The question you have all wanted an answer to.

When can myotherapy expect to open for face to face care in stage 4 lockdown regions?

At this stage, October 19th at the earliest is when we can expect to see myotherapy open again for face to face care.

The Premier states, the move to the Third and Last Steps will no longer be defined by dates in the calendar. Instead, the “trigger point” for review by their public health team will be based solely on reaching our case number targets.

We have been advised that there will be no list restricting any health care workers that can provide face to face care from this date. It is important to note, Telehealth services preferred and density quotient applies. No indoor group classes (for metro Melbourne).

All practices must have in place a CovidSafe plan

As you are aware the industry guidelines were released yesterday – updated version…/Industry-Restart…

To provide an answer for those members that are treating NDIS (self managed) or Workcover patients:

  • For patients/clients who have previously been on an endorsed care plan, and are awaiting commencement of a new endorsed care plan, services can be provided so long as the new endorsed care plan has been approved in principle and only formal endorsement is pending.

Below is the guidance in relation to indoor exercise and/or clinical treatment.
There are four reasons why people are permitted to leave their home – two of these reasons are as follows:

  • exercise and outdoor social activity with members of your household or up to 5 people (including you, and from a maximum of 2 households) as long as you do not travel more than 5km. This must be in a public outdoor space, and does not apply to people’s backyards or outdoor spaces connected to a home caregiving, for compassionate reasons or to seek medical treatment

If someone is leaving their home to seek treatment from an allied health practitioner, it can only be provided by: An Ahpra registered health practitioner – and in addition, social work, speech pathology, dietetics, audiology, exercise physiology, orthotic and prosthetic practitioners, OR other health workers only if part of endorsed care plan. Treatment must only be provided for the following clinical reasons:

  • to prevent a significant change/deterioration in functional independence which would result in an escalation of care needs (e.g. an increase in frequency of treatment needed, an increased need for prescription medication due to a significant increase in pain, requirement for specialist input or review, an increase in care needs, and/or a substantial increase to anticipated recovery time associated with a delay in receiving services)
  • to provide assessment and diagnostic services to clients/patients whose care have been delayed as a result of Stage 4 restrictions, with any further delay likely to result in deterioration in functional independence or adverse health outcomes (including access to diagnostic imaging services or assessment for prescription of assistive equipment and technology)
  • to provide services that are essential as part of a broader plan of care with a medical practitioner (e.g. fitting a brace post-surgery)
  • to provide services that are part of a conservative management plan to avoid or delay elective surgery (as agreed with treating team)
  • to provide services immediately following elective surgery that prevent secondary complications or aid functional recovery (as agreed with treating team).

Indoor clinical treatment must only be provided 1:1 (i.e. one clinician to one patient/client), and in separate rooms wherever possible. Practitioners cannot treat more than one person at a time – even if the two people are from the same household.

If it is not possible to provide 1:1 clinical treatment in separate rooms, then a large open treatment spaces may be used, however density quotients and strict cleaning requirements apply.
Indoor independent exercise is not permitted.

Outdoor clinical treatment is permitted and may be provided in a 2:1 model with strict physical distancing, face coverings and cleaning requirements in place.

At this stage, myotherapists can only provide 1:1 clinical exercise treatment for patients that are part of an endorsed care plan and if not within a clinical treatment room, then within an open treatment space located in an allied health practice (not a gym or PT training studio).