STUDY STAGES
STAGE 1
A focused ethnographic study where we will explore how the culture in physiotherapy services influences how tasks are delegated to physiotherapy assistants by observing two NHS physiotherapy services, and interviewing clinicians and patients about their experiences and attitudes regarding delegation.
Data collection for stage 1 started in March 2022. The data analysis will be completed by June 2023.
STAGE 2a
We will work with 3 separate groups of physiotherapists, physiotherapy assistants and managers, using a discussion method called Nominal Group Technique to reach agreement about what a ‘best practice’ delegation framework should include
Stage 2 was conducted in July 2022
STAGE 2b
A survey using a technique called Discrete Choice Experiment to understand patients’ preferences for receiving physiotherapy treatment from physiotherapy assistants.
Recruitment for stage 2b started on 15th May 2023
STAGE 3
We will bring together all findings to develop a “best practice” framework to guide physiotherapists in delegating clinical work to physiotherapy assistants.
It is anticipated that stage 3 will be completed by June 2024
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MOPeD Background
There are approximately 9000 physiotherapy assistants/support workers in the UK. Many of them work in NHS physiotherapy outpatient services treating patients with musculoskeletal or painful muscle and joint conditions.
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Team Members
The MOPeD study is comprised of an international team of highly qualified musculoskeletal academics …
This website presents independent research funded by Health Education England and supported by the National Institute for Health Research (NIHR), Midlands Partnership NHS Foundation Trust and Keele University under a Clinical Doctoral Research Fellowship (NIHR301550). The views expressed are those of the author(s) and not necessarily those of the NHS, NIHR or the Department of Health and Social Care.
WHY IS THIS STUDY IMPORTANT?
There are approximately 9000 physiotherapy assistants/support workers in the UK. Many of them work in NHS physiotherapy outpatient services treating patients with musculoskeletal or painful muscle and joint conditions. However, their role is not well defined and their duties and tasks vary from one service to another. This may lead to unjustified variation in care and services delivered to patients.
WHAT IS THE AIM?
This study aims to develop a ‘best practice’ framework of delegation to physiotherapy assistants in NHS musculoskeletal outpatient physiotherapy services.
HOW WILL WE DO IT?
We have worked with a group of patients to develop this study. They all have experience of treatment from a physiotherapist and/or physiotherapy assistant for musculoskeletal conditions. This group will continue to have an active role in contributing to the study which will use different research designs across three stages.
STAGE 1
A focused ethnographic study where we will explore how the culture in physiotherapy services influences how tasks are delegated to physiotherapy assistants by observing two NHS physiotherapy services, and interviewing clinicians and patients about their experiences and attitudes regarding delegation.
STAGE 2a
We will work with 3 separate groups of physiotherapists, physiotherapy assistants and managers, using a discussion method called Nominal Group Technique to reach agreement about what a ‘best practice’ delegation framework should include
STAGE 2b
A survey using a technique called Discrete Choice Experiment to understand patients’ preferences for receiving physiotherapy treatment from physiotherapy assistants.
STAGE 3
We will bring together all findings to develop a “best practice” framework to guide physiotherapists in delegating clinical work to physiotherapy assistants.
Panos Sarigiovannis
Dr Benjamin Saunders
Professor Nadine E Foster
Professor Sue Jowett
NEWS & EVENTS
Milestones in the MOPeD Study
Sarigiovannis P; Cropper S (2018) An audit of the utilization of physiotherapy assistants in the musculoskeletal outpatients setting within a primary care physiotherapy service. Musculoskeletal Care, 16(3):405–408 https://doi.org/10.1002/msc.1238
Sarigiovannis P, Jowett S, Saunders B, Corp N, Bishop A (2020) Delegation by Allied Health Professionals to Allied Health Assistants: a mixed methods systematic review. Physiotherapy, 112:16-30. https://doi.org/10.1016/j.physio.2020.10.002