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Integrating sport and exercise medicine clinics into the National Health Service: A qualitative study

Vishnubala, Dane; Marino, Katherine Rose; Pratten, Margaret Kathryn; Pringle, Andy; Griffin, Steffan Arthur; Finn, Gabrielle; Bazira, Peter; Edwards, Kimberley

Authors

Dane Vishnubala

Katherine Rose Marino

Margaret Kathryn Pratten

Andy Pringle

Steffan Arthur Griffin

Gabrielle Finn

Kimberley Edwards



Abstract

© 2020 Author(s) Objectives To explore the services National Health Service (NHS)-based sport and exercise medicine (SEM) clinics can offer, and the barriers to creating and integrating SEM services into the NHS. Methods Semi-structured interviews were undertaken to collect data from identified â € stakeholders'. Stakeholders were identified as individuals who had experience and knowledge of the speciality of SEM and the NHS. An inductive thematic analysis approach was taken to analyse the data. Results N=15 stakeholder interviews. The management of musculoskeletal (MSK) injuries (both acute and chronic) and concussion were highlighted as the two key services that SEM clinics can offer that would most benefit the NHS. MSK ultrasound was also mentioned by all stakeholders as a critical service that SEM clinics should provide. While exercise medicine is an integral part of SEM, SEM clinics should perhaps not have a heavy exercise medicine focus. The key barriers to setting up SEM clinics were stated to be convincing NHS management, conflict with other specialities and a lack of awareness of the speciality. Conclusion The management of acute MSK injuries and concussion should be the cornerstone of SEM services, ideally with the ability to provide MSK ultrasound. Education of others on the speciality of SEM, confirming consistent â € unique selling points' of SEM clinics and promoting how SEM can add value to the NHS is vital. If the successful integration of SEM into the NHS is not widely achieved, we risk the NHS not receiving all the benefits that SEM can provide to the healthcare system.

Citation

Vishnubala, D., Marino, K. R., Pratten, M. K., Pringle, A., Griffin, S. A., Finn, G., …Edwards, K. (2020). Integrating sport and exercise medicine clinics into the National Health Service: A qualitative study. BMJ Open Sport and Exercise Medicine, 6(1), Article e000888. https://doi.org/10.1136/bmjsem-2020-000888

Journal Article Type Article
Acceptance Date Oct 18, 2020
Online Publication Date Nov 3, 2020
Publication Date Nov 3, 2020
Deposit Date Jan 4, 2022
Publicly Available Date Mar 28, 2024
Journal BMJ Open Sport and Exercise Medicine
Print ISSN 2055-7647
Peer Reviewed Peer Reviewed
Volume 6
Issue 1
Article Number e000888
DOI https://doi.org/10.1136/bmjsem-2020-000888
Public URL https://hull-repository.worktribe.com/output/3664621

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Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0

Copyright Statement
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.





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