CEO Update | ARMA

Championing MSK in public health

Very early in my time as CEO of ARMA I met Nuzhat Ali, who led on MSK public health at what was then Public Health England. Nuzhat is a tireless champion of the importance of MSK health and its central role in public health. “There’s no health without MSK health” she told the ARMA AGM a few years ago.

Steve Brine MP, Chair of the House of Commons Health and Social Care Committee, was recently recently quoted as saying: “If we don’t prevent ill health in this country better than we are, then the NHS in itself is not sustainable and that is a terrifying situation.”…

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Will we be brave enough?

Ahead of the Chancellor’s Autumn Statement on 17 November, ARMA wrote to the Chancellor to outline the impact of the cost of living crisis on people with MSK conditions and the importance of the NHS for growth in the economy. I don’t think I was alone in fearing that the statement would see cuts in funding for the NHS and social care. Thankfully those fears were unfounded, although many feel that the funding announced was not enough.

We asked three things in the letter:

That cost of living support be targeted at those who need it most, including those with health conditions where keeping warm is important.

…

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A week to focus on health equalities

I was delighted last week to be able to join NHS England’s Health Inequalities Improvement Board to present on the importance of MSK health for equalities. I am also delighted that Bola Owolabi, Director of NHS England’s National Healthcare Inequalities Improvement Programme, has written the guest blog for the October issue of our newsletter.

We’ve chosen to highlight equalities during Bone and Joint Week this year because it is critically important. Poor MSK health contributes to and exacerbates health inequalities. MSK is fundamental to our ability to work, socialise, move, eat a good diet – in fact, all the things that enable us to stay healthy.…

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Thinking wider about workforce

I saw a tweet this morning from a local provider partnership seeking exercise instructors willing to train in falls management. The challenge of workforce is ever present in the NHS right now. I think we need to think more creatively and use the breadth of the workforce we have if we are ever to deliver on our ambition to improve the MSK health of the population and ensure excellent services for those who need them.

Community MSK is the backbone of MSK.…

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Community-powered MSK Health?

It’s been exciting in the last two years to be working with the BestMSK Health team at NHS England, and now also with MSK improvement work in Wales. There’s been lots of talk about co-production, self-management support, reducing inequalities and a focus on prevention. The direction is very much one that ARMA can support. Then I read A Community Powered NHS from New Local and I started to wonder if we are being brave enough, going far enough, thinking big enough.…

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Constellations, not stars

by Sue Brown, CEO ARMA

Last week I attended a National Voices conference about ICS and the voluntary sector. One thing that really struck a chord with me was a speaker outlining his principles for collaborative success *:

Mission before organisation
Trust, not control
Promote others not yourself
Build constellations not stars

By the time you read this, the new statutory integrated care systems will have some into existence. If they follow these principles, they could contribute a lot to improve health services.…

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Making support for people in pain a reality

Media coverage of MSK conditions and pain is rare. Good coverage even more uncommon. So it was great to see the BBC focus on chronic pain on 11 May. A week earlier, coverage of the NICE draft guidelines on managing arthritis generated headlines such as “Exercise instead of taking painkillers, arthritis sufferers told.” Unsurprisingly this resulted in outcry from those who rely on pain medication to manage their arthritis, especially those who really need surgery but are on unacceptably long waiting lists after the pandemic.…

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Not just another NHSE initiative

I have just returned from the BSR conference where it was good to catch up with ARMA members, key stakeholders and make new connections. Watching the contributions of patient organisations to the conference I was struck again by the huge role that the voluntary sector can play in good MSK health.

So, it is good to see this feature increasingly in the BestMSK Health messaging. Phrases such as “consider referral to third sector/voluntary sector for ongoing management rehabilitation and support” appear in many of the programme’s resources.…

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A future where no one sees community MSK services as a low priority

by Sue Brown, CEO ARMA

The King’s Fund has just published the results of the British Social Attitudes Survey (BSAR) questions on satisfaction with the NHS. Satisfaction has dropped by 17 percentage points since last year’s survey, with more people now being dissatisfied than satisfied with the NHS. The main reasons are waiting times (for GPs and hospital appointments), staff shortages and that the government does not spend enough money on the NHS. No one with any connection to health services will be surprised by any of this.…

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Integration: It takes time to turn a tanker

On 11 February a policy paper, Health and social care integration: joining up care for people, places and populations, was published. BestMSK Health with its focus on cross-system, whole-pathway working including prevention seems to me to embody everything the White paper is talking about. I was pleased to see that it includes a commitment to improve pathways for MSK, but there is so much more to integration and MSK health than that. Here’s how I see the principles of the integration White paper playing out in MSK.…

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