{
  "abstract": "Background There is a need to provide greater patient choice through accessible and sustainable rehabilitation for people with long-term conditions. New models of rehabilitation employing non-clinical healthcare workers in extended service practice roles are developing. Little research has investigated the experiences of non-clinical health workers, such as exercise professionals, in extended scope of practice roles. This research explored the experiences of stakeholders and beneficiaries (exercise professionals in extended scope of practice roles, allied health professionals and people with Long COVID) participating in a new model of rehabilitation delivered online from selected Fitness and Well-being Centres of a UK charity.Methods A qualitative design using in-depth semistructured interviews was undertaken to explore the experiences of triage physiotherapists, specialist trained exercise professionals, referred to as rehabilitation specialists and people with Long COVID participating in the new model of rehabilitation involving exercise, education and well-being support.Results Five triage physiotherapists, two rehabilitation specialists and three people with Long COVID were recruited. Facilitators, barriers and opportunities were identified as key themes. Facilitators related to ‘it isn’t just exercise’, ‘condition specific needs are met’ and ‘dedicated team who make a difference’. Barriers related to ‘supporting staff training needs’ and ‘optimising resources/mode of delivery for clinical population’. Opportunities related to the provision of a ‘stepped-down approach at programme end’, ‘building and developing the team’, and ‘identifying and evaluating emerging trends through process evluations’.Conclusions This novel model of rehabilitation provided positive experiences for people living with Long COVID. Some aspects of the role provided job satisfaction for the delivery team but mentorship, support and additional training in psychological skills and mental health are important when considering sustainability and expansion of the programme. Scaling out to other clinical populations and areas where access to conventional services is sparse could provide a viable public health strategy to improve access to services, thereby reducing mainstream healthcare costs.",
  "authors": [
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "Sheree McCormick"
    },
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "Iva Cukic"
    },
    {
      "affiliations": [
        "Nuffield Health, Epsom, UK"
      ],
      "name": "Jenny Alexanders"
    },
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "Gillian Yeowell"
    },
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "Francis Fatoye"
    },
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK",
        "Nuffield Health, Epsom, UK"
      ],
      "name": "Benjamin M Kelly"
    },
    {
      "affiliations": [
        "Nuffield Health, Epsom, UK"
      ],
      "name": "Victoria Fitzgerald"
    },
    {
      "affiliations": [
        "Institute of Sport, Manchester Metropolitan University, Manchester, UK"
      ],
      "name": "Tim Cable"
    },
    {
      "affiliations": [
        "Health Sciences, University of York, York, UK"
      ],
      "name": "Patrick Doherty"
    },
    {
      "affiliations": [
        "Nuffield Health, Epsom, UK"
      ],
      "name": "Davina Deniszczyc"
    },
    {
      "affiliations": [
        "Faculty of Health & Education, Manchester Metropolitan University, Manchester, UK",
        "Nuffield Health, Epsom, UK"
      ],
      "name": "Panayiotis Michael"
    }
  ],
  "title": "Exercise professionals in extended scope of practice roles: a qualitative exploration of a new model of rehabilitation",
  "uid": "13ab9781-ee57-5f8c-8f59-9c1e550faa3c"
}