5 October 2018, 12.30 – 1.30
The webinar will describe how we set up the Telford Musculoskeletal Service, some of the problems we encountered along the way, and our solutions.
After winning a tender three years ago, the MSK Service was devised to be a single point-of-access for Rheumatology, Pain, Physio, Orthopaedics and musculoskeletal services in the NHS within Telford. The service is a Prime Vendor-type model with Shropshire Community Trust holding the main contract and sub-contracting to other NHS and Private providers in the locality.
Who should attend? Commissioners, First contact practitioners, GPs, hospital consultants, physiotherapists, Patients and Patient Organisations and charities.
Register in advance for this webinar:
Dr Louise Warburton, GPwSI in Rheumatology and Musculoskeletal Medicine at NHS Telford and Wrekin;
Claire Horsfield, Outpatient AHP Service Manager at Shropshire Community Health NHS Trust.
19 October 2018, 12.30 – 1.30
The webinar will outline how a community-based rheumatology service can provide effective management of rheumatology patients, with benefits both to the patients and the usage of clinical resources. The Service is commissioned by the CCG and GPs from participating practices refer directly into the Community service.
The service was initially established in 2009 by a GPWSI who had 10 years + working in a secondary care rheumatology service as a clinical assistant, together with a nurse consultant in rheumatology with over 20 years’ experience.
Findings from the pilot study demonstrated that patients requiring disease-modifying anti-rheumatic drugs (DMARDS) can easily be managed in a community setting. A community setting with provision of the specialist skills provides patients with local, more convenient care and reduced disengagement. It also optimised the use of local resources – for example, moving some of the routine follow-up activity for rheumatology patients (such as drug monitoring) would undercut the tariff by 30%. Patients see the most appropriate member of the healthcare team allowing more effective management of their condition and freeing up specialist rheumatologists for more acute cases.
The service now has 3 GPWSI, 1 extended scope physiotherapy practitioner, 2 nurse consultants and a clinical nurse specialist, as well as 6 consultant sessions per month plus 2 full time administrators.
Who should attend? Commissioners, GPs, clinicians working in rheumatology services.
Register in advance for this webinar:
Erica Gould, Nurse Consultant at Community Rheumatology Service Modality Partnership
Resources from recent events:
6 April 2018
As a group musculoskeletal conditions cause 31.3% of all years lived with disability, and their incidence is rising as the population ages. Understanding this at a local level is therefore crucial in public health, prevention and health and care provision. With an ageing population this becomes increasingly important for a healthy workforce and a strong economy.
This webinar was one of a series delivered in partnership between the Arthritis and Musculoskeletal Alliance (ARMA) and NHS England. Using the example of the London Borough of Ealing and NHS Ealing CCG, the webinar outlined the development of the JSNA chapter and why this is important for improving the musculoskeletal health of a local population.
The JSNA is a statutory document that describes the health and social care needs of the population, identifies gaps and unmet needs, and makes evidence-based recommendations to health and social care commissioners.
Ian Bernstein, Clinical Lead for Musculoskeletal Transformation, NHS Ealing CCG and NW London STP Rutuja Kulkarni-Johnston, Consultant in Public Health, London Borough of Ealing
Professor Kevin Fenton MD PhD FFPH, Director of Health and Wellbeing, Southwark Council
Download the slides for this webinar in PDF format.
Friday 8 September 2017
Presented by Natasha Jones, Consultant in Sport and Exercise Medicine, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS trust and Mike Rossiter, Consultant in SEM & MSK Lead, Hampshire Hospitals NHS Foundation Trust
The webinar gives a brief outline of the Faculty of Sport, Exercise and Musculoskeletal Medicine (FSEM), particularly it’s aims and what the speciality covers. It also details the scope of work of a Sport & Exercise (SEM) Consultant, both within and outside of the NHS. It will highlight the particular importance of Exercise medicine within the Health of the Nation and the potential for this area of medicine.
There is an example of how an NHS Musculoskeletal (MSK) service has been set up and run successfully and the positive impact it has on investigations and interventions.
Finally, the webinar outlines current SEM training and accreditation within the UK.
This webinar is aimed at NHS Trusts (or other bodies) that are thinking of setting up, or refining, an MSK service, and professionals who wish to find out more about the FSEM, particularly those that are considering following this speciality as a career.
To watch the webinar recording, click here.
presented by Beverley Harden, Associate Director of Education & Quality, South, HEE
28 April 2017
“A radical upgrade in prevention” “changing the relationships with people and communities”
HEE is working with and across the system to articulate how we develop the workforce to build skills in person centred approaches, i.e. how we work in partnership with people and their families to support health and wellbeing. This work brings together the core skills of:
- health coaching
- care and support planning
- shared decision making
- a number of behavioural change interventions
The work illustrates the values, strengths based approach and core skills to enable the workforce to more consistently build relationships and partner with people to support effective prevention (at all levels from obesity to loneliness to medicines compliance) and self-care/management.
The webinar discussed the thinking to date, considered some areas where the techniques have been utilised and the impact they have had for people, both patients and staff. The conversation then explores the ‘how’: how we shift thinking for services and busy people from reactive to preventative, how we skill people to habitually work in this way and support their own behaviour change in service.
24 March 2017
Chronic joint pain accounts for around 1 in 5 primary care consultations. GPs feel overwhelmed and are concerned that they don’t have the time or the skills to give people adequate information or advice about exercise and weight control (NICE core recommendations).
