Code of Professional Values Behaviour
Code of Professional Values Behaviour
Code of Professional Values Behaviour
Professional Values
of Members
and Behaviour
xx
Contents
Foreword
6
6
7
8
Purpose
Context
Underpinning ethics, values and concepts
Interpretation
9
10
11
12
Appendices
14
Principle 1
Principle 2
Principle 3
Principle 4
A
B
C
D
14
17
20
22
Foreword
As the chair of the CSPs Council, I am delighted to introduce the Societys new Code of Professional
Values and Behaviour. The Code sets out the CSPs expectations of all members: qualified physiotherapists,
associates (physiotherapy support workers) and physiotherapy students. It asserts high standards of
behaviour, while supporting members in fulfilling their physiotherapy roles in rapidly changing environments.
The Code presents a person-centred approach to professionalism. As such, it puts patients and clients
needs to the fore. The Code is intended for a range of audiences - particularly patients, clients and carers who
receive services from CSP members, and the public at large as well as forming a key document for members
themselves.
The Code aligns strongly with other codes for health care professions in the UK (including those published
by regulatory bodies) and physiotherapists overseas, and is underpinned by core, generic ethics of
professionalism. At the same time, it reflects CSP members distinctive contribution to health and well-being
and the breadth and evolving nature of UK physiotherapy practice. It also highlights members responsibility
to maintain and enhance the reputation and standing of the physiotherapy profession.
We are publishing the Code for an initial two-year period. We are keen to review how the document is received
and used, with a view to refining and updating it. Your feedback is therefore very important to us. It will help to
ensure that the Code continues to reflect the delivery and receipt of physiotherapy services, while upholding
high standards of professionalism, and help us to develop additional guidance and tools to support the Codes
practical application and use.
Ann Green MSc MCSP DipTP HEA
CSP Chair of Council
October 2011
Acknowledgements
The CSP wishes to acknowledge the contributions of the following in producing the Code:
Members of the CSP Charting the Future project steering group and implementation group
Members of the CSP Regulatory Board
Members who participated in the Code pilot exercise
Individuals who commented on their expectations of CSP members
The CSP Charting the Future project team
Section
1
The Codes four principles
1 CSP members take responsibility for their actions
Members
Demonstrate appropriate professional autonomy and accountability
Act within their individual scope of practice
Make informed decisions.
Members
Adhere to legal, regulatory and ethical requirements
Act with integrity, honesty and openness
Engage with relevant professional and social contexts.
Members
Put the needs of service users at the centre of their decision-making
Respect and support individuals autonomy
Communicate effectively
Work effectively with others.
Members
Seek to continuously improve
Demonstrate innovation and leadership
Support others learning and development
Support the development of physiotherapy.
Each principle is supported in Section 3 by supplementary statements. Together, the principles and statements form a
positive expression of the professional values and behaviour that the CSP expects of all its members.
Section
2
The Code explained
The nature of physiotherapy
The Code reflects the distinctive nature of physiotherapys contribution to health and well-being and the breadth and
evolving nature of physiotherapy practice. The Codes four principles encapsulate the professional values and behaviour
that the CSP expects all its members to demonstrate [see Fig.1]. The principles underpinning ethics, values and
concepts are set out in Table A.
Behave
ethically
Underpinning ethics,
values and concepts
Strive to
achieve excellence
Deliver an
effective service
The principles support members in making informed and reasoned decisions about professional and ethical issues that
they encounter in their day-to-day activity. In so doing, the principles support members in fulfilling their duty of care to
the individuals whom they serve.
The principles reflect the purpose and context of CSP members activity:
CSP members work with individuals to maximise their quality of life by restoring, maintaining and improving
function and movement
CSP members work with individuals to promote physical approaches to optimising health, well-being and illness
prevention, through the delivery of high-quality, innovative services
Physiotherapy in the UK is founded on a strong, evolving evidence base and is delivered by an adaptable,
engaged workforce
CSP members practise in a range of roles and settings, independently, as first-contact practitioners and as part of
multi-disciplinary teams
Physiotherapy activity is inherently and necessarily complex and diverse
CSP members undertake physiotherapy activity within changing structures and increasingly diverse sectors,
settings and roles.
Section
Individuals receiving services from CSP members (as patient/clients and carers)
Individuals affected by members activity (including research activity and the dissemination and
implementation of research findings)
Other professionals and colleagues (within multi-disciplinary and inter-agency teams) with whom CSP
members work
Employees of CSP members
Regulators and employers
The public at large.
