Focus group themes and supporting quotes from patients, carers and healthcare professionals
| Theme | Supporting quotes |
| Variation of rehabilitation care provision |
‘It depends completely on the patient you can’t just say well this is what is going to happen to every patient, they vary so much… there is different avenues depending on what they present.’ R4, community hospital physiotherapist, FG1121 ‘It depends on what, what procedure she [the surgeon] has done to fix the fractured NOF [neck of femur] as to what level of interventions we do.’ R2, occupational therapist, FG1321 ‘You are dealing with very angry relatives who were under the presumption that because they are under our service, that they will automatically get care and they won’t, not unless there is a need.’ R1, clinical specialist physiotherapist, FG1321 |
| Facilitators and barriers to rehabilitation |
‘There’s a limit to what you can do at home, I got to the stage where I needed equipment… the first time I went to the gym and saw the physio there, I thought yes…It hurt, it was painful, but at least I felt I’m sure I’m going to get somewhere, and it has it’s been brilliant.’ F2, female patient, FG1111 ‘We refer a lot [to falls group], as long as they can get transport.’ R, FG1221 ‘Seeing the physio, it’s a mixture of more exercises and going through it but also it’s the ability just to have someone to talk through things like what to do with the pain.’ M1, male patient, FG1111 |
| Psychosocial impact of hip fracture |
‘Couple of women recently and have taken ages, whereas initially talking to them they are women you know sort of retired but really active, do loads, but then they have fallen and really I think it’s more, you know the shock of the falling over and not being able to do things it does take them quite a long time to get over it.’ R3, acute hospital occupational therapist, FG1121 “You think you are going to fall all the time, erm… so it is just practice I think, just keep doing it, keep doing little bits and erm…I had the reassurance from the physiotherapist who said ‘no, by next summer you will be doing exactly what you were doing last summer’.” R1, female patient, FG1212 ‘It’s to do with personal care as well, and to raise confidence as well, that’s a lot to do with it because people who have had the falls, it’s their confidence really that’s taken a big knock.’ R3, reablement team, FG1221 |
| Need for information |
‘I didn’t know what to do I didn’t know whether to sit, and rest or try to exercise or what nobody told me anything… people don’t explain… tell you so that you can understand. You just, left to ponder it over for yourself.’ R3, female patient, FG1211 ‘There was a whole series of questions I had that had come up over the previous three weeks and I think the ability to go and talk to someone, with different experience and knowledge was very important for me now.’ M1, male patient, FG1111 ‘Care is good, communication is rubbish.’ I3, male carer, FG1311 |