{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T10:50:06Z","timestamp":1791543006046,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Musculoskeletal (MSK) conditions place substantial burden on individuals and healthcare systems, increasing the demand for accessible, community\u2010based care. This service evaluation assessed an NHS MSK physiotherapy pilot delivered in a leisure centre in a socioeconomically deprived area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective evaluation of routinely collected data was undertaken for patients attending between August 2025 and January 2026. Adults referred for physiotherapy for MSK conditions received treatment in a community leisure centre. Outcomes at initial and final appointments included MSK health (MSK\u2010HQ), pain intensity (NPRS), physical activity (MSK\u2010HQ physical activity item), and health\u2010related quality of life (EQ\u2010VAS). Linear mixed\u2010effects models evaluated clinical outcomes. Patient experience and service utilisation data were analysed descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010four patients (mean age 50.6\u00a0\u00b1\u00a014.8\u00a0years; 60.9% female) were included, predominantly from socioeconomically deprived areas (mean Index of Multiple Deprivation 2.4\u00a0\u00b1\u00a01.5). 53.2% were from ethnic minority backgrounds and 13 languages were represented. Significant improvements were observed across all outcomes: MSK\u2010HQ (+11.2), NPRS (\u22122.2), EQ\u2010VAS (+19.9), and physical activity (+1.8\u00a0days\/week) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.002). Sensitivity analyses yielded similar results except for physical activity. Minimal clinically important thresholds were exceeded for MSK\u2010HQ, NPRS and EQ\u2010VAS. Patient satisfaction was high, attendance was 72.2%, and 17.2% of patients were referred to community exercise programmes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A leisure centre\u2013based NHS MSK physiotherapy model was associated with improved clinical outcomes, high patient acceptability and promising service utility. The service engages a heterogeneous population and aligns with NHS priorities for community\u2010based care. Further comparative and economic evaluations are warranted to establish effectiveness and inform future service development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70272","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:57:18Z","timestamp":1791539838000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical, Patient Experience and Service Outcomes of a Leisure Centre\u2013Based NHS Musculoskeletal Physiotherapy Service: A Service Evaluation"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2047-9269","authenticated-orcid":false,"given":"George","family":"McNamee","sequence":"first","affiliation":[{"name":"Department of Allied Health, School of Health and Wellbeing University of Worcester  Worcester UK"},{"name":"Physiotherapy Department University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Roberts","sequence":"additional","affiliation":[{"name":"Physiotherapy Department University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0013-4557","authenticated-orcid":false,"given":"Christopher","family":"Newton","sequence":"additional","affiliation":[{"name":"Physiotherapy Department University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"},{"name":"School of Health and Care Coventry University  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilis","family":"O'Donnell","sequence":"additional","affiliation":[{"name":"CV Life  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Panter","sequence":"additional","affiliation":[{"name":"CV Life  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gladness","family":"Manecka","sequence":"additional","affiliation":[{"name":"CV Life  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Blay","sequence":"additional","affiliation":[{"name":"CV Life  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gurpreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Physiotherapy Department University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)60240\u20102"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X19827504"},{"key":"e_1_2_12_4_1","unstructured":"Campbell K. 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