In 2009, the National Institute for Health and Clinical Excellence (NICE) produced the guidance: Two years since the publication of the clinical guidance, services have had ample time to adapt and overcome early teething issues in order to deliver these guidelines. A retrospective audit was carried out at an out-patient physiotherapy department. One-hundred notes were randomly selected from those who meet the NICE criteria, i.e. non-specific low back pain for six weeks to 12 months in duration. A questionnaire was developed to target National Health Service (NHS) musculoskeletal physiotherapists using electronic media, mail shot and professional networking (clinical interest) groups within the Chartered Society of Physiotherapy (CSP). Sixty-one completed questionnaires were returned detailing the barriers for implementation. The results show that 75% of patients received NICE recommended care, and they improved by numerical rating scale (NRS) ā3.89, while those who did not, improved by NRS ā1.24 producing a significant difference of 2.654 (95% Confidence Interval 1.008ā4.300), pā¤0.002. The main perceived barriers were too few follow-up slots, local policy, managerial demands, and inadequate training.Background
Methods
