A qualitative study of pelvic health physiotherapists’ experiences of non-medical prescribing in the UK

The Department of Health promoted non-medical prescribing (NMP) to improve patient access to medicine, enhance public health and recognize the expertise of healthcare professionals. Pelvic health physiotherapists (PHPs) can optimize NMP for those with pelvic floor conditions. It is pertinent to understand the experiences of this under-researched group in order to facilitate implementation. The aim of this study was to explore PHPs’ experiences of NMP in their clinical practice. Purposive sampling recruited five participants. A qualitative descriptive study was completed using one focus group and two semi-structured interviews. These were completed using video conferencing alongside a topic guide. Verbatim transcripts were checked and verified by the participants. The data were interpreted using thematic analysis. Three themes with associated subthemes were identified. The themes were: the perceived value of NMP; the impact of organizational governance on NMP; and the impact of self-efficacy on NMP. Recommendations to improve implementation in practice that could be considered included: adequate managerial provision for NMP training; national governance development; peer support; prescription funding; speciality-specific continuing professional development; further pharmacology training for physiotherapists; and easy access to patient information. Further research into the clinical and economic impact of NMP that involves a larger pool of participants will: improve data quality and rigour; confirm results; and provide further recommendations.