Insights and recommendations into service model structure, staff roles and qualifications in a UK cancer specific clinical exercise service: a multi-method qualitative study

Crozier, Anthony; Watson, Paula M; Graves, Lee E. F.; George, Keith; Richardson, D.J.; Naylor, Louise H.; Green, Daniel; Rosenberg, Michael; Jones, Helen

doi:10.1080/09638288.2023.2225879

Cited by 3 publications

(4 citation statements)

References 40 publications

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Section: Clinical Exercise Physiologists Currently Registeredmentioning

confidence: 99%

“…These are real-world examples of successful clinical exercise physiologists working within the NHS and the third sector, with peer recognition regarding their knowledge and skills as an integral part of the workforce. 21 22 …”

Section: Clinical Exercise Physiologists Currently Registeredmentioning

confidence: 99%

“…Our vision is that registration and regulation of clinical exercise physiologists would provide equal standing with other registered health professions regarding competency levels leading to increased respect among with health professional peers in the future. 21 within the NHS and the third sector, with peer recognition regarding their knowledge and skills as an integral part of the workforce. 21 22 Such exposure has increased and will continue to increase awareness of clinical exercise physiologists within the UK healthcare system including the NHS, creating opportunities for new graduates from accredited MSc courses (eg, AHCS-registered clinical exercise physiologists via the graduate route) and career development for employed AHCS-registered clinical exercise physiologists to progress their careers in management, including the potential of setting up new services.…”

Section: Advocacy For Clinical Exercise Physiologistsmentioning

confidence: 99%

“…21 within the NHS and the third sector, with peer recognition regarding their knowledge and skills as an integral part of the workforce. 21 22 Such exposure has increased and will continue to increase awareness of clinical exercise physiologists within the UK healthcare system including the NHS, creating opportunities for new graduates from accredited MSc courses (eg, AHCS-registered clinical exercise physiologists via the graduate route) and career development for employed AHCS-registered clinical exercise physiologists to progress their careers in management, including the potential of setting up new services. At the same time, promoting the career as a clinical exercise physiologist to current and potential undergraduate students.…”

Section: Advocacy For Clinical Exercise Physiologistsmentioning

confidence: 99%

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Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report

Jones,

Crozier,

George

et al. 2024

BMJ Open Sport Exerc Med

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In 2021, a ‘call to action’ was published to highlight the need for professional regulation of clinical exercise physiologists to be established within UK healthcare systems to ensure patient safety and align training and regulation with other health professions. This manuscript provides a progress report on the actions that Clinical Exercise Physiology UK (CEP-UK) has undertaken over the past 4 years, during which time clinical exercise physiologists have implemented regulation and gained formal recognition as healthcare professionals in the UK. An overview of the consultation process involved in creating a regulated health profession, notably the development of policies and procedures for both individual registration and institutional master’s degree (MSc) accreditation is outlined. Additionally, the process for developing an industry-recognised scope of practice, a university MSc-level curriculum framework, the Academy for Healthcare Science Practitioner standards of proficiency and Continuing Professional Development opportunities is included. We outline the significant activities and milestones undertaken by CEP-UK and provide insight and clarity for other health professionals to understand the training and registration process for a clinical exercise physiologist in the UK. Finally, we include short, medium and long-term objectives for the future advocacy development of this workforce in the UK.

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Section: Clinical Exercise Physiologists Currently Registeredmentioning

confidence: 99%

Section: Clinical Exercise Physiologists Currently Registeredmentioning

confidence: 99%

Section: Advocacy For Clinical Exercise Physiologistsmentioning

confidence: 99%

Section: Advocacy For Clinical Exercise Physiologistsmentioning

confidence: 99%

See 2 more Smart Citations

Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report

Jones,

Crozier,

George

et al. 2024

BMJ Open Sport Exerc Med

Self Cite

View full text Add to dashboard Cite

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A multi-method exploration of a cardiac rehabilitation service delivered by registered Clinical Exercise Physiologists in the UK: key learnings for current and new services