The Code replaces the CSP Rules of Professional Conduct and Code of Conduct for Associate Members (although
the former is retained to underpin the Societys disciplinary processes for certain member categories; see The Codes
context.
It is published for an initial two-year period and will be reviewed in 2013. The review exercise will be informed by
feedback on the Codes receipt and use and by developments in physiotherapy activity and practice contexts.
Underpinning ethics
Underpinning values
n Respect for
individual autonomy
n Promoting what is
best for an individual
n Avoiding harm
n Fairness in how
services are delivered
n Competence
n Person-centred practice
n Professional autonomy
n Professionalism
n Scope of Practice
Section
How members demonstrate their fulfilment of the Codes four principles depends, in part, on the nature of their
physiotherapy role and career stage.
The supplementary statements in Section 3 are designed to support members and others understanding of the
intended meaning and range of each Code principle. It is important to recognise the following about the statements:
Given the intended breadth of the principles and their application, not all elements of the statements are relevant to all
CSP members at all times. Judgment and discretion in interpreting and using them is therefore required. Where there
are key differences in how they relate to members in different member categories, this is explained in Appendix A.
Where the nature of a statements application to members relates strongly to their role, this is indicated by use of the
word appropriate (e.g. as appropriate to role).
Section
3
The Code in full
1 CSP members take responsibility for their actions
1.1 Members demonstrate appropriate professional autonomy and accountability
Members
1.1.1
Use their professional autonomy to benefit others
1.1.2
Understand and accept the significant responsibility that professional autonomy brings
1.1.3
Accept and uphold their duty of care to individuals
1.1.4
Are responsible and accountable for their decisions and actions, including the delegation of
activity to others
1.1.5.
Justify and account for their decisions and actions
1.1.6.
Ensure that their activity is covered by appropriate insurance.
Section
10
Seek to understand, and take full account of, individuals needs, preferences, expectations and
goals in delivering a service to them
Advocate for individuals quality of care and others safety and alert appropriate authorities if
these are at risk of being compromised
Respond to individuals compassionately and sensitively (being aware of individuals
vulnerability or potential vulnerability)
Show empathy with individuals situations and circumstances
Respect individuals rights, dignity, sensibilities, beliefs and identity and the implications that
these may have for acting in accordance with individuals best interests
Behave in non-discriminatory, non-oppressive ways.
Promote and uphold individuals rights and choices, including their right not to consent to
decisions or actions affecting them
Ensure individuals have given valid consent to any decision or action affecting them
Share all relevant information to support individuals in making their own decisions, including
that relates to issues of risk and consent
Share knowledge and skills with others to promote effective joint decision-making, planning
and evaluation
Promote, support and empower individuals to participate in decision-making, to self-manage
and be independent.
11
Section
Collaborate with colleagues within and across settings, sectors and professions in the best
interests of service users
Respect colleagues perspectives and contribution
Promote and maintain a safe, positive and healthy working environment
Support and enable others to work within their individual scope of practice
Use all available information and evidence when assessing risk, both to themselves and others.
Maintain, promote and support high standards of physiotherapy in ways that are appropriate
to their role
Evaluate the relevance of new developments, research findings and evidence and measures of
effectiveness and apply them appropriately to their physiotherapy activity
Critically reflect upon and evaluate their own practice
Identify their own development needs and take appropriate action to address these
Enhance their knowledge, understanding and skills, in response to individual, service and
practice needs.
12
Members
4.2.1
4.2.2
4.2.3
4.2.4
4.2.5
Transfer and apply their knowledge and skills to different situations and settings
Respond appropriately to new and changing needs
Seek to demonstrate the value of services and to improve service delivery
Demonstrate leadership appropriate to their role.
Contribute to cycles of evaluation, reflection and improvement.
Contribute to the development of physiotherapy, including by enhancing its evidence base and
implementing this in practice
Recognise and take appropriate action where personal practice is potentially pushing the
boundaries of the scope of physiotherapy practice in the UK
Evaluate factors affecting the development of physiotherapy, acting appropriately by changing
their own practice and/or supporting and leading colleagues.
13
Appendix
A
Explanation of core
professional concepts
This appendix provides an explanation of the concepts that underpin the Code. Where a concept crossreferences to another, this is highlighted by emboldened text.
