Four themes, capturing conflicting views, were derived: 1) APP role clarity. 2) Enhancement of orthopedic services. 3) Health system challenges. 4) Expectations of orthopedic services. Theme one reflected a lack of clarity, amongst orthopedic consultants interviewed, regarding the advanced practice physiotherapist's role, scope of practice and level of education, while complimenting their diagnostic skills. Theme two highlighted enhancement of orthopedic services through thorough biopsychosocial assessments, contrasting perceptions regarding advanced practice physiotherapist efficiency, and considered whether advanced practice physiotherapists are a burden on orthopedic clinics. Theme three considered shifting clinical responsibilities and the perceived need for clinical pathways. Theme four highlighted negative perceptions of patient and referrer feedback.
Rabey et al. (2026) studied this question.