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ARMA Newsletter July 2019

CEO update: Good MSK services must include rheumatology, mental health and pain

Good MSK services must include rheumatology, mental health and pain
by Sue Brown, CEO ARMA
Rheumatoid Arthritis (RA) is very much on my mind as I write this during RA Awareness Week. Yesterday I attended a roundtable discussing the NHS Long Term Plan (LTP) and RA. Rheumatology doesn’t get a specific mention in the plan, but there is plenty of content on related issues. There is mention of chronic pain, for instance, which is very relevant to ARMA and to RA...
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Guest blog: Mental health and MSK:
Why equal health is everyone’s business

Andy-Bell-guest
by Andy Bell, Deputy Chief Executive, Centre for Mental Health
Having a musculoskeletal condition increases your risk of having a mental health problem, and people with a mental health condition are more likely to have a range of MSK problems. Yet the way services for both are organised and the ways professionals in each are trained offers little recognition of the overlaps between them.
Mental health and MSK conditions share some common traits and challenges. Both are complex and diverse. Many are poorly understood. And neither has traditionally been afforded priority status within the NHS.
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PHE framework for MSK prevention published

PHE framework for MSK prevention published
Public Health England has published two documents related to MSK prevention. The first is a whole-system strategic framework for prevention of musculoskeletal conditions across the life-course. The purpose is to provide stakeholders and system collaborators with a clear statement of PHE, NHS England and Versus Arthritis’ commitments to promote MSK health and to prevent MSK conditions…
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ARMA publishes two reports

Last month ARMA published two policy reports after round-table events:

Mental health and MSK roundtable policy report
Supported by UK charity Arthritis Action, ARMA released a new report looking at the impact of mental health on people with arthritis and other musculoskeletal (MSK) conditions. The report followed a roundtable event, organised by ARMA in March, which, for the first time, brought together leaders from Mind, NHS England, Arthritis Action, and other health charities to look at ways to improve access to effective psychological support for MSK patients. The report can be accessed here.

Construction industry roundtable report
The report ‘MSK conditions in the construction industry’ said that action is needed to tackle the £646 million burden of bone, joint and muscle problems. Physically demanding work means the construction industry has one of the highest rates of musculoskeletal disorders with costs over three-quarters of all occupational ill-health costs. The press release was published in Construction News and the report is available online.

Webinars to watch

We have a few ARMA/NHSE webinars in the pipeline including one on the benefits of First Contact Practitioners to primary care and the wider health system, and another on IAPT for MSK pain. Look out for details in the next newsletter. In the meantime, you can watch the recordings of our past webinars if you weren’t able to attend them live - ARMA Webinars page.
The most recent webinars are:
  • Addressing the burden of rheumatic and musculoskeletal foot and ankle pain.
  • Managing women of childbearing potential living with chronic inflammatory rheumatic disease
  • How to integrate mental and physical healthcare for long term musculoskeletal conditions
  • How to implement the National Back and Radicular Pain Pathway
  • Everything you wanted to know about setting up a Musculoskeletal Service but were afraid to ask!
  • Supporting people with MSK conditions to be more active
  • A new way of delivering MSK pain service: Integrated pain assessment spinal service
  • Commissioning for quality: community based rheumatology service

Member Posts

PCRMM Society Annual Conference 2019
New name for Primary Care Rheumatology Society
The PCRS is delighted to announce that, with immediate effect, the society’s name will change to the PRIMARY CARE RHEUMATOLOGY AND MUSCULOSKELETAL MEDICINE SOCIETY. The name change is to more clearly represent who and what the organisation has become. The aims of the Society remain unchanged, with the main focus being education within primary care to increase the knowledge and understanding of rheumatological and general musculoskeletal issues...
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PCRMM Society Annual Conference 2019
PCRMM Society Annual Conference 2019
Primary Care Rheumatology and Musculoskeletal Medicine Society Annual Conference
14-16th November 2019
Park Inn Hotel, York
PCRMM supports GPs and Allied Health Professionals to deliver excellent MSK care within Primary Care. The annual conference has something to appeal to everyone with hands-on injection workshops and small group sessions discussing chronic problems such as osteoporosis.
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Vacancy: Osteopathic Foundation Project Manager
Vacancy: Osteopathic Foundation Project Manager
The iO is advertising the opportunity to join the Osteopathic Foundation as project manager. It is a part-time, one-year fixed term position in the first instance, with the potential to move to a full-time permanent role. For salary, job spec and more details, please visit the jobs and appointments page on the iO website. Closing date: 22 July 2019.
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NASS logo
Aspiring to Excellence award closes soon
The application window for the Aspiring to Excellence award programme is nearing its end, with a deadline of 31 July. The programme is a strategic partnership between NASS, BRITSpA and sponsoring companies AbbVie, Novartis and UCB, designed to encourage and recognise service improvement in axial SpA (AS) care.
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BDA Work Ready
BDA Work Ready programme
Corresponding to ARMA’s Construction Roundtable and the report we published at the end of May, the British Dieticians' Association would like to direct those interested to their BDA Work Ready programme, which is aimed at all employers, including the construction industry: www.bdaworkready.co.uk.
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UK Gout Society patient trustee
UK Gout Society patient trustee
The UK Gout Society is seeking a new patient trustee. Those interested should apply to info@ukgoutsociety.org.
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The ESCAPE-pain programme in practice

The ESCAPE-pain programme in practice

Case study of improved mobility and independence
The ESCAPE-pain Programme helps people with chronic joint paint to self-manage their condition and become more physically active.
Listen to Regina’s story of how she overcame osteoarthritis and difficulties with mobility with the help of the ESCAPE-pain group at her local leisure centre.
At 76 years old, Regina had been suffering with osteoarthritis for over ten years and it was having a big impact on her life physically and emotionally. “I was in a bad place; I was in a wheelchair to start with.”
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Versus Arthritis Core Skills Workshops

Versus Arthritis Core Skills Workshops

Please find below upcoming dates for the Versus Arthritis Core Skills in MSK workshops. These 1-day practical workshops provide a supportive environment for GPs and other frontline healthcare professionals to develop their confidence and skills in the diagnosis, treatment options and self-management of patients with MSK conditions.

