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Provision of first contact physiotherapy in primary care across the UK: A survey of the service

Halls, Serena; Thomas, Rachel; Stott, Hannah; Cupples, Margaret E.; Kersten, Paula; Cramp, Fiona; Foster, Dave; Walsh, Nicola

Authors

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Dr Hannah Stott Hannah3.Stott@uwe.ac.uk
Research Fellow and Chartered Psychologist

Margaret E. Cupples

Paula Kersten

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions

Dave Foster

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Nicola Walsh Nicola.Walsh@uwe.ac.uk
Professor in Knowledge Mobilisation & Muscul



Abstract

Background: First Contact Physiotherapy (FCP) is an emerging model of care whereby a specialist physiotherapist located within general practice undertakes the first patient assessment, diagnosis and management without a prior GP consultation. Despite institutional and professional body support for this model and NHS commitment to its implementation, data regarding current FCP provision are limited. Objectives: To identify current FCP service provision across the UK, including models of provision and key professional capabilities. Design: Cross-sectional online survey, targeting physiotherapists and service managers involved in FCP. Methods: Recruitment involved non-probability sampling targeting those involved in FCP service provision through emails to members of known clinical networks, snowballing and social media. The survey gathered data about respondents, FCP services and the role and scope of physiotherapists providing FCP. Results: The authors received 102 responses; 32 from service managers and 70 working in FCP practice from England (n = 60), Scotland (n = 22), Wales (n = 14), and Northern Ireland (n = 2). Most practitioners were NHS band 7 or 8a (91%, n = 63), with additional skills (e.g. requesting investigations, prescribing). 17% (12/70) worked 37.5 hours/week; 37% (26/70) ≤10 hours; most (71%, 50/70) used 20-minute appointments (range 10–30 minutes); varying arrangements were reported for administration and follow-up. Services covered populations of 1200 to 600,000 (75% < 100,000); access mostly involved combinations of self-booking and reception triage. Commissioning and funding arrangements varied widely; NHS sources provided 90% of services. Conclusions: This survey provides new evidence regarding variation in FCP practice across the UK, indicating that evidence-informed, context specific guidance on optimal models of provision is required.

Citation

Halls, S., Thomas, R., Stott, H., Cupples, M. E., Kersten, P., Cramp, F., …Walsh, N. (2020). Provision of first contact physiotherapy in primary care across the UK: A survey of the service. Physiotherapy, 108, 2-9. https://doi.org/10.1016/j.physio.2020.04.005

Journal Article Type Article
Acceptance Date Apr 21, 2020
Online Publication Date Apr 27, 2020
Publication Date Sep 1, 2020
Deposit Date May 6, 2020
Publicly Available Date Apr 28, 2021
Journal Physiotherapy (United Kingdom)
Print ISSN 0031-9406
Electronic ISSN 1873-1465
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 108
Pages 2-9
DOI https://doi.org/10.1016/j.physio.2020.04.005
Keywords Physical Therapy, Sports Therapy and Rehabilitation, First contact physiotherapy, Musculoskeletal diseases, Primary care, General practice
Public URL https://uwe-repository.worktribe.com/output/5942579

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