A qualitative study to explore the experiences of first contact physiotherapy practitioners in the NHS and their experiences of their first contact role

Greenhalgh, Susan; Selfe, James; Yeowell, Gillian

doi:10.1016/j.msksp.2020.102267

Cited by 36 publications

(60 citation statements)

References 16 publications

(20 reference statements)

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“…However, some also expressed concern with the unpredictable nature of this work acknowledged as introducing some challenges and associated risk including staff burnout. This concern has also been reported elsewhere [19] with anxieties around FCPs’ wellbeing expressed both in terms of workload, diagnostic uncertainty and the subsequent risk associated with the FCP role.…”

Section: Discussionsupporting

confidence: 54%

Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight

et al. 2021

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Section: Discussionsupporting

confidence: 54%

Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight

et al. 2021

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“…Our finding that some FCPs felt less confident in managing cases where significant distress may be causing or contributing to work absence is reflected elsewhere in the literature. Whilst not focusing specifically on managing work absence, a recent qualitative interview study with 10 FCPs reported a similar finding that FCPs felt that they had not had the required training to manage mental health issues raised by patients [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

First Contact Practitioners’ (FCPs) and General Practitioners’ Perceptions Towards FCPs Delivering Vocational Advice to Patients with Musculoskeletal Conditions: A Qualitative Investigation of the Implementation Potential of the I-SWAP Initiative

et al. 2021

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Purpose Musculoskeletal (MSK) pain is a common cause of work absence. The recent SWAP (Study of Work And Pain) randomised controlled trial (RCT) found that a brief vocational advice service for primary care patients with MSK pain led to fewer days’ work absence and provided good return-on-investment. The I-SWAP (Implementation of the Study of Work And Pain) initiative aimed to deliver an implementation test-bed of the SWAP vocational advice intervention with First Contact Practitioners (FCP). This entailed adapting the SWAP vocational advice training to fit the FCP role. This qualitative investigation explored the implementation potential of FCPs delivering vocational advice for patients with MSK pain. Methods Semi-structured interviews and focus groups were conducted with 10 FCPs and 5 GPs. Data were analysed thematically and findings explored using Normalisation Process Theory (NPT). Results I-SWAP achieved a degree of ‘coherence’ (i.e. made sense), with both FCPs and GPs feeling FCPs were well-placed to discuss work issues with these patients. However, for many of the FCPs, addressing or modifying psychosocial and occupational barriers to return-to-work was not considered feasible within FCP consultations, and improving physical function was prioritised. Concerns were also raised that employers would not act on FCPs’ recommendations regarding return-to-work. Conclusion FCPs appear well-placed to discuss work issues with MSK patients, and signpost/refer to other services; however, because they often only see patients once they are less suited to deliver other aspects of vocational advice. Future research is needed to explore how best to provide vocational advice in primary care settings.

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“…First contact practitioner is a new approach to the management of musculoskeletal conditions within the UK 6 8. It aims to provide timely access to expert musculoskeletal physiotherapists without the patient needing an initial general practitioner (GP) appointment 9.…”

Section: Introductionmentioning

confidence: 99%

Medico-legal litigation of UK physiotherapists in relation to cauda equina syndrome: a multimethods study

et al. 2022

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ObjectiveThe aim was to investigate the extent of cauda equina syndrome (CES) litigation and explore the process of medico-legal litigation in relation to physiotherapy in the UK.DesignA multimethods inquiry that followed on from a previously conducted scoping literature review was undertaken to address the aim. This included freedom of information requests and direct communication with relevant stakeholders and organisations.ResultsA total of 2496 CES claims were found in the UK between 2012 and 2020. 51 of these were attributed to physiotherapists. There was little information available to physiotherapists regarding the legal process of litigation and much of this information was not from a physiotherapist’s perspective.ConclusionThis is the first study that has investigated the extent and process of CES litigation in physiotherapy in the UK. The extent of CES litigation appears to be high considering CES is a rare spinal condition. Furthermore, the extent of CES litigation is suspected to be considerably higher than the data reported in this study due to the issues identified in how CES claims are recorded. Finally, there is no clearly articulated, easily accessible information describing the process and support available for physiotherapists in receipt of a legal claim.

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A qualitative study to explore the experiences of first contact physiotherapy practitioners in the NHS and their experiences of their first contact role

Cited by 36 publications

References 16 publications

Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight

Evaluation of the First Contact Physiotherapy (FCP) model of primary care: a qualitative insight

First Contact Practitioners’ (FCPs) and General Practitioners’ Perceptions Towards FCPs Delivering Vocational Advice to Patients with Musculoskeletal Conditions: A Qualitative Investigation of the Implementation Potential of the I-SWAP Initiative

Medico-legal litigation of UK physiotherapists in relation to cauda equina syndrome: a multimethods study

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