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Area of Science:

  • Public Health
  • Health Services Research
  • Employment Support

Background:

  • The UK integrates work coaches (WCs) and disability employment advisors (DEAs) into General Practitioner (GP) practices.
  • This initiative aims to bridge the gap between health status and employment, particularly for individuals with disabilities or health conditions impacting work capacity.

Purpose of the Study:

  • To explore the perceptions of WCs, DEAs, and GPs on the advantages and difficulties of embedding these roles within GP settings.
  • To understand the collaborative dynamics and patient engagement facilitated by this integration.

Main Methods:

  • Semi-structured interviews were conducted with four GPs, four WCs, and four DEAs in NHS GP practices.
  • Interviews took place between May and July 2023, were transcribed verbatim, and analyzed thematically using the Thematic Framework method.

Main Results:

  • Integration fostered direct professional collaboration and increased patient openness, benefiting all parties.
  • Key challenges included implementation difficulties and resource constraints (human, financial, logistical).
  • Strategies for success involve multi-professional support and enhancing service visibility to professionals and patients.

Conclusions:

  • Embedding WCs and DEAs in GP practices shows promise for improving patient and professional outcomes.
  • Further research, including direct patient perspectives, is essential for a comprehensive assessment of this service model.