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Stakeholder views of podiatry services in the UK for people living with arthritis: a qualitative investigation

Stakeholder views of podiatry services in the UK for people living with arthritis: a qualitative investigation
Stakeholder views of podiatry services in the UK for people living with arthritis: a qualitative investigation
Background: the aim of this study was to explore the views of stakeholders in podiatry services, patients, commissioners and general practitioners (GP), to further understand experiences of referral, access and provision of treatment in the National Health Service (NHS) for foot problems for patients living with arthritis.

Method: to explore in-depth individual views and experiences of stakeholders in podiatry services, 19 patients who had arthritis (osteoarthritis and/or rheumatoid arthritis) participated in one of four focus groups. In addition, seven commissioners and/or GPs took part in semi structured interviews. A purposive sampling strategy was adopted for all focus groups and semi structured interviews. To account for geographical variations, the focus groups and semi structured interviews were conducted across two predetermined regions of the United Kingdom (UK), Yorkshire and Hampshire. Data was rendered anonymous and transcribed verbatim. Thematic analysis was employed to identify key meanings and report patterns within the data.

Results: five key themes derived from the focus groups and interviews suggest a variety of factors influencing referral, access and provision of treatment for foot problems within the UK. 1. Systems working together (navigation of different care pathways, access and referral opportunities for people with OA or RA, education around foot health services for people with OA or RA); 2.Finance (financial variations, different care systems, wasting resources); 3. Understanding what podiatry services have to offer (podiatrists are leaders in foot health services, service requirements in relation to training standards and health needs); 4. Person factors of foot pain (arthritis is invisible, affects quality of life, physical and mental wellbeing); 5. Facilitators of foot care (NICE guidelines, stakeholder events, supporting self-management strategies).

Conclusion: the findings indicate that patients, commissioners and GPs have very similar experiences of referral, access and provision of treatment for foot problems, for patients living with arthritis. Essentially, commissioners and GPs interviewed called for a transformational approach in current systems to include newer models of care that meet the footcare needs of individual patient circumstances. Patients interviewed called for better signposting and information about the different services available to help them manage their foot health needs. To address this, we have formulated a signposting pack for all stakeholders to help them facilitate access to appropriate clinicians ‘at the right time, in the right place’ to manage foot health problems.
Arthritis, Foot health, Footcare, Independence, Mobility, Pain management, Podiatry, Service provision
1757-1146
Dando, Charlotte
d25a5d95-2f34-4fe6-af90-4a1569ca60fc
Bacon, Dawn-Anne
6ac0d529-d163-4464-ac2f-80fa7df8817e
Borthwick, Alan
b4d1fa51-182d-4296-b5fe-5b7c32ef6f9d
Bowen, Catherine
fd85c3c5-96d9-49b8-86c6-caa94e1a222b
Dando, Charlotte
d25a5d95-2f34-4fe6-af90-4a1569ca60fc
Bacon, Dawn-Anne
6ac0d529-d163-4464-ac2f-80fa7df8817e
Borthwick, Alan
b4d1fa51-182d-4296-b5fe-5b7c32ef6f9d
Bowen, Catherine
fd85c3c5-96d9-49b8-86c6-caa94e1a222b

Dando, Charlotte, Bacon, Dawn-Anne, Borthwick, Alan and Bowen, Catherine (2020) Stakeholder views of podiatry services in the UK for people living with arthritis: a qualitative investigation. Journal of Foot and Ankle Research, 13 (1). (doi:10.1186/s13047-020-00427-7).

Record type: Article

Abstract

Background: the aim of this study was to explore the views of stakeholders in podiatry services, patients, commissioners and general practitioners (GP), to further understand experiences of referral, access and provision of treatment in the National Health Service (NHS) for foot problems for patients living with arthritis.

Method: to explore in-depth individual views and experiences of stakeholders in podiatry services, 19 patients who had arthritis (osteoarthritis and/or rheumatoid arthritis) participated in one of four focus groups. In addition, seven commissioners and/or GPs took part in semi structured interviews. A purposive sampling strategy was adopted for all focus groups and semi structured interviews. To account for geographical variations, the focus groups and semi structured interviews were conducted across two predetermined regions of the United Kingdom (UK), Yorkshire and Hampshire. Data was rendered anonymous and transcribed verbatim. Thematic analysis was employed to identify key meanings and report patterns within the data.

Results: five key themes derived from the focus groups and interviews suggest a variety of factors influencing referral, access and provision of treatment for foot problems within the UK. 1. Systems working together (navigation of different care pathways, access and referral opportunities for people with OA or RA, education around foot health services for people with OA or RA); 2.Finance (financial variations, different care systems, wasting resources); 3. Understanding what podiatry services have to offer (podiatrists are leaders in foot health services, service requirements in relation to training standards and health needs); 4. Person factors of foot pain (arthritis is invisible, affects quality of life, physical and mental wellbeing); 5. Facilitators of foot care (NICE guidelines, stakeholder events, supporting self-management strategies).

Conclusion: the findings indicate that patients, commissioners and GPs have very similar experiences of referral, access and provision of treatment for foot problems, for patients living with arthritis. Essentially, commissioners and GPs interviewed called for a transformational approach in current systems to include newer models of care that meet the footcare needs of individual patient circumstances. Patients interviewed called for better signposting and information about the different services available to help them manage their foot health needs. To address this, we have formulated a signposting pack for all stakeholders to help them facilitate access to appropriate clinicians ‘at the right time, in the right place’ to manage foot health problems.

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More information

Accepted/In Press date: 2 September 2020
e-pub ahead of print date: 24 September 2020
Keywords: Arthritis, Foot health, Footcare, Independence, Mobility, Pain management, Podiatry, Service provision

Identifiers

Local EPrints ID: 445164
URI: http://eprints.soton.ac.uk/id/eprint/445164
ISSN: 1757-1146
PURE UUID: 6fd6316d-fc5e-467d-ade6-1570e3dfdd73
ORCID for Dawn-Anne Bacon: ORCID iD orcid.org/0000-0003-3719-8340
ORCID for Catherine Bowen: ORCID iD orcid.org/0000-0002-7252-9515

Catalogue record

Date deposited: 24 Nov 2020 17:31
Last modified: 26 Nov 2021 02:45

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Contributors

Author: Charlotte Dando
Author: Dawn-Anne Bacon ORCID iD
Author: Alan Borthwick
Author: Catherine Bowen ORCID iD

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