Cerebral Palsy Integrated Pathway - Developing a UK-wide programme

APCP is committed to introducing the Cerebral Palsy Integrated Pathway across all regions in the UK

Cerebral Palsy Integrated Pathway Scotland (CPIPS)

CPIPS has been developed by a group of children’s orthopaedic surgeons and physiotherapists from all regions of Scotland.  The aim is to provide a high quality, standardised follow-up programme, including hip surveillance, for children with CP that will identify musculoskeletal problems by regular physical and radiological examinations to enable effective management fo these problems during childhood.

The pathway involves a nationally agreed protocol of standardised musculoskeletal examination for children with CP to ensure equity throughout Scotland.  It is based on best practice guidelines from Sweden and Australia and meets the principles of care recommended in the 2012 NICE Clinical Guideline ‘Spasticity in children and young people with non-progressive brain disorders’

Developing a UK-wide programme - the first steps


Responding to the postive feedback from APCP members in Scotland, APCP is committed to introducing the Cerebral Palsy Integrated Pathway across all Regions of the UK.

As a first step, the Neurodisability Group hosted a study day in September 2015 bringing together paediatric orthopaedic surgeons, paediatricians and physiotherapists to learn about the Cerebral Palsy Intergrated Pathway and its introduction across Scotland from the CPIPS Development Team and to discuss how to implement in other areas of the UK.

This event was attended by 80 paediatric physiotherapists,11 paediatric orthopaedic surgeons and 5 paediatricians from across the all regions of the UK and combined presentations and practical sessions to introduce CPIP, as well as discussions and debate about how this could be adopted in all regions.


A CPIP UK Network has now been established with representative paediatric physiotherapists from each of the APCP Regions plus a representative paediatric orthpaedic surgeon and paediatrican.  The Network will meet twice a year to to share information, support each other and establish links between Region.

Each Region is committed to establishing a Regional Steering Group to drive the implementation of CPIP in its area.  

APCP CPIP Regional Steering Groups

The Regional Steering Groups can be contacted via the Physiotherapist Representative

The UK Network is already working collaboratively with the British Academy of Childhood Disability (BACD) and the British Society for Children's Orthopaedic Surgery (BSCOS)  to raise the profile of the CPIP amongst paediatricians and paediatric orthopaedic surgeons.