Crozier,

Graves,

George

et al. 2024

BMC Sports Sci Med Rehabil

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Background Cardiac rehabilitation has been identified as having the most homogenous clinical exercise service structure in the United Kingdom (UK), but inconsistencies are evident in staff roles and qualifications within and across services. The recognition of Clinical Exercise Physiologists (CEPs) as a registered health professional in 2021 in the UK, provides a potential solution to standardise the cardiac rehabilitation workforce. This case study examined, in a purposefully selected cardiac exercise service that employed registered CEPs, (i) how staff knowledge, skills and competencies contribute to the provision of the service, (ii) how these components assist in creating effective service teams, and (iii) the existing challenges from staff and patient perspectives. Methods A multi-method qualitative approach (inc., semi-structured interviews, observations, field notes and researcher reflections) was employed with the researcher immersed for 12-weeks within the service. The Consolidated Framework for Implementation Research was used as an overarching guide for data collection. Data derived from registered CEPs (n = 5), clinical nurse specialists (n = 2), dietitians (n = 1), service managers/leads (n = 2) and patients (n = 7) were thematically analysed. Results Registered CEPs delivered innovative exercise prescription based on their training, continued professional development (CPD), academic qualifications and involvement in research studies as part of the service. Exposure to a wide multidisciplinary team (MDT) allowed skill and competency transfer in areas such as clinical assessments. Developing an effective behaviour change strategy was challenging with delivery of lifestyle information more effective during less formal conversations compared to timetabled education sessions. Conclusions Registered CEPs have the specialist knowledge and skills to undertake and implement the latest evidence-based exercise prescription in a cardiac rehabilitation setting. An MDT service structure enables a more effective team upskilling through shared peer experiences, observations and collaborative working between healthcare professionals.

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Clinical Exercise Physiologists in the United Kingdom: Multi-stakeholder Perspectives

Osin,

Crozier,

Sadler

et al. 2024

Journal of Clinical Exercise Physiology

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Background In the UK Academy of Healthcare Science, registered clinical exercise physiologists (CEPs) receive specialist, master’s-level education and training in the knowledge and skills required to work with chronic and complex medical conditions based on a curriculum that was benchmarked against Australian standards. The aim of this study was to explore the perspectives of multiple stakeholders to identify the key knowledge and skills required for a registered CEP to work effectively in the United Kingdom and inform future iterations of the accredited curriculum. Methods Semistructured interviews of academics (n = 5), CEPs (n = 5) and service users (n = 5) explored perspectives of the key knowledge and skills required of a CEP in UK health care. Reflexive thematic analysis was performed to identify the key knowledge and skills of a UK-registered CEP that all the stakeholders deemed important. Results Six themes were identified from the interviews. The CEP-specific themes were identified as pathophysiology, physiological assessments, exercise prescription, exercise delivery, and behavior change and education. Clinical practice was recognized as the overarching concept that linked all the CEP-specific themes together. Conclusion This study provides the first understanding of the knowledge and skills required for a CEP to work effectively in the UK health care system, in addition to providing research evidence and insight to the next iterations of the Clinical Exercise Physiology UK (CEP-UK) curriculum framework. Future research should focus on establishing a more comprehensive, definitive list of the knowledge and skills of a UK CEP that will contribute to subsequent versions of the CEP-UK curriculum framework.

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Insights and recommendations into service model structure, staff roles and qualifications in a UK cancer specific clinical exercise service: a multi-method qualitative study

Cited by 3 publications

References 40 publications

Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report

Establishment of clinical exercise physiology as a regulated healthcare profession in the UK: a progress report

A multi-method exploration of a cardiac rehabilitation service delivered by registered Clinical Exercise Physiologists in the UK: key learnings for current and new services

Clinical Exercise Physiologists in the United Kingdom: Multi-stakeholder Perspectives

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