Register of Animal Musculoskeletal Practitioners
Register of Animal Musculoskeletal Practitioners

RAMP for Practitioners 

 

 

BREAKING NEWS

 

11/5/20 Following the Prime Minister's statement 

 

After the Prime Minister's statement (10/5/20) and with only minor easing of any lockdown and the ability to work on a wider scale in England, while Scotland, Wales and Northern Ireland remain the same, RAMP Council hopes that our guidance to you previously to prepare for work by putting biosecurity and risk assessment strategies in place, is beginning to allow some more animals to be treated.

 

We are aware that there is still debate and mixed messages about how and when we should be practising. Regulators and Government have difficulty in being prescriptive about denying treatment when welfare is at stake. For this reason we advise that formulating risk assessments, and new methods of working, are important to maintain everyone's safety as we ease into seeing more patients. This process is also now going to happen at differing rates depending on the area of the country in which you practice.

 

The main issues are social distancing when treating animals and sourcing PPE. It may not always be possible or appropriate to use masks or gloves when working with animals but cleanliness and adherence to washing guidelines should always be high priority. We have identified these as sources of PPE information which may be of help.

 

PPE

 

General Guidance on use of PPE:

 

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe#best-practice-in-use-of-ppe-and-hand-hygiene

 

IPC (Infection control Procedures)

 

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

 

Until such time as the Government relaxes the current guidelines regarding social distancing, we must be diligent in following the advice regarding PPE and using our professional judgement and clinical assessment in all cases. We give this advice following discussion with both DEFRA and the RCVS, with DEFRA issuing the following statement:

Government appreciates the support that RAMP has given to its membership and pet owners at this difficult time and ensuring that Government advice is implemented to ensure the safety of RAMP members and their customers”.

RAMP continues to monitor the situation and will update you on any further guidance as it becomes available.

Keep safe.

 

1/5/20 Preparation for the relaxation of lockdown

 

We are 6 weeks into 'lockdown' and many of our animal patients now need MSK attention. RAMP holds animal welfare as a priority and while we have previously advocated treatment for urgent cases only, we are aware that many regular patients are deteriorating without on-going treatment.


During lockdown, RAMPs position has been clear and, although not preventing urgent and emergency work, has effectively stopped most MSK work from taking place. The professional judgement of the practitioner should always lead the decision as to whether it is safe to attend and treat an animal. As the Covid -19 situation continues to unfold the balance of priorities continues to change.

 

As well as the urgency of the case we need to be aware of the safety of the practitioner and the clients and the setting in which treatment occurs. Although things may be easing, this is by no means a return to normal work.

 

Read full document here.

 

 

 

21/4/20 Coronavirus COVID-19 Emergency Update

 

We have received some queries regarding the recent RCVS updated flowchart 14/4/20. Having spoken to RCVS legal department today (21/4/20) I would like to clarify the situation for RAMP registrants.

 

The RCVS flowchart applies only to vets. As we have said in our previous update this applies mainly to foodchain animals, however the easing of restrictions to treat any animal that may worsen if not treated within 2 months applies only to vets, NOT to MSK practitioners.

 

The RCVS has stated categorically that they can not give guidance to practitioners who are not on their register and like RAMP expect all their Registrants to apply their own clinical judgement and risk assessments regarding urgent cases. This update does NOT mean back to work as normal.

 

At RAMP we understand that the welfare of an animal can be jeopardised, especially in older or post surgical animals, if treatment is postponed. Confusion has arisen where a previously referred animal may deteriorate if it has to wait for restrictions to be lifted. This is where we expect you to apply your professional standards to assess if this falls into the urgent category.

  • If it does then risk assess the situation.
  • If you can meet all the social distancing, PPE equipment and Covid-19 related issues then we understand these rare cases will be eligible for treatment if you wish.

In these situations we recommend you keep clear records of your decision and risk assessment as well as your normal treatment records.

 

10/4/20 Coronavirus COVID-19 Emergency Update

 

At RAMP we are aware that RCVS recent guidelines 9/4/20 imply a slight easing of restrictions for Veterinary Surgeons and allows for more interpretation and flexibility.  Mainly this advice applies to animals in the foodchain and is not relevant to MSK practitioners, and does not mean a return to ‘ Normal’.

 

It is likely that the Government will make an announcement later today or early next week to extend the ‘lockdown’ period. The numbers of people dying is still rising and until there is a plateau it is unlikely that the restrictions regarding social distancing will change.

 

We are aware of the effect that this is having on all of our businesses and how keen we are to return to tend our patients, however until Government Guidelines change we all have a moral duty as well as a professional duty to abide by the lockdown rules. We advise all registrants to explore every route for financial support in the meantime.

