Millwall FC Medical Service: ‘No One Likes Us, We Do Care’—Working Together for Better Health in South London



Fig. 18.1
Prostate cancer awareness raising event . Courtesy of Ben Spencer Photography



The medical service offers an open-door service and is now staffed on match days by primary care and emergency care staff (such as senior GPs with incident management training and emergency aspects of care provided by nurse practitioners with expertise in emergency care and resuscitation) in addition to the already established first aid volunteer workforce from St John Ambulance, a voluntary service agency/charity.

The service has also started to take medical and nursing students from local universities so that they might see a different way of delivering healthcare and working in partnership with the people who use the service.

In the 2012/2013 season, the team, supporters and players worked together on a health application called V-football (Fig. 18.2). This allowed the download of an app which supplied public health advice and health awareness activity, allowing participants to chart their progress in terms of healthy living activity (e.g. exercise and alcohol intake). The first team players gave consent for their performance to be public through the app. This allowed participants to watch the progress of players as well as their own individual progress.

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Fig. 18.2
Promoting the V-football app. Courtesy of Ben Spencer Photography



Outcomes and Evaluation



Outcomes


The project has seen a transformation of working practices, closer working relationships with outside agencies, improved satisfaction and access to healthcare services, reduced referral to emergency care, more responsive service and has started to introduce a culture of co-design with the supporters.

Feedback from the various activities has been very positive. One of the responses to the prostate awareness day was from the son of a man who had stopped by to talk to one of the nurses and later posted on one of the message boards:

I got my dad to see the prostate people today. I’ve been really worried about him he had some of the symptoms and wouldn’t go to the doctor’s—they were really good with him—he is going to the doctor’s on Monday.

Another of the supporters reported how his brother had some of the signs of prostate cancer and, following the awareness day, went to see his GP:

Luckily he didn’t have prostate cancer but turns out he was p***ing all the time ‘cos he has got diabetes—it’s bad apparently and they say he is lucky they caught it now or he would have got really ill. I’m really glad he saw them at the Leeds game—he wouldn’t have gone to his doctor otherwise.


Evaluation


The project is ongoing and evaluation continues into different activities. The project overall was to transform the team and the services we offered so that they were more responsive to need. The team now have 6 years’ worth of data that it is currently being analysed in addition to the ‘before’ data (2001–2005) and so a more formal evaluation is underway along with a more strategic approach to delivering the activities.

The open-door service has been delivered with excellent user feedback and lower rates of referral to emergency department care.

Individual health promotion activities have been evaluated. The events have a high rate of participation and feedback is positive. The open-door policy has seen use of the service increase but the need to send spectators to hospital decrease.


Future Work


At the time of writing, the match-day medical service is still well used for both emergency care and advice. Other projects are ongoing. Capacity restricts the activity but now there are more health awareness projects which are run in conjunction with the local press and other local organisations/national charities. It is likely that this reach will be the most effective use of the club as a focus for change in terms of awareness and health behaviours.

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Oct 16, 2016 | Posted by in SPORT MEDICINE | Comments Off on Millwall FC Medical Service: ‘No One Likes Us, We Do Care’—Working Together for Better Health in South London

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