糖心原创

School of Health Sciences
 

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Fiona Moffatt

Associate Professor, Faculty of Medicine & Health Sciences

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Biography

Fiona obtained a B.Sc. (Hons.) in Physiotherapy from the University of Manchester in 1991. She subsequently completed an M.Sc. in Physiology at University College London in 1997. Fiona's clinical expertise is the management of the acutely ill adult and patients with cardio-respiratory dysfunction. She is the co-author of a textbook and chapters in this field. Fiona has also worked as an extended scope practitioner within a Critical Care Outreach Team.

In October 2010, Fiona commenced a PhD jointly funded by The Foundation for the Sociology of Health and Illness and The 糖心原创. The PhD explored how contemporary UK policy discourse constructed the rights and responsibilities of healthcare professionals in terms of productive healthcare, how this is made manifest in practice, and the implications for professional autonomy/identity. The thesis is titled "Working the production line: Productivity and professional identity in the emergency department". The PhD was awarded in March 2014.

Fiona's post-doctoral work has focused on a range of topics including: Management of musculoskeletal pain, First Contact Physiotherapy, Health Service Delivery, Physical Activity (particularly in the aquatic environment).

Fiona is currently the Director of Postgraduate Research for the School of Health Sciences.

Expertise Summary

  • Qualitative methodologies
  • Ethnography
  • Implementation Science
  • First Contact Physiotherapy
  • Swimming and aquatic exercise to promote health

Teaching Summary

Fiona delivers the Continuing Professional Development module in year 1 of the Physiotherapy and Sport Rehabilitation B.Sc. Programme. She also co-convenes a module on Exercise and Sport in Specific… read more

Research Summary

Fiona's research interests include: physical activity; management of musculoskeletal pain; First Contact Physiotherapy; sociology of the healthcare professions; healthcare organisational sociology;… read more

Selected Publications

  • FIONA MOFFATT, STEPHEN TIMMONS and FRANK COFFEY, 2016. Emergency Medical Journal.
  • MOFFATT, F., MARTIN, P. and TIMMONS, S., 2014. Sociology of Health and Illness. 36(5), 686-702
  • R. GOODWIN, F. MOFFATT, P. HENDRICK, S. STYNES, A. BISHOP and P. LOGAN, 2021. Physiotherapy. 113, 209-216
  • GOODWIN, ROB, MOFFATT, FIONA, HENDRICK, PAUL, TIMMONS, STEPHEN, CHADBORN, NEIL and LOGAN, PIP, 2020. Physiotherapy.

Working the production line: Productivity and professional identity in the Emergency Department

Abstract

In the UK the National Health Service (NHS) faces the challenge of securing 拢20 billion in savings by 2014. Improving healthcare productivity is identified by the state as essential to this endeavour, and critical to the long-term future of the NHS. However, healthcare productivity remains a contentious issue, with some criticizing the level of professional engagement.

This thesis explores how contemporary UK policy discourse constructs rights and responsibilities of healthcare professionals (HCPs) in terms of productive healthcare, how this is made manifest in practice, and the implications for professional autonomy/identity. Using analytical lenses from the sociology of professions, identity formation and the Foucauldian concept of governmentality, it is proposed that policy discourse calls for a new flavour of professionalism, one that recognises improving healthcare productivity as an individualised professional duty, not just for an elite cadre but for all healthcare professionals. Adopting an ethnographic approach (participant observation, semi-structured interviews, focus group and document analysis), data is presented from a large UK Emergency Department (ED), exploring the extent to which this notion of self-governance is evident. The study elucidates the ways in which: professional notions of productivity are constructed; productive work is enacted within the confines of the organisational setting; and tensions between modes of governance are negotiated.

The findings of this study suggest that HCPs perform identity work via their construction of a multidimensional notion of healthcare productivity that incorporates both occupational and organisational values. Whilst responsibility for productivity is accepted as a 'new' professional duty, certain ethical tensions are seen to arise once the lived reality of 'productive' work is explored within the organisational field. The complex interplay of identity work and identity regulation, influenced by the co-existence of two differing modes of governance, results in a professional identity which cannot be represented by a static occupational/organisational hybrid, but rather one that is characterised by continual change and reconstitution. Understanding healthcare productivity from this perspective has implications for professional education, patient care, service improvement design and the academic field of the sociology of professions.

