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Case study: Knighton Leg Club.

In 2011, research undertaken by Tadd et al demonstrated that staff almost always wanted to do a good job, but often did not realise the effect of their behaviour. They were often too busy to realise they were ignoring elderly patients’ needs and failed to reflect on the effect of their actions. The UK Government’s ambition has been to achieve health-care outcomes that are among the best in the world (Department of Health (DH), 2010). This can only be realised by fully involving patients in their own care, with decisions made in partnership with clinicians rather than dictated by clinicians alone. The Report on the National Patient Choice Survey (Dixon, 2009) showed only 47% of patients were being offered choice. Hewitt (2006) stated that services need to be fair and available to all, with services that give most help to those who need it most. The Leg Club® model clearly fulfils this ideal. The service offers choice to the Club members while providing advice and support. The following case study underlines the need for this support.