guidelines-in-practice-logoDr Ian Bernstein and Stephanie Griffiths answer questions on the nationally acclaimed musculoskeletal service in Ealing and how it was implemented.

The redesign started about 20 years ago, when all musculoskeletal services were provided in secondary care. There was no GP access to physiotherapy; patients would be referred to a consultant and could be waiting for up to a year before seeing a physiotherapist. In the 1990s, under GP fundholding, a small number of GP practices in Ealing bought physiotherapy services. Following the demise of fundholding, a community musculoskeletal service was set up using the same pot of money, but it then had to cover the whole of Ealing, and not just the few leading fundholding practices…

Read more from the Guidelines in practice website.

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