Fiona delivers the Continuing Professional Development module in year 1 of the Physiotherapy and Sport Rehabilitation B.Sc. Programme. She also co-convenes a module on Exercise and Sport in Specific Populations and contributes to the Cardio-respiratory and Developing Evidence-Based Practice modules.

In the PGT programme, Fiona co-convenes a module on Criticality, Clinical Reasoning and Appraisal in Practice. Within her PGR role she contributes to the delivery of the School of Health Sciences' PGR training programme, and regularly delivers sessions on Understanding and Expressing Criticality in Your Writing for the Researcher Academy.

Fiona is interested in the use of e-learning tools, inter-professional learning and simulation.

Current Research

Fiona's research interests include: physical activity; management of musculoskeletal pain; First Contact Physiotherapy; sociology of the healthcare professions; healthcare organisational sociology; and implementation science. Methodologically, Fiona has a special interest in qualitative research (in particular ethnography).

PhD Students (completed):

Dr Rob Goodwin

Dr Tendai Ngwerume

Dr Abigail Tronso

Dr Josephine Ampiah

Dr Paapa Ampiah

Dr Ahmed Alanazi

Dr Agatha Adogho

Dr Rachael Tucker

Dr Catherine Conchar

PhD Students (in progress):

Joanne Harrison

James Holroyd

Fahad Alotibi

Hayley Carter

Matthew Low

Melyza Perdana

Ben Lightowler

Abdulrahman Shawk

Hanan Abu Saydah

Past Research

Working the production line: Productivity and professional identity in the Emergency Department (PhD Thesis)

Abstract

In the UK the National Health Service (NHS) faces the challenge of securing 拢20 billion in savings by 2014. Improving healthcare productivity is identified by the state as essential to this endeavour, and critical to the long-term future of the NHS. However, healthcare productivity remains a contentious issue, with some criticizing the level of professional engagement.

This thesis explores how contemporary UK policy discourse constructs rights and responsibilities of healthcare professionals (HCPs) in terms of productive healthcare, how this is made manifest in practice, and the implications for professional autonomy/identity. Using analytical lenses from the sociology of professions, identity formation and the Foucauldian concept of governmentality, it is proposed that policy discourse calls for a new flavour of professionalism, one that recognises improving healthcare productivity as an individualised professional duty, not just for an elite cadre but for all healthcare professionals. Adopting an ethnographic approach (participant observation, semi-structured interviews, focus group and document analysis), data is presented from a large UK Emergency Department (ED), exploring the extent to which this notion of self-governance is evident. The study elucidates the ways in which: professional notions of productivity are constructed; productive work is enacted within the confines of the organisational setting; and tensions between modes of governance are negotiated.

The findings of this study suggest that HCPs perform identity work via their construction of a multidimensional notion of healthcare productivity that incorporates both occupational and organisational values. Whilst responsibility for productivity is accepted as a 'new' professional duty, certain ethical tensions are seen to arise once the lived reality of 'productive' work is explored within the organisational field. The complex interplay of identity work and identity regulation, influenced by the co-existence of two differing modes of governance, results in a professional identity which cannot be represented by a static occupational/organisational hybrid, but rather one that is characterised by continual change and reconstitution. Understanding healthcare productivity from this perspective has implications for professional education, patient care, service improvement design and the academic field of the sociology of professions.

