Condition: Musculoskeletal Disorders · Sponsor: University College, London
Background: 20 million people in UK have musculoskeletal (MSK) aches and pains. They commonly see their GP about this problem, but practices are so busy that it can mean a long wait for appointments. First Contact Practitioner (FCPs) are now working in the GP practices to see patients with MSK problems instead of their GP. A national evaluation has found this to be working well. For FCPs working in GP practices there is more clinical risk. The patients have not been previously screened by a doctor to ensure there is no medical cause for their pain. The Chartered Society of Physiotherapists (CSP) has advised that all FCPs be clinicians with the highest level of experience, known as Advanced Practitioners. However the demand for FCPs far outweighs the number of Advanced Practitioners available so physiotherapists being hired have less experience. Evidence shows that clinicians of different experience levels have different decision-making strategies which may cause unwarranted variation in care. A new method is needed for oversight and support of the FCPs. Clinical supervision is commonly utilised in the NHS and in physiotherapy teams. It is a space to reflect on a clinician's performance and create learning opportunities. This research suggests an individual data dashboard, shared only with individuals and their supervisor, that feeds back a clinician's own decision-making data to them, relative to their peers. For example, the participant is "in the top 20% of MRI requeste…
This description comes directly from the study's public registry record.
Emma L Dunphy, PhD · +447510146528 · emma.dunphy@ucl.ac.uk
Irwin Nazareth, Prof. PhD MD · 07510146528 · i.nazareth@ucl.ac.uk
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| City & Hackney Primary Care | London, United Kingdom | Recruiting |
| South Tyneside Integrated Primary Care | Newcastle upon Tyne, United Kingdom | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07112508