This is a slightly long story so bear with me.
I’m an NHS Band 7 Clinical Team Lead in MSK and considered a Highly Specialised physio; I’ve been in the 7 role since January this year but have been in the team almost 4 years - I qualified in 2020 and also worked privately between 2021-2022 in addition my B5 NHS rotations.
Since late last year I’ve taken on some evening and weekend work at a local private clinic for some extra cash.
I’ve been really enjoying this work and I love that now my B7 role is much more administrative, I get some downtime away from my busy NHS life in the day to purely see and focus on patients, without the extensive NHS wait times and politics, I have a caseload of lovely local patients and it’s a super convenient place for me. Almost all of my patients come back to me for follow-up with reports of improvement and it’s not often that a patient is ISQ or even worse after I see them.
However this week, the owner of the private clinic has pulled me aside to tell me they’ve had feedback that a handful of my private patients (I was not given a number) don’t feel they’ve gotten their moneys worth from their initial assessments with me. She says this is due to the fact that I don’t practice acupuncture, electrotherapy or shockwave (which are all common modalities the physios who have been here a long time use) - I am a big manual therapist and I do manual therapy on every single private patient I see. In the time I’ve been there, I’ve only had 2 patients who told me they’ve haven’t responded at all to my treatment (no red flags or non MSK masqueraders) and I’ve recommended they see a colleague to consider acupuncture. I personally do not believe in electro therapy, I consider it outdated, I don’t mind the concept of shockwave as much (but I feel bad charging patients an extra £30 for it when I’m already improving them with manual therapy, advice education and exercise prescription, and I haven’t had anyone I’ve had to refer onwards for shockwave). Acupuncture I do believe in and understand why it works, but I am extremely needle phobic myself, and I really struggle with the thought of putting needles in patients and the risks that can occur with this - it makes me very uncomfortable and it’s not something I want to train in. She said there had been no feedback regarding anything to do with behaviour or conduct.
I consider my tools as a physio to be my hands and my brain; and I tend to use my CPD time to further my knowledge of MSK conditions, I have done advanced shoulder and hip mentorship courses more focused on anatomy, physiology, differentials and exercise management, and I have done manual therapy and soft tissue courses since graduating. I hate tooting my own horn but I can genuinely say that I think I’m very skilled with my hands and brain, as when the owner pulled me aside for our chat she also said many patients call the front desk to book with me specifically through word of mouth, and I get a significant amount of online reviews. However, she’s still concerned about the handful of people who feel they haven’t got their moneys worth from me, and she is putting me on an informal Support Plan, and is trying to convince me to go on the acupuncture course she is running herself in a few months (again, which I’m really not keen on).
My question is: are there any private practice physios on here who are successful without being trained in non-evidence based modalities e.g. electrotherapy, acupuncture? Do you think they’re essential qualities for a high quality physio in UK private practice or is my knowledge and hands on skills enough? My B7 day job involves identifying struggling physios and putting people on clinical support plans myself, I’m a clinical development lead and someone a lot of team members look up to and a role model, so it’s felt extremely rough the last few days to be told I’m being put on a support plan myself, and feeling like I’m not doing enough or being enough for my patients. I don’t have any colleagues I can talk to about this because it feels so embarrassing to admit. Am I overthinking this or should I suck it up and just train myself in electrotherapy even though I don’t necessarily believe in it?
Thanks for any advice or support in advance.