‘Capacity’ | ‘Potential’ | ‘Capability’ | ‘Contribution’ |
---|---|---|---|
Role of dedicated fracture prevention coordinator | High levels of support for introducing service | Fracture prevention coordinators ‘freeing up’ professionals previously engaged in care | Multi-disciplinary team meetings |
Multi-disciplinary paperwork: protocols and proforma records | Lack of support for introducing service from some professionals | Lack of time to deliver intervention | Clinical databases |
Multi-disciplinary team-work: multi-disciplinary team meetings, joint ward rounds | Relationships between different professional groups | Lack of capacity to administer DXA scans | Internal monitoring systems |
Positive working relationships | Multi-disciplinary team working | Challenges faced by service users in accessing services | External monitoring systems linked to funding |
Location of professionals close to the service and each other | Role of fracture prevention coordinator | Â | Â |
Challenge of securing co-operation and communication with GPs | Varying commitment from practitioners in primary care | Â | Â |
High workload in primary care impacting on time spent implementing intervention | Â | Â | Â |
Written communication with GPs, especially discharge summaries and DXA reports | Â | Â | Â |
Potential role of fracture prevention coordinators in primary care | Â | Â | Â |