Competence
Competence is the synthesis of knowledge, skills, values, behaviours and attributes that enables members to work
safely, effectively and legally within their particular scope of practice at any point in time. It involves awareness
of the limits of personal practice and the practice of the profession and depends on members engaging in
individualised, structured, career-long learning to meet their identified development needs.
Competence changes as members progress through their career, with their competence developing and
deepening in some areas and diminishing in others. It relates to members particular scope of practice at any
particular point in time within the broad scope of the practice of physiotherapy in the UK. Given its individual
and evolving nature, members competence cannot be defined simply or prescriptively.
Maintaining and developing competence hinges on members undertaking continuing professional development
[CPD]. The CSP expects members CPD to be based on a process of reflection, planning and evaluation, through
which members learning and development needs are identified, members pursue learning to address these, and
members apply and reflect on their new learning within their physiotherapy activity.
As HPC registrants, practising qualified members are required to fulfil the statutory regulators requirements
for CPD.
Person-centred practice
Person-centred practice is an approach to health care within which the goals, expectations, preferences, capacity
and needs of individuals (patients/clients/service users) and their carers form the focus of all activity. All planning,
decision-making, activity and evaluation are undertaken with this focus.
Person-centred practice hinges on members genuine collaboration with individuals and their carers, with full
consideration given to their needs and with demonstrable sensitivity to issues of communication, confidentiality
and valid consent.
Examples of person-centred practice include
Ensuring that an individuals perspective is listened to and reflected at all points
Ensuring that an individual is fully involved in planning, engaging and evaluating their experience and
the outcomes of physiotherapy
Actively seeking user involvement to inform how a service is developed and delivered to maximise
its effectiveness
Acknowledging and understanding that, at times, the view of an individual may conflict with the view
of a member, the profession or the organisation within which a service is being delivered.
Professional autonomy
Professional autonomy is the application of the principle of autonomy whereby a member makes decisions
and acts independently within a professional context and is responsible and accountable for their decisions
and actions.
14
A key element of professional autonomy is understanding and working within the limits of personal competence
and scope of practice. Members are responsible for seeking advice and guidance from others through
appropriate forms of professional supervision and mentorship to inform their decision-making and action.
Neither CSP student nor associate members hold professional autonomy in their physiotherapy-related activity.
Both groups of members undertake their activity with appropriate forms of supervision.
Physiotherapy students are prepared to assume the responsibilities of professional autonomy on qualification
through their qualifying education. This includes developing the knowledge, skills, understanding and
attributes necessary to accept this responsibility, and developing an understanding that they must undertake
physiotherapy activity within the limits of their personal competence and scope of practice.
While not autonomous practitioners, associate members take responsibility for undertaking the tasks delegated
to them within their physiotherapy activity.
Professionalism
Professionalism defines what is expected of a professional, and what it means to be professional. Broadly, it can
be summarised as
A motivation to deliver a service to others
Adhering to a moral and ethical code of practice
Striving for excellence, maintaining an awareness of limitations and scope of practice
A commitment to empowering others (rather than seeking to protect professional knowledge and skills).
A profession that fulfils these expectations establishes and maintains its credibility with the public and
demonstrates its capacity to carry the privileges of professional practice autonomy and self-regulation. In
turn, fulfilment of these expectations demonstrates a professions ability to fulfil the parallel responsibilities of
professional practice - accountability, transparency and openness.
Professionalism recognises that professional activity
Has strong ethical dimensions
Is complex and diverse, constantly changing, and uncertain and unpredictable
Cannot be defined simply in terms of possessing and implementing a fixed body of knowledge and skill
Cannot be undertaken in isolation
Depends on engaging in career-long learning and adapting and developing activity accordingly
Requires the member to cope with the non-routine, unknown and incomplete, and potentially
conflicting, information.
A key element of physiotherapy students preparation for practice on qualification is their being supported
in developing their understanding of, and engagement with, the responsibilities and privileges that
professionalism encapsulates.
The concept of professionalism also relates strongly to the physiotherapy activity of associate members.
15
Appendix
Scope of Practice
Scope of practice relates strongly to competence and professionalism. It describes both the collective activity of
the profession and the activity of individual members.
