Arthritis and Musculoskeletal Alliance

MSK 2013 was a delegatesone-day seminar that took place on Tuesday 26 November 2013, bringing together nearly a hundred delegates in the form of commissioners, providers of MSK care and senior clinicians with an interest in musculoskeletal conditions. The day was organised by the Arthritis and Musculoskeletal Alliance in partnership with NHS England’s National Clinical Director for MSK Disorders, Prof. Peter Kay. MSK2013 was held at Amnesty International UK, The Human Rights Action Centre, London.

The event provided a unique opportunity to –

  • Learn about and discuss the interim findings of ARMA’s clinical networks project;
  • Hear from national experts and leading patient, professional and research organisations about cutting-edge initiatives in MSK;
  • Determine the role of clinical networks in driving improvement in MSK services, and what you can do to help.

After the seminar, an evening event, ARMA’s fifth annual lecture, brought together three National Clinical directors to discuss the importance of national leadership in driving improvements in MSK care.


The day began with opening remarks by ARMA Chair, Phil Gray, followed by an introduction and context provided by ARMA CEO, Federico Moscogiuri.

Peter Kay presentation
Peter Kay joins a workshop discussion

Peter Kay joins a workshop discussion

The Opportunities for MSK Services in the New NHS

Peter Kay, National Clinical Director for Musculoskeletal Conditions, NHS England.

Listen to Peter’s presentation (mp3 audio, 22 mins)

Jo-Cummings-Living-with-MSKPatient Perspectives

The Patient Perspective: Information is Power

Jo Cumming, Arthritis Care and Debbie Cook, NASS.

Listen to Jo’s presentation (mp3 audio, 10 mins)

Listen to Debbie’s presentation (mp3 audio, 10 mins)


MSK Clinical Networks Project: key findings

Ann Clare, ARMA Clinical Networks Project Manager.

Listen to Ann’s presentation (mp3 audio, 26 mins)


Monitoring Quality in MSK services

Dr Benjamin Ellis, Arthritis Research UK.

Listen to Benjamin’s presentation (mp3 audio, 14 mins)

MSK Workforce development

MSK Workforce Development

Dr Ian Bernstein, MSK Physician and GP trainer, Ealing.

Dr Tom Margham, GP, Tower Hamlets.

Listen to Ian’s presentation (mp3 audio, 15 mins)

Good into Practice

MSK Clinical Networks: Getting Good into Practice

Professor David Marsh, ARMA and Fragility Fracture Network President.

Anne Thurston, NOS.

Listen to David and Anne’s presentation (mp3 audio, 14 mins)

Integrated Community Care

Dr Ian Bernstein, MSK Physician and GP trainer, Ealing.

Listen to Ian’s presentation (mp3 audio, 28 mins)


MSK Primary Care Education

Dr Tom Margham, GP, Tower Hamlets.

Listen to Tom’s presentation (mp3 audio, 15 mins)

Closing Comments

At the close of the day, the National Clinical Director for MSK Disorders, Prof. Peter Kay, provided a summation (audio, 4 mins) to the day’s discussions and a vision about how things should develop going forward, which was followed by closing remarks (audio, 3 mins) from the ARMA Chair, Phil Gray.

Useful Resources

Examples of community-based integrated care:

Ealing community MSK services (Dr Ian Bernstein, 2013)

Pennine MSK Partnership – A case study of an Integrating Pathway Hub (Paul Corrigan and Dr Alan Nye, 2012) (View the full case study here).

Newcastle West integrated community MSK care pathway for commissioners (Dr Graeme Wilkes, 2013)

Lewisham Greenwich Orthopaedic MSK Services (Nicky Smith)

North East Essex – Back and Neck Pain Services (Mark Gurden, 2011)  View the full case study here.

North East Essex – Back and Neck Pain – helping you and your patients (The British Chiropractic Association, 2012).
Read about the study from GP online article.

Sheffield pathways for persistent pain, foot/ankle, back, shoulder, hip/knee and hand/elbow support – Sheffield aches and pains.

BSR: Best Practice

Best Practice Awards (the British Society for Rheumatology). To highlight innovative and ground-breaking practice in Musculoskeletal Services.

BOA: Key Documents and Commissioning Guidance

Restoring your Mobility (British Orthopaedic Association, 2012). A report on how we can do better for less.

Improving the quality of orthopaedic care within the National Health Service in England: “Getting it Right First Time” (Prof. Timothy Briggs, 2012)

Commissioning Guide: Low Back Pain (British Orthopaedic Association, 2013).

Feedback from attendees:

“a really excellent opportunity to learn”

“we found the workshops thought-provoking.”

“there were some good connections there for everyone”

“the panel discussion at the end of the day was
  certainly very interesting and inspiring”

“an excellent networking opportunity”