Birmingham – 10 July
London – 25 September
Leeds – 23 October
London – 26 November
Glasgow – 10 December

Click here to book
NICE Physical activity

NICE Physical activity

NICE published its quality standard NICE Physical activity: encouraging activity in the community on the NICE website in June. The NICE quality standards team have prepared a summary of the consultation report and the full set of consultation comments on its website.
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NICE stakeholders for guideline on safe prescribing

NICE invites stakeholders for guideline on safe prescribing

NICE are inviting organisations to register as a stakeholder for the guideline: ‘Safe prescribing and withdrawal management of prescribed drugs associated with dependence and withdrawal’.
It looks at addressing the wider determinants of health that will help improve overall health by helping to improve the conditions into which people are born, live and work.
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Two publications on prevention

Two publications on prevention

In the run up to the publication of the Government’s Green Paper on prevention, the IPPR has published a report Ending the blame game: The case for a new approach to public health and prevention. The UK has made significant progress on prevention in the past, IPPR says, but we appear to have ‘hit a wall’ with limited progress since 2010. They call for the government’s prevention green paper to deliver a paradigm shift in policy from interventions that ‘blame and punish’ to those that ‘empathise and assist’.
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NHS People Plan

NHS People Plan

One major criticism of the NHS Long Term Plan was the lack of any detail on workforce. This detail has begun to emerge with the publication of the Interim People Plan for the NHS. It looks at the need to transform the way the entire workforce, including doctors, nurses, allied health professionals (AHPs), pharmacists, healthcare scientists, dentists, non-clinical professions, social workers in the NHS, commissioners, non-executives and volunteers, work together.
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IMPACT-RMD study questionnaire

EULAR survey patient-reported outcomes in young patients
IMplementation of Physical Activity into routine Clinical pracTice in Rheumatic Musculoskeletal Disease
The IMPACT-RMD study aims to raise awareness on the importance of physical activity in people with Rheumatic and Musculoskeletal Diseases (RMDs). The goal is to help and support managing healthcare practitioners to understand more about physical activity as well as incorporate/include physical activity advice in clinical consultations.
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Spotlight on

A new trend in elective hip surgery?

A new trend in elective hip surgery?

The ARMA Alliance with Versus Arthritis and the British Orthopaedic Association voiced its concerns previously about rationing of joint replacement surgery for people with MSK conditions. ARMA published a position paper on this in 2017. So what does the latest data tell us about hip surgery? In June, Deborah Ward and Lillie Wenzel from the policy team at The King’s Fund published a blog post: ‘A new trend in elective hip surgery’...
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Call for service user involvement in MSK physiotherapy study

Call for service user involvement in MSK physiotherapy study

A team of researchers and clinicians from the University of East Anglia's School of Health Sciences and the Norfolk and Norwich University Hospitals NHS Foundation Trust are looking for contributors to help in their next project. The project would involve an application for NIHR Research for Patient Benefit (tier 3) funding. Their aim is to develop a computerised tool to support physiotherapists and patients working together in a more holistic and patient-centred way
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Coventry University’s research survey

Coventry University’s research survey

Last year, ARMA members helped Glykeria Skamagki, the senior lecturer in Physiotherapy at Coventry University, with the first stage of a study into chronic musculoskeletal conditions and their management at the workplace. The results were very interesting and now to follow-up the researchers are conducting a survey to identify the strategies that older employees use to manage chronic musculoskeletal conditions in the workplace.
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ARMA Calendar

10 July 2019 Core Skills in Musculoskeletal Care workshop, Birmingham
10 July 2019 BMAS Acupuncture for Osteroarthritis course, Northwich
12 July 2019 BMAS Foundation course, Dublin
22 July 2019 Job at Osteopathic Foundation closes to applications
31 July 2019 Aspiring to Excellence award programme applications close
6-7 Sep 2019 NASS Voices community event, Leeds
10-13 Sep 2019 BOA Annual Congress
23 Sep 2019 BMAS Foundation course, NCVO, London
25 Sep 2019 Core Skills in Musculoskeletal Care workshop, London
10 Oct 2019 BMAS Acupuncture for Osteroarthritis course, NCVO, London
17-19 Oct 2019 BMJD World Congress 2019, Taipei, Taiwan
23 Oct 2019 Core Skills in Musculoskeletal Care workshop, Leeds
14-16 Nov 2019 PCRMM Annual Conference 2019
15-16 Nov 2019 NASS Voices community event, London
26 Nov 2019 Core Skills in Musculoskeletal Care workshop, London
10 Dec 2019 Core Skills in Musculoskeletal Care workshop, Glasgow
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