PT - JOURNAL ARTICLE AU - Joanna Davies AU - Michael Miller TI - A report on physiotherapy services for children and young people AID - 10.1136/bmjspcare-2012-000196.268 DP - 2012 Mar 01 TA - BMJ Supportive & Palliative Care PG - A91--A91 VI - 2 IP - Suppl 1 4099 - http://spcare.bmj.com/content/2/Suppl_1/A91.2.short 4100 - http://spcare.bmj.com/content/2/Suppl_1/A91.2.full SO - BMJ Support Palliat Care2012 Mar 01; 2 AB - Introduction There is a recognised difference in the centralised children's services compared with the more localised adult services for those with neuromuscular diseases. At the young people's unit at Martin House transition is a difficult time with uncertainties about the availability and working practices of physiotherapy services for adults. With funding from the DoH as part of the £30million the physiotherapy services in Yorkshire and Humber were reviewed. Method Contacts were made from a number of sources, starting with known children's services and an email questionnaire was sent. There was a small circulation of questions to users of the service. Results There was excellent completion circulated after contact had been established by the researcher. • The paediatric service in the region is well coordinated with close links with respective neuromuscular teams. • The challenge of identifying the different adult services highlighted the possible difficulties faced by people with a neuromuscular condition. • There is variety in the provision and accessibility of adult services offered around the region. • There is a limited review/monitoring service in place for adults with only 42% of teams offering this. • 54% of adult teams are unable to provide on-going physiotherapy. They are usually goal- orientated and based on self-management which isn't always appropriate in a progressive deteriorating condition. • The lack of access to specialist physiotherapy in adult services is a problem for both community and hospice physiotherapists and patients. • Provision of Hydrotherapy is an on-going issue. Recommendations • Consideration of a review/monitoring service for adults is needed. • Consideration of a transition service is needed. • There is a need to provide more access to specialist neuromuscular physiotherapists in adult services. • A maintained and accessible database of adult services for these patients should be made available to assist referrers.