Stynes, S ORCID: https://orcid.org/0000-0002-5117-9034, Jordan, KP ORCID: https://orcid.org/0000-0003-4748-5335, Hill, JC ORCID: https://orcid.org/0000-0001-6246-1409, Wynne-Jones, G ORCID: https://orcid.org/0000-0002-0283-6632, Cottrell, E ORCID: https://orcid.org/0000-0002-5757-1854, Foster, NE ORCID: https://orcid.org/0000-0003-4429-9756, Goodwin, R and Bishop, A (2021) Evaluation of the First Contact Physiotherapy (FCP) model of primary care: Patient characteristics and outcomes. Physiotherapy.

[img] Text
Evaluation of the First Contact Physiotherapy (FCP) model of primary care_ Patient characteristics and outcomes _ Elsevier Enhanced Reader.pdf - Accepted Version
Restricted to Repository staff only until 6 August 2022.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (16MB)

Abstract

Objective First Contact Physiotherapy (FCP) is a primary care model where expert musculoskeletal (MSK) physiotherapists undertake the first patient consultation, to enhance MSK-patient care and free-up GP capacity. The authors report the quantitative findings from the FCP National Evaluation (Phase 3) which evaluated the FCP model against success criteria. Design and setting A mixed-methods 24-month service evaluation involving 40 FCP sites and 240 FCPs across England. Methods An online platform collected patient-reported experience and outcomes following the FCP consultation and at 1, 2 and 3-months follow-up. These included the Keele STarT MSK Tool, pain intensity (0–10 NRS scale), Musculoskeletal Health Questionnaire (MSK-HQ, range 0–56), and Friends-and-Family Test. Results Over 13 months, 2825 patients were invited by email and 24% (n = 680) completed their initial questionnaire. Their mean age was 56.2 (14.9 SD), 61% were female, ethnicity was 97% white, mean pain intensity was 6.1 (2.13 SD) and mean MSK-HQ score was 33.8 (9.5 SD). At 3-months follow-up (n = 370) there was a 2.8 (CI 2.5, 3.1) mean pain intensity reduction from baseline, a mean 7.1 (6.0, 8.2) score improvement in MSK-HQ and 64% reporting overall improvement (much better/better) since seeing the FCP. One of the six success criteria was not met; 29% of those in employment reported receiving specific work advice from the FCP (target ≥75%). Conclusion Ahead of the planned scale-up of the FCP primary care model across the UK, this evaluation provides useful data on patients who access this service, their short-term clinical outcomes and whether key success criteria are being met.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://doi.org/10.1016/j.physio.2021.08.002 - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: musculoskeletal,first contact,physiotherapy,general practice, primary care
Subjects: R Medicine > RM Therapeutics. Pharmacology > Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Depositing User: Symplectic
Date Deposited: 20 Aug 2021 08:48
Last Modified: 20 Aug 2021 08:48
URI: https://eprints.keele.ac.uk/id/eprint/9924

Actions (login required)

View Item View Item