 

It is likely that each of us may have differing opinions on the correct way to act throughout this crisis. Therefore we also advise that a code of professional courtesy is practised at this time. We must show respect for our colleagues and if they are not treating you should not pick up their patients.

 

As professionals we should be able to make a professional and responsible judgement,with appropriate risk assessment of what constitutes an emergency and the validity of providing treatment. RAMP is advising that all Registrants  must comply with the latest Government advice on Coronavirus at all times (https://www.gov.uk/coronavirus). Health and safety risks associated with any procedure must not be compromised at this time.

 

Our discussions with the Government are very clear and they advocate urgent treatment only. If practitioners fail to implement the measures set out, they are not only failing in their duty to society but could be exposing themselves to allegations of bringing the profession into disrepute or even professional negligence.

 

Thus RAMP is still advising you all to only see those cases where it is absolutely necessary and remote advice is not possible, and to only do so having conducted a full risk assessment, ensured that social distancing can be maintained AND have spoken to the vet about the necessity of attending.

 

Balens Insurance have said they will cover our treatments so long as we follow Government Guidelines regarding social distancing AND RAMP advice regarding urgent treatment.

 

Veterinary Surgeons professional associations are advising their members follow to RCVS and Government guidelines and we cannot contradict that. However we continue to monitor the situation on a day to day basis and will revise guidelines as neccesary. 

 

We copy here the link to the RCVS recent update and strongly suggest that you read all the advice and the flow chart. 
https://www.rcvs.org.uk/setting-standards/advice-and-guidance/coronavirus-covid-19/

Why Register?

 

This Register clarifies the standard of professionalism of musculoskeletal care given to animals. In the past, there were so many levels and types of qualification, and professional titles, that they confused animal owners and vets, and probably harmed the credibility of the sector, leading to reduced enquiries and referrals. In all, this was unhelpful for animal welfare.

 

The RAMP Register now enables animal owners and veterinary professionals to choose their musculoskeletal practitioner with confidence. RAMP makes no distinctions between different forms of training, but only of the standards of care given in practice.

 

This definitive listing has created a one-stop-shop that is quick and easy to reference. This means it can be used easily by veterinary professionals to locate a practitioner covering their area, with sound information about their credentials. 

 

Becoming a registrant means you are a practitioner dedicated to high-quality care. 

 

Being listed therefore ensures that your name will be confirmed when vets and animal owners search for a competent professional. This will dissolve the confusion that has developed in the marketplace, and create clear and fair grounds for owners and professinals to make properly informed choices.

The Benefits that RAMP brings to Practitioners
RAMP offers a range of benefits to practitioners to support and assist them in their practice.
Benefits of RAMP v2.pdf
Adobe Acrobat document [90.0 KB]

SPECIAL INSURANCE OFFER

RAMP has negotiated a dedicated block scheme with Balens Insurance. This offers full cover for a very good rate of £89 per annum, down from last year again! 
Employers Liability is also available for those who take students out on visits,with improved terms - the upper limit is now removed so you can take unlimited numbers of students each year.

 

This has been agreed because Registrants following RAMP's Gold Standard quality of practice have reduced insurance risks.


Balens are willing to dovetail new cover with your current scheme. This is a very good offer and worth considering.

RAMP Block Scheme from Balens
Download the Application Form and Background Information here.
Registered Animal Muscluloskeletal Pract[...]
Adobe Acrobat document [1.2 MB]

What does it mean to be registered on the RAMP website?

 

That you have demonstrated:

  1. Evidence that you have met the eligibility criteria for registration;
  2. Your compliance with the Professional Code of Conduct, Standards of Practice and requirements for Continuing Professional Development;
  3. Your fitness to practice;
  4. Your intention to work under the referral of the animal's veterinary surgeon. 

To maintain registration, you must:

  1. Ensure that your Continuing Professional Development record is up to date;
  2. Comply with the Code of Conduct and Standards of Practice;
  3. Have up-to-date professional indemnity insurance;
  4. Pay the relevant registration fee.
 
How does the Register show different practitioners?
The RAMP organisation is as inclusive and transparent as possible. We are working towards a harmonious future for the musculoskeletal industry with egalitarian values. Therefore:
  • All registrants are of equal status.
  • All are displayed equally on the Register, with only their technique distinguishing them. A website link is provided so that all enquiries can find further details. 
The Foundation Document details the standards set for acceptance onto the RAMP Register, and annual renewal on 1st April.
Foundation Document -Jul 17a.pdf
Adobe Acrobat document [218.1 KB]
The Constitution of the Organisation
The RAMP Constitution Jul 17.pdf
Adobe Acrobat document [126.4 KB]

Our Registration Process

 

As a not-for-profit organisation, we aim to arrange as much of this process as possible by email to keep costs and delays to a minimum.

