I graduated with BSc in Physiotherapy from Kings College London in 2009, and began my working life in Croydon Health services where I have remained since. I completed rotations as a Junior and then Senior Physiotherapist across areas including Orthopaedics, ITU, Amputees, Respiratory, A&E, Stroke Unit, Early supported discharge stroke team, Pulmonary and Cardiac rehab among other areas. The wide breadth of this work over a period of time has gone on to be invaluable in terms of knowledge areas that link now to Frailty and directly to my QI work. Additionally and importantly  there are many important stakeholders and influential figures I have retained close working relationships with along the way. I moved into a community role in 2016, and again found my previous broad experiences of great use in this setting.

In 2019 prior to the Pandemic I began a role as a Falls and Bone Health Practitioner and remained for over two years. This was a role where much innovation took place in shaping particularly bone health services, including improving access to service. Again this laid my foundation and knowledge in this area, it also began to create a clear vision for a possible project to try to improve this access and identification of clinical need issue within Bone health, particularly within the community with patients who have been missed via the various systems in place in both primary and secondary care. In September 2021 I returned to a Community Physiotherapy role in a more senior position but ready to take action with my Bone Health QI idea. Pilot data collection commenced in September 2021, and then entered project phase in January 2023 with the support of our QI team in Croydon Health services, and introduction to QI methods. Along the way I have also completed the QSIR modules. On conclusion of the project phase in June 2024 over 500 patients had been identified within project, many going on to benefit from treatment post Osteoporosis/Osteopenia diagnosis. Sustainability of such a large project was always going to be the key challenge, and pleasingly through systems engineering approach within primary and secondary care we are starting to see this potential. There is much consolidation and further improvement however to come and various events planned ahead to try to promote this model and learning across other systems. I look forward to sharing this and continuing to grow this project alongside others that are ongoing and interlinked.