Thanks Jill for your further comments. Whilst I tend to agree in part that this is a reality, I do also think it is a reality because of the way all those professions have reacted to the pressures put on them. Kind of if we can't beat them join them attitude or a pavlovian experiment to jump through a hoop to get a cookie. It is rather exploitive. Unfortunately that's not my mind set and though it might well be the way to work in an already dysfunctional healthcare system, I would prefer not to make it any worse.

It's a bit like everyone getting involved in ergonomics, and it's affect on occupational low back pain. The govt. loves it, industry loves it, physio's seem to love it, we spend millions every year on it. Unfortunately the stats clearly show that ergonomics does not work. That said with such intrenched pathways, product development, funding, education etc. it is unlikely to go away. I suppose we should continue to learn more about it though as it is interesting and does lead to better business processes and efficiencies. It doesn't do anything for back pain though.

Sorry if that's a bit of a digression. Looking fwd to weds meeting as it's so nice to have physio's talking together with passion.