What are musculoskeletal first contact practitioners experiences of clinical models of practice in primary care? - A descriptive survey

Access to first contact physiotherapy appointments in primary care: A scoping review

“…; R. Goodwin et al., 2020; iCSP 2, 2021; McDermott et al., 2022; Morris et al., 2021; Wood et al., 2022), four used the term ‘care navigation’ (CSP, n.d.; Goodwin, n.d; HEE, 2020; McDermott et al., 2022), and one used the term ‘walk‐in appointments’ (Halls et al., 2020). The term ‘triage’ was used by nine sources, five of which used the term on its own (Bater & Sellars, 2022; iCSP 1‐3, 2021; McDermott et al., 2022), two of which used the term ‘reception triage’ (Doran, 2021a; Halls et al., 2020), and two of which used the term ‘GP triage’ (R. Goodwin et al., 2021; Greenhalgh et al., 2020). ‘Patient self‐referral’ or ‘self‐booking’ was used by four sources (Akehurst et al., 2019; Doran, 2021b; Halls et al., 2020; Jagosh et al., 2022), and ‘GP referral’ or GP involvement in the patient accessing an FCP appointment was referred to in seven sources (Doran, 2021a; R. Goodwin et al., 2021; Greenhalgh et al., 2020; Halls et al., 2020; iCSP 1‐3, 2021; Pike, 2020).…”

“…Personnel involved in patients accessing FCP appointments were described as ‘reception/receptionists’ or ‘admin/administration/administrators’ in 17 of the sources (Bater & Sellars, 2022; CSP, n.d.; Davies et al., 2021; Doran, 2021a, 2021b; Goodwin, n.d.; R. Goodwin et al., 2020; Halls et al., 2020; HEE, 2020; Hensman‐Crook, 2019; Jagosh et al., 2022; McDermott et al., 2022; Morris et al., 2021; Pain, 2022; Pike, 2020; Wise, 2019; Ingram et al., 2023), GPs in 10 of the studies and other materials (Doran, 2021b; R. Goodwin et al., 2021; Greenhalgh et al., 2020; Halls et al., 2020; iCSP 1‐3, 2021; McDermott et al., 2022; Pike, 2020), ‘ANPs’ in three (R. Goodwin et al., 2020; Halls et al., 2020; iCSP 1, 2021), ‘primary care team’ in one (CSP, n.d.), and ‘healthcare staff’ in one (R. Goodwin et al., 2020). Three of the studies did not provide any information regarding personnel involved (Akehurst et al., 2019; Bater & Sellars, 2022; Wood et al., 2022).…”

“…From the 24 studies and other materials reviewed, there was little evidence investigating this area, demonstrating a clear gap in the research base, and likely reflective of the relative infancy of FCP services. Of the included sources, many had very brief mentions of FCP appointment access methods; nine had only one line regarding access (Akehurst et al., 2019; Bater & Sellars, 2022; Doran, 2021a, 2021b; Hensman‐Crook, 2019; Jagosh et al., 2022; Pain, 2022; Pike, 2020; Wise, 2019). Only one study, the UK‐wide online survey of FCP provision (Halls et al., 2020), specifically asked participants about the variety of access options available.…”

“…Several sources in the review did not use the term ‘signposting’, but the brief descriptions given suggested a comparable process; “booked via reception” (Wise, 2019), “direct from reception” (Hensman‐Crook, 2019). ‘Triage’ and ‘care navigation’ were other terms that appeared to indicate a process similar to that of ‘signposting’—that of determining a patient's need and directing them to the most suitable member of the GP team (Bater & Sellars, 2022; CSP, n.d.; Doran, 2021a; Wood et al., 2022). There seems to be agreement between many of the studies and other materials that signposting by reception or administrative staff is fundamental in ensuring appropriate access to FCP (Doran, 2021a; D. R. Goodwin, n.d.; R. Goodwin et al., 2020; Goodwin, 2021; Health Education England, 2020; McDermott et al., 2022; Morris et al., 2021; Pain, 2022; Wood et al., 2022).…”

“…Personnel involved in patients accessing FCP appointments were described as 'reception/receptionists' or 'admin/administration/administrators' in 17 of the sources (Bater & Sellars, 2022;CSP, n.d.;Davies et al, 2021;Doran, 2021aDoran, , 2021bGoodwin, n.d.;R. Goodwin et al, 2020;Halls et al, 2020;HEE, 2020;Hensman-Crook, 2019;Jagosh et al, 2022;McDermott et al, 2022;Morris et al, 2021;Pain, 2022;Pike, 2020;Wise, 2019;Ingram et al, 2023), GPs in 10 of the studies and other materials (Doran, 2021b;R.…”