPT Summit, Washington (Oct) (Invited Keynote)
Holdsworth, L, (2009) Master Class: Access to Physiotherapy: Global Issues. Spanish Physiotherapy Association, Barcelona (Dec) (Invited Keynote)
Holdsworth, L, Webster, V (2010) International Physiotherapy Practice and Access Issues. WCPT Summit, Berlin, May 25-27th (Invited Keynote & Master Class)
Holdsworth, L, Webster, V (2011) International Physiotherapy Practice Association. WCPT, International Congress, Amsterdam, Master Class (invited).
Holdsworth, L, Webster, V (2011) The case for Self referral, German Physiotherapy Congress, Bochum. Key Note (invited).
Holdsworth L (2013) Self referral: The educational implications of autonomous practice? WCPT European chapter education forum, (invited keynote) Vienna, November
Holdsworth L (2015) The experience of self referral in the UK (invited keynote) JFK conference, Lille, France – Key note (invited)
Publications
Holdsworth, R.J, Holdsworth, L.K, Part N.J (1990). Changes in Muscle Tone following Parathyroidectomy. British Journal of Surgery 77:A696.
Holdsworth, R.J, Holdsworth, L.K, Part N.J, Gunn A (1990). Effect of Parathyroidectomy on Muscle Hypertonicity associated with Primary Hyperparathyroidism. British Journal of Surgery;77:A1310.
Brown, A, Holdsworth, L.K, Leslie G.C, Mutch W.J, Part N.J. (1993) The Effects of Time after Stroke and Selected therapeutic techniques on Quadriceps Muscle tone in Stroke Patients Physiotherapy Theory & Practice vol 9, pp 131-142.
Holdsworth, L.K, Anderson D.M (1993) Effectiveness of Ultrasound used with a hydrocortisone Coupling Medium or Epicondylitis Clasp to Treat lateral Epicondylitis: Pilot Study. Physiotherapy, vol. 79, pp 19-26.
Holdsworth, L.K, Gowland H. (2003). Identifying and Managing Urinary Incontinence Opportunistically in Primary Care. British Journal of General Practice
Holdsworth, L.K (2003). Implementing Evidence – experience in Forth Valley, Scottish Dentist, July/August, Issue 63, p 19.
McDonald, R.E, Chesson, R.A, Burnett, V.W, Funai, G.J, Holdsworth, L.K, Upton, C.D.J (2003). Pre-discharge Home assessment Visits with Elderly Patients: a collaborative study of current practice. Physiotherapy, vol.89; no.5; p323.
Holdsworth, L, Webster, V (2004). Direct Access to Physiotherapy in Primary Care: Now and into the future? Physiotherapy, vol.90 pp 64 –72.
Holdsworth, L, Webster, V. (2004) Self-Referral to Physiotherapy: a practical proposition? The New Generalist. vol.2. pp 66-67.
Holdsworth, L.K, Blair V.A, Miller J (2005). The Scottish Physiotherapy Clinical Effectiveness Network: Supporting clinical effectiveness activity? Clinical Governance. Vol.10, no.2 pp 148-164.
Holdsworth, L, Webster, V., McFadyen, A, (2006) Self-Referral to Physiotherapy: Deprivation and Geographical Setting: Is there a relationship? Results of a National Trial, Physiotherapy. 92, 16-25
Holdsworth, L, Webster, V, McFadyen, A. (2006) Are Patients who refer themselves to Physiotherapy Different from those Referred by GPs?: Results of a National Trial. Physiotherapy, 92. 26-33.
Holdsworth L, Webster V (2006). Self referral to Physiotherapy. Scottish Primary Care. 49: p 16-18.
Holdsworth, L, Webster, V, McFadyen A. (2007). What are the Costs to NHSScotland of Self Referral to Physiotherapy?: Results of a National Trial. Physiotherapy 93: 3-11.
Webster, V, Holdsworth, L, McFadyen, A (2008) What do patients think about Self Referral, Access & Physiotherapy? Results of a National Trial. Physiotherapy 94: 141-149.
Holdsworth, L, Webster, V, McFadyen A. (2008). Physiotherapist and General Practitioner Views of Self Referral and Physiotherapy Scope of Practice: Results from a National Trial Physiotherapy 94: 236-243
Ferguson F, Holdsworth L, Rafferty D (2010). A National Framework for Supporting Improvements in the Physiotherapy Assessment and Management of Low Back Pain: Physiotherapy 96:198-205
Ferguson F, Holdsworth L, Rafferty D (2010) Low Back Pain and Physiotherapy Use of Red Flags: The Evidence from Scotland. Physiotherapy 96: 206-213
Holdsworth, L, Webster, V, Rafferty D. (2012). Defining, Agreeing and Testing an International Physiotherapy Core Dataset: Results of a Feasibility Study. Physical Therapy Journal vol 92 pp 378 – 387
Holdsworth L , Douglas L, Hunter E MacDonald C (2013) can the Use of Social Media Raise the Profile of the AHPs in Scotland? British Journal of Healthcare Management – Vol. 19, Iss. 2, 11 Feb 2013, pp 85 - 92
Gilbert S, Holdsworth L, Smith B (2014). The Scottish model for chronic pain management services. British Journal of Healthcare Management, Vol 20. No 12 http://www.magonlinelibrary.com/doi/abs/10.12968/bjhc.2014.20.12.568
Holdsworth L.K (2014). Patient Self Referral (Direct Access): The Story from the UK. PhysioActive (Swiss) Vol 6. Pp7-12
Book/s
Holdsworth L.K, Webster V.S (2006). Patient Self referral: A Guide for Therapists. Radcliffe Publishing Ltd. ISBN-101 84619 165 3.
Holdsworth L. 2010 Managing Money, Measurement and Marketing in the Allied Health Professions (Chapter: Demonstrating Worth: Marketing and Impact Measurement) Radcliffe Publishing Ltd. ISBN: 9781946191985