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ARMA Newsletter February 2021

Looking forward together

CEO update: Promoting MSK health
by Sue Brown, CEO ARMA
Here we are back in lockdown, with the NHS under even more pressure and MSK services severely impacted. COVID-19 response is still dominating the work of ARMA, although we are also progressing plans for other work in 2021. There are some different issues for MSK this time around, and vaccination currently dominates our work. When some people with MSK conditions are vaccinated, the timings of MSK treatment may need to be considered.…
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Guest blog - Necessity: the mother of invention!

Guest blog - Necessity: the mother of invention!
by Clare Jacklin, Chief Executive, National Rheumatoid Arthritis Society (NRAS)
We have been in the grip of this pandemic now for over a year and I’m sure you are all feeling, like me, rather fed up of it! Perfectly understandable, but we must not lose sight of that light that is at the end of this dark tunnel; and we ARE getting ever closer. The one thing I am struggling to comprehend is this talk of ‘going back to normal’. It is NORMAL that got us into this situation in the first place! I, for one, do not want to go ‘back’, I want to look forward. I want to look forward to a better, healthier world where we all take action to look after each other and our planet, far better than we have done so to date.…
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Key MSK COVID-19 resources

ARMA continues to keep our COVID-19 resources page up to date. There have been some new resources added in recent weeks and others have become more relevant as the pressure on the NHS increases. Here are some of the key resources to be aware of:-

Urgent and Emergency Musculoskeletal Conditions Requiring Onward Referral

The guidance supports primary and community care practitioners in recognising serious pathology which requires emergency or urgent referral to secondary care in a patient who presents with new or worsening MSK symptoms.

Vaccination resources

Principles for COVID-19 Vaccination in Musculoskeletal and Rheumatology for Clinicians – answering some of the questions patients are asking about treatment when they have their vaccination.
Shared decision making tool to support decisions when people have their vaccine

Steroid guidance

Clinical guide during the COVID-19 pandemic for the management of patients with musculoskeletal and rheumatic conditions who are:
  • already taking corticosteroids, or
  • require initiation of oral/IV corticosteroids, or
  • require an intra-articular or intra-muscular corticosteroid injection

People whose treatment has been delayed

Guidance and supporting documents to help deliver personalised, patient-centred communications to patients who are waiting for care.
MSK self management resources - Managing your bone, joint or muscle pain

Other

A range of other resources are linked from the ARMA COVID-19 resources page.

Welcoming a new member

Welcoming a new member
We are delighted to welcome a new ARMA member, Physio First. Physio First is a membership trade association of self-employed Chartered physiotherapists. Their organisational statement of intent: to "champion evidenced value based private physiotherapy with Physio First members in the changing healthcare marketplace."
Read more about Physio First on our Membership page.

Members' news

RA disease not treated with advanced therapies

RA disease not treated with advanced therapies

Recently, NICE published a Final Appraisal Document in respect of a new JAK inhibitor (filgotinib - Jyseleca) giving access to people with RA who have so called ‘moderate’ disease in addition to those with ‘severe’ disease. This is the first time NICE has broadened their eligibility criteria for access to advanced therapies and is warmly welcomed by NRAS.…
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Royal College of GPs to withdraw EDS toolkit

Royal College of GPs and EDS Toolkit

by Ehlers-Danlos Support UK
We were very disappointed to be told just before Christmas that the Royal College of GPs (RCGP) wanted to withdraw the Ehlers-Danlos syndromes (EDS) toolkit for GPs. The College planned to remove the toolkit from the RCGP website at the end of January. The RCGP cited pressure on its limited resources…
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X-Factor star learns about axial SpA

X-Factor star learns about axial SpA

Talia Dean meets Dasha and Gillian to learn more about axial SpA (AS)
Singer-songwriter, Talia Dean, made a big announcement in January 2021. In 2020 she was diagnosed with axial SpA (AS). Watch this video as she meets Dasha and Gillian, who live with the disease, and starts her journey towards becoming an #ASWarrior.
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Osteopathy for mental health from the iO

As we all struggle to manage extended weeks of lockdown, it is more important than ever that you care for your mental wellbeing. If you are looking for some advice on how to keep your mental health in shape, visit Osteopathy for Health for some tips on how to help improve your physical and mental wellbeing.

Spotlight on...

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The NHFD Annual Report

The challenge of the next decade: are hip fracture services ready?
The National hip Fracture Database (NHFD) has recently released its latest annual report focussing on the six NHFD key performance indicators used to monitor and drive up standards across the country. 2020 will no doubt prove to be one of the most challenging years in the history of the NHS …
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Proposed Health Index consultation

The Office for National Statistics is consulting on a new measure for health in England, recognising that the nation’s health is an asset – as important to the economy and wider society as it is to the individual. The proposed health index not only measures how healthy people are today but also looks at the wider social and economic circumstances.…
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NICE to develop Interventional Procedures Guidance

NICE is developing Interventional Procedures Guidance: Supercapsular percutaneously assisted total hip arthroplasty for osteoarthritis IP1842.
Hip osteoarthritis can cause pain, stiffness and difficulty walking. Standard surgery to replace the joint (total hip arthroplasty) involves cutting tendons and muscles and pulling the hip joint apart to insert the new metal joint.…
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Inclusion Health: applying All Our Health

Published by Public Health England, this guide is part of ‘All Our Health’, a resource that helps health and care professionals prevent ill health and promote wellbeing as part of their everyday practice. The information below will help front-line health and care staff use their trusted relationships with individuals, families and communities to take action on inclusion health.…
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Better Health - Every Mind Matters

Better Health - Every Mind Matters

Public Health England are launching the Better Health - Every Mind Matters campaign to support the nation’s mental wellbeing with the encouragement that “When things aren’t so good out there, make inside feel better”. Aimed at adults, but weighted towards those most at risk of mental health problems, this “Make Inside Feel Better” 2021 phase of the campaign will run across across PR, radio, social and digital.…
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New PHE Stay Home resources

New PHE Stay Home resources

New Stay Home, Save Lives, Protect the NHS resources are now available from Public Health England. With the rise in transmission rates across the country recently, and with increasing pressure on the NHS, it is now more than ever essential that people stay at home. This is the single most important action we can all take.…
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ARMA Calendar

11 & 12 Feb 2021 SOMM FCP Supervisors course
24 Feb 2021, 1-3pm Versus Arthritis webinar on NICE chronic pain guidelines
3 March 2021 ONS proposed Health Index consultation closes
11 March 2021, 6-8pm Versus Arthritis webinar on NICE chronic pain guidelines
11 & 12 March 2021 SOMM FCP Supervisors course
21 Apr 2021 FSEM-NCSEM Joint Conference, Sheffield (p'poned from 2020)
21-24 Sept 2021 BOA Annual Congress 2021
30 Oct 2021 NICE Interventional Procedures patient q'aire closes
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We know that many people value our newsletter, webinars and the fact that we provide a voice for MSK health. We are increasingly asked: given that our membership is made up of organisations, how can an individual support ARMA? For this reason, we have set up a new supporter scheme.
Full details can be found on our Become an ARMA Supporter page.
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