System Navigation and Access

Access to care partly depended on health literacy and primary care clinicians advocating for referral. Patients described waiting lists, booking difficulties, fragmented care pathways and physical access barriers. Parking, transport and walking distances were barriers for people with fatigue or mobility limitations. Initial visits were often long and information-dense and sometimes led to post-appointment crashes. The model should provide earlier education, clearer pathways and coordinated care. Service delivery should account for fatigue, cognitive impairment and fluctuating capacity.