Table 3 Key themes and subthemes
Themes | Sub-themes |
|---|---|
1. Systems working together / Navigation of care pathways | • Referral and access to podiatry/foot care for people with RA and OA • Different systems and service configurations for podiatry in the NHS: musculoskeletal and diabetes services • Commissioners as ‘brokers’ to achieve more productive collaborations • Education on what the podiatry / foot care services provide for people with RA or OA. |
2. Finance | • Variations in cost effectiveness of podiatry services • Split systems of care (community v acute) • Guilt at wasting resources |
3. Understanding what podiatry services have to offer | • Right person, right place at the right time • Podiatrists as leaders of foot health services • Service requirement in relation to training standards to meet care needs |
4. Person factors of foot pain | • Arthritis is invisible as people do not complain • Foot pain affects quality of life, physical and mental wellbeing • Traditional clinical approaches encourage dependencies |
5. Facilitators to foot care | • NICE guidelines • Stakeholder events • Increase focus on supporting self-management strategies |