  • PAAPA KWESI AMPIAH, PAUL HENDRICK and FIONA MOFFATT, 2021. Physical Therapy Reviews. 26(2), 109-123
  • ALANAZI, AHMED S., WHARRAD, HEATHER, MOFFATT, FIONA, TAYLOR, MICHAEL and LADAN, MUHAMMAD, 2021. Healthcare. 9(11),
  • R. GOODWIN, F. MOFFATT, P. HENDRICK, S. STYNES, A. BISHOP and P. LOGAN, 2021. Physiotherapy. 113, 209-216
  • GOODWIN, ROB, MOFFATT, FIONA, HENDRICK, PAUL, TIMMONS, STEPHEN, CHADBORN, NEIL and LOGAN, PIP, 2020. Physiotherapy.
  • AMPIAH, PAAPA KWESI, HENDRICK, PAUL and MOFFATT, FIONA, 2020. PHYSICAL THERAPY REVIEWS. 26(2), 109-123
  • AMPIAH, PAAPA KWESI, HENDRICK, PAUL, MOFFATT, FIONA and AHENKORAH, JOSEPHINE, 2020. Musculoskeletal Care. 18(3), 227-244
  • RACHAEL TUCKER, FIONA MOFFATT and STEPHEN TIMMONS, 2020. Physiotherapy Theory and Practice. 0(0), 1-13
  • SMITH, BENJAMIN E., HENDRICK, PAUL, BATEMAN, MARCUS, MOFFATT, FIONA, RATHLEFF, MICHAEL SKOVDAL, SELFE, JAMES, SMITH, TOBY O. and LOGAN, PIP, 2019. BMC MUSCULOSKELETAL DISORDERS. 20,
  • SMITH, BENJAMIN E, MOFFATT, FIONA, HENDRICK, PAUL, BATEMAN, MARCUS, SELFE, JAMES, RATHLEFF, MICHAEL SKOVDAL, SMITH, TOBY O and LOGAN, PHILLIPA, 2019. 9,
  • AHENKORAH, JOSEPHINE, MOFFATT, FIONA, DIVER, CLAIRE and AMPIAH, PAAPA KWESI, 2019. Musculoskeletal Care. 17(4), 376-381
  • SMITH, BENJAMIN E, HENDRICK, PAUL, BATEMAN, MARCUS, MOFFATT, FIONA, RATHLEFF, MICHAEL SKOVDAL, SELFE, JAMES, SMITH, TOBY O and LOGAN, PIP, 2018. 糖心原创 protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain. Pilot and feasibility studies. 4, 24
  • BENJAMIN E SMITH, PAUL HENDRICK, TOBY O SMITH, MARCUS BATEMAN, FIONA MOFFATT, MICHAEL SKOVDAL RATHLEFF, JAMES SELFE and PIP LOGAN, 2017. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis British Journal of Sport Medicine.
  • RACHAEL L TUCKER, FIONA MOFFATT and AVRIL DRUMMOND, 2017. Constraint Induced Movement Therapy in hemiplegic Cerebral Palsy: a national survey of its use by physiotherapists in the UK International Journal of Therapy and Rehabilitation. (In Press.)
  • BENJAMIN E. SMITH, PAUL HENDRICK, MARCUS BATEMAN, FIONA MOFFATT, MICHAEL SKOVDAL RATHLEFF, JAMES SELFE, TOBY O SMITH and PIP LOGAN, 2017. Current Management Strategies for Patellofemoral Pain: An online survey of 99 practising UK physiotherapists BMC Musculoskeletal Disorders. (In Press.)
  • FIONA MOFFATT, 2017. Swim England. (978-1-9997622-0-9)
  • FIONA MOFFATT, ROB GOODWIN and PAUL HENDRICK, 2017. Physiotherapy-as-first-point-of-contact-service for patients with musculoskeletal complaints: Understanding the challenges of implementation Primary Health Care Research & Development. (In Press.)
  • BENJAMIN E. SMITH, FIONA MOFFATT, PAUL HENDRICK, MARCUS BATEMAN, MICHAEL SKOVDAL RATHLEFF, JAMES SELFE, TOBY O SMITH and PIP LOGAN, 2017. The experience of living with patellofemoral pain: loss, confusion and fear-avoidance 鈥� a UK qualitative study BMJ Open. (In Press.)
  • FIONA MOFFATT, STEPHEN TIMMONS and FRANK COFFEY, 2016. Emergency Medical Journal.
  • 2016. Stress Management for Students on Clinical Placement 糖心原创. . HELM. 01/01/1900 00:00:00
  • ANN B. GATES, ROGER KERRY, FIONA MOFFATT, ADAM MEAKINS, JANE S THORNTON, SIMON ROSENBAUM, ALAN TAYLOR, IAN RITCHIE and KARIM KHAN, 2016. British Journal of Sports Medicine.
  • MOFFATT, F., MARTIN, P. and TIMMONS, S., 2014. Sociology of Health and Illness. 36(5), 686-702
  • MOFFATT, F. and JONES, M., 2014. Physiotherapy in Intensive Care. In: BERSTEN, A., ed., Oh's Intensive Care Manual 7th. Elsevier. 38-46
  • MANDY JONES and FIONA MOFFATT, 2002. Cardiopulmonary Physiotherapy Bios Scientific.
  • Navigating NHS services . Health E-Learning and Media Team. 08/24/2012 00:00:00

School of Health Sciences

B236, Medical School
Queen's Medical Centre
Nottingham, NG7 2HA

telephone: +44 (0)115 95 15559
email: mhssupport@nottingham.ac.uk