 

Like other documents on this website, the Application Forms are pdf's, viewed with Adobe Reader. Please ensure you have the most up-to-date version (here) for best results. To edit it onscreen please do NOT save it first as this seems to interfere.

 

Application Fees

Application fees cover one years registration until the renewal date (April 1st).

If your application fails, you will be given useful advice to improve your chances when re-applying. Should your application for registration or renewal still fail, the fee will be refunded minus 25% administration fee.

Apply to Renew Registration

2019 Renewal Form
2019 Renewal Form.pdf
Adobe Acrobat document [298.8 KB]

Please Note: Your Renewal Form must be received before April 1st. This must include proof of current professional indemnity insurance, fully completed form and signed declaration, fully completed declaration of CPD hours and full payment.

 

If your application is not received in full as outlined above, you may still renew until the end of April but this will incur additional costs which must be paid in full before the corresponding date.

Cost for renewal:

    £65 up to March 31st inclusive
    £85 up to 14th April inclusive
    £100 up to 30th April inclusive


After 30th April, you will forfeit the option to renew and must restart the full initial unabridged application process, the details and costs of which can be found in the section below.

Apply for Registration

 

Explanation of the different routes of application to RAMP

 

1. Initial application

This first form is to be completed by all applicants to RAMP no matter which pathway they are applying (via AEP, REP, RPL and RPEL), before any other forms are completed. If a practitioner has graduted from and AEP course and provides evidence of this, alongside fulfiling CPD requirements and other documentation as requested. The will be eligable for entry to the register at this stage, otherwise, applicants will be required to continue to completing the stage 1 document (RPL).  If further information and/or forms are required, please ensure you remember to submit this completed document along with the rest of your application.

 

2. Stage 1 - RPL application pathway

This route is for an applicant who does not fulfil the initial application however can provide the following:

Certification documents (including transcripts) alongside the completed mapping document that show the applicant has completed suitable professional courses which together wholly and unequivocally fulfil the education criteria set out in the RAMP document (see section 6, 8 and 9C of the foundation document).  If completion of this course is greater than 18 months prior to application, the CPD requirements (as laid out in section 10C of the foundation document) must also be adhered to.

 

3.Stage 2 - RPEL application pathway

This route is for an applicant who does not fulfil initial or RPL application routes but can provide the following:

Certification documents (including transcripts) that show the applicant has completed courses however on their own, these do not on their own wholly and unequivocally fulfil the education criteria set out in the RAMP document (see section 6, 8 and 9C of the foundation document) however through experiential learning, this applicant provides evidence that they have wholly and unequivocally fulfilled the theoretical knowledge, theoretical understanding and clinical understanding (as described in section 6 of the foundation document).  The CPD requirements (as laid out in section 10C of the foundation document) must also be adhered to.

 
Initial Application Form - please download this form first.
This initial form is to be completed by all applicants to RAMP. If additional information is required through the AEP, REP, RPL and RPEL pathways, the team will contact you.
Initial Application form September 2019 [...]
Adobe Acrobat document [220.6 KB]
Please download this RAMP Register RPL-RPEL Guidance Document to understand how to make best use of this Application route.
Contents includes:
* Introduction
* Educational and Training Requirements
* What is RPL/RPEL?
* How to apply for RPEL or RPL
* Summary of the application process Stages 1,2 and 3
RAMP Main RPL:RPEL document Jan 2018.pdf
Adobe Acrobat document [213.5 KB]
Please download this RPL Stage 1 Application Form to apply. You can fill it in onscreen, or print it and hand-write it, and then post it. Please include your fee and supporting documents.
This Application process offers an opportunity to join the Register through a rigorous process for experienced practitioners of Chiropractic, Osteopathy and Physiotherapy techniques on animals who may not have wholly met requirements in one qualification, but does by combining their qualifications.
RAMP register RPL Stage 1 application fo[...]
Adobe Acrobat document [250.5 KB]
RAMP CPD Guidelines
One of RAMP's standards for Registration is for CPD to be undertaken every year. More details are available in this guidance document.
RAMP CPD guidelines document May 2019.pd[...]
Adobe Acrobat document [135.9 KB]
RAMP CPD Critical Reflection Form
RAMP CPD form for completion as part of CPD evidence and critical reflection for Audit
RAMP CPD critical reflection form Januar[...]
Microsoft Word document [557.0 KB]
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