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The Acceptability of Musculoskeletal Community Appointment Days: A Mixed-Methods Service Evaluation.
Simon Ingram1, Jonathon Gill1, Isadora Stathers1
1Physiotherapy Department, Somerset NHS Foundation Trust, Taunton, UK.
Musculoskeletal Care
|July 7, 2025
Summary
Community Appointment Days (CAD) are an acceptable, personalized model for musculoskeletal health, supporting self-management and collaboration. This approach enhances patient care within the community setting.
Area of Science:
- Healthcare Management
- Public Health
- Clinical Evaluation
Background:
- Musculoskeletal (MSK) conditions pose a growing challenge within healthcare systems.
- There is a national trend towards community-based care and self-management for MSK conditions.
- Community Appointment Days (CAD) offer integrated clinical, community, and voluntary sector support.
Purpose of the Study:
- To evaluate the acceptability of the Community Appointment Days (CAD) model.
- To explore patient and staff experiences with the CAD approach.
- To assess the CAD model's suitability for enhancing musculoskeletal health management.
Main Methods:
- Patient experience data collected via Friends and Family test and CollaboRATE.
- Qualitative data gathered through patient interviews and staff focus groups.
- Thematic analysis using the Theoretical Framework of Acceptability (TFA) guided data analysis.
Main Results:
- High patient attendance (81%) and positive recommendations for CAD.
- Strong patient-reported shared decision-making (average CollaboRATE score 10.8/12).
- Identified themes: positive CAD ethos, importance of planning/communication, effective implementation, and pathway integration.
Conclusions:
- The CAD model is perceived as acceptable, personalized, and holistic.
- CAD effectively supports patient self-management in musculoskeletal health.
- The model fosters valuable cross-sector collaboration for MSK care.
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