The concept recognises the following:
The professions scope of practice is evolving, and needs to evolve, in line with changing patient and
population needs, developments in the evidence base, changes in service design and delivery and
changing opportunities for professional and career development
Practice includes a diversity of activity that is shaped by the collective, shared principles and thinking
of the profession
Individual members have a responsibility to limit their activity to those areas in which they have
established and maintained their competence
Individual members need to evaluate and reflect on their personal activity, taking account of the
professions evolving evidence base and responding appropriately to their learning and development
needs
Individual members competence changes and shifts as they progress through their physiotherapy career
Individual members have a responsibility to be aware of how their practice may challenge the boundaries
of the scope of practice of UK physiotherapy and to take appropriate action.
As the UK professional body for physiotherapy, the CSP is the guardian of the professions body of knowledge
and skills. It therefore defines scope of practice for physiotherapy in the UK.
16
Appendix
B
Glossary of key terms
The intended meaning of terms used within the Code are explained below.
Accountability taking responsibility for, and accepting the consequences of, a personal decision or action
Advocacy acting on behalf, and in the best interests, of an individual or group of individuals with the intention
of having a positive influence on a decision or action affecting that individual or group
Altruism a concern for others, with personal actions motivated by a desire to help others above anything else,
without considering recognition or reward
Autonomy the ability to make decisions and act independently (for an explanation of professional autonomy,
see Appendix A)
Beneficence a fundamental ethical concept of doing good and avoiding evil
Client a person in receipt of a service; where the term uses individual or client, this should be interpreted to
include any other responsible person such as a carer, parent or guardian, as appropriate to circumstances; in the
case of animal physiotherapy, the term may be interpreted to mean an animal and its owner/carer
Compassion a human emotion initiated by the experiences or suffering of others and leading to a desire to
alleviate their suffering
Competence see Appendix A
Conflict of interest a clash between a professional or public obligation and a personal need or interest
Continuing professional development (CPD) a wide range of learning activities through which members
abilities are maintained and developed throughout their career to ensure the capacity to practise safely,
effectively and legally within an evolving scope of practice (including, in the case of qualified, practising
members, fulfilment of the CPD requirements of the Health Professions Council [HPC])
CSP member a person who is a member of the CSP in one of the following categories: as a qualified (chartered)
physiotherapist, physiotherapy student, or associate (as a physiotherapy support worker)
CSP membership open to physiotherapists who hold registration with the Health Professions Council (HPC)
and are therefore eligible to practise physiotherapy in the UK, physiotherapy students, and physiotherapy
support workers; physiotherapists who have been eligible for HPC registration but who have retired, are taking a
career break, or who reside/work outside the UK may also be members, as may physiotherapists who practise on
animals
Delegation the process through which one person allocates work to another person on the basis of deeming
that individual competent to undertake that task, with the delegated individual then carrying responsibility for
undertaking the delegated task
17
Appendix
18
19
Appendix
C
Mapping the Code against HPC
and other CSP resources
This table presents the relationship between the Code and HPC standards and guidance current at the time of
publication.
Many statements support or reflect the content of a number of the principles and are therefore repeated. Where
a number is in brackets, this indicates that it partly relates to one of the Codes principles.
HPC Standards of
conduct,
performance and
ethics
HPC Standards
of Proficiency
Physiotherapists
HPC
Guidance
on conduct
and ethics
for students
HPC
Standards for
continuing
professional
development
1a. 5 1a.6
1b.1 1b.3 1b.4
2b.2 2b.3 2b.4
(4) 5 6 12
(7) 11
1a.8
2a.4
2c.1
3a.1 3a.3
2 4 10
34
2 4 10
1a.1 1a.3
2a.1
2b.5
3 10 (12) 13 14
20
125
HPC Standards of
conduct,
performance and
ethics
HPC Standards
of Proficiency
Physiotherapists
HPC
Guidance
on conduct
and ethics
for students
HPC
Standards for
continuing
professional
development
(3)
1a.1 1a.2
1b.3
2b.3
3a.2
(1) 9 (10)
1a.4
1b.1 1b.2
(2) 7 10
1a.2 1a.7
1b.1 1b.3 1b.4
2b.5
8 (12)
6 (7) 11
2a.1
2b.2 2b.4 2b.5
2c.25
11
67
(5)
2b.1 2b.2
2c.2
1a.7
2b.1 2b.3 2b.4
2c.1
3a.2
34
68
1b.1
2b.1
3a.1
34
34
Appendix
Section
Dx
Bibliography
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22
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