A staff-led improvement initiative at the South Eastern Trust has helped reduce low back pain by 30 per cent among colleagues taking part, improving wellbeing, increasing strength and supporting an earlier return to work.
The group-based Pilates programme, delivered at the Ulster Hospital, was developed by Trust Physiotherapist Laura McCaw as part of a Quality Improvement project to support staff experiencing persistent low back pain through a structured six-week strengthening programme designed to reduce pain and improve function.
The programme focuses on progressive core and back strengthening and was introduced in response to the significant impact low back pain has on staff wellbeing and attendance at work. More than 8,000 working days were lost to low back pain across the Trust in 2025.
Staff who attended the classes recorded a 144 per cent increase in strength and reported greater confidence in managing their back pain.
Laura explained that evidence shows strength and conditioning can help improve the condition.
“We piloted the programme at Ulster Hospital, focusing on progressive core and back strengthening to help reduce pain and improve function. By taking part in the Quality Improvement project, I was able to identify problems and develop solutions that could make a meaningful difference.
“When a person experiences low back pain, they can naturally become less active over time, leading to reduced strength. This programme was developed to help staff build strength, become more active and make their day-to-day work a little easier.”
Laura said the team had seen significant improvements among those attending the programme.
“We recorded a 30 per cent reduction in low back pain and a 144 per cent increase in strength. Staff also felt more confident in managing the longer-term aspects of their condition.
“We have received very positive feedback, particularly about the group setting, which allows colleagues to share experiences and discuss what works for them.
“Small changes can make a big difference. We hope to roll out the programme across the Trust over the coming months and continue to develop it further.”