To improve access to better management London Health Innovation Network has introduced Joint Pain Advisors into six primary care surgeries. Their role is to give people simple information, advice about self-management strategies, constructed personalised care plans and use behavioural change techniques to help people adopt healthier lifestyles. Patients were reviewed at 3 weeks, 6 weeks and 6 month intervals, at which the Advisor fed back progress, reinforced health messages and provided on-going support, reassurance and encouragement where required.
Over 500 patients used this service and reported less pain, better function and higher activity levels. A high satisfaction rate was achieved which included reduced BMI, body weight and waist circumference and has led to fewer GP consultations, investigations and onward referrals.
The Joint Pain Advisors role has been enthusiastically accepted and is a more effective, efficient and sustainable way to deliver care to this high proportion of people.
10 March 2017
Getting It Right First Time – reducing unwarranted variations
Getting It Right First Time (GIRFT) is a national, clinician-led programme, created to help improve the quality of medical and clinical care within the NHS by identifying and reducing unwarranted variations in service and practice. Following a successful pilot in orthopaedics, led by Professor Tim Briggs of the Royal National Orthopaedic Hospital, GIRFT has received £60m of Government funding and is now being rolled out to more than 30 specialties including neurosurgery, emergency medicine and cardiothoracic surgery.
This webinar explores the philosophy behind GIRFT, its methodology, including the deep dive data analysis and peer-to-peer engagement with frontline medics, and importantly the benefits it has brought in improving patient outcomes and delivering efficiencies through the sharing of best practice.
Trusts involved in the pilot programme have already reported direct savings and benefits of between £20m and £30m, with an additional £15m to £20m expected in the second year. At the end of GIRFT’s three year funding it is expected that the programme will have helped prevent £1billion of wasted costs and unnecessary treatment.
The webinar was jointly presented by Rachel Yates, Managing Director of GIRFT, and Mary Newman, Interim Head of Policy and Implementation GIRFT. It will be of interest to Health Care Professionals and Commissioners from CCGs, Primary & Secondary Care and Clinicians.
Dr Ian Bernstein, NHS Ealing CCG, 29 April 2016
Clinical Networks: Transforming Musculoskeletal Care in North West London. To open the narrated slide presentation (powerpoint with audio), please click below.
Learning objectives, programme and more details are available on the MSK Knowledge Network on Yammer. Please see the “Useful Documents, Tools and Files” section. You can also find the full video version of this presentation and slides-only version there.
Q&A with Andy Lord, 21 June 2016
Presentation on MSK Physiotherapy in Primary Care (Self-Referral to Colocation) led by Chartered Society of Physiotherapy (CSP).
Click image to open presentation on Prez.com.
24 February 2017
Musculoskeletal disease (MSK) is one of the largest single sources of disability in the UK and MSK services are making major changes to address growing demands.
To date few direct measures of health status have been in place which could be used across the spectrum of MSK to inform service improvement. The introduction of the Musculoskeletal Health Questionnaire (MSK-HQ) has been developed to meet this need. The webinar will introduce different possible applications from audit, quality improvement and performance evaluation through to facilitating communication and personalised care with individual patients. The role of Patient Reported Outcome Measures (PROMs) will also be discussed.
The webinar was presented by Raymond Fitzpatrick, Professor of Public Health and Primary Care and Elizabeth Gibbons, Senior Research Scientist both from the University of Oxford who provided an overview of their experiences and plans for use of MSK-HQ in various NHS settings. This webinar will be of relevance to any health professional, manager or commissioner concerned with MSK service provision.
Presented by Christian Verrinder and Giles Hazan
10 February 2017
Dr Christian Verrinder and Dr Giles Hazan share aspects of their experience to date in MSK commissioning, including their thoughts on: process, structure, design, procurement, implementation and review.
This webinar looks at how we can build on current service provision for people with MSK conditions in order to identify how and where current services and support can be improved and reflects how this new programme of work has influenced the commissioning of MSK services.
Lead by Tony Woolf in participation with ARUK/BSR
12 January 2017
The Musculoskeletal Health in the Workplace Project aims to prevent work loss caused by musculoskeletal problems.
In 2013 31 million lost workdays in the UK were attributed to musculoskeletal conditions, compared with 27 million for minor illnesses like coughs and colds and 15 million for stress and anxiety. We are all living longer and working longer so we need a system that promotes economic independence, health and wellbeing and productivity throughout life.
The Musculoskeletal (MSK) Health in the Workplace Project aims to prevent work loss caused by musculoskeletal problems. There has been much focus on health protection but the problems remain. There is a need for a different approach that brings together health promotion and health protection along with health management with a focus on being proactive rather than reactive; enabling managers and employees to achieve this; and empowering people to and self-manage their MSK condition.
The management of MSK problems needs to focus on getting people back to functioning in order for them to stay in or return to work. Early intervention, rehabilitation and return to work support are all ways of achieving this.
This webinar looked at how we can build on the current service provision for people with MSK conditions in order to identify how and where current services and support can be improved.
It was presented by Professor Tony Woolf, Consultant Rheumatologist and Honorary Professor of Rheumatology, University of Exeter Medical School, and Plymouth Peninsula Medical and Dental College. The webinar was produced in participation with Arthritis Research UK and the British Society for Rheumatology, targeting a specific audience of MSK professionals, Occupational Health leads, GPs and CCG Commissioners.
Friday 27 January 2017
Building on the current service provisions for people with Musculoskeletal conditions.
We are pleased to be able to share the news that ‘Improving Lives – the Work, Health and Disability Green Paper’ was published on the 31 October 2016 by the Department for Work and Pensions and the Department of Health and reflects the Government’s new and ambitious approach to work, health and disability.
We want to spark a far-reaching, national debate on the issues and the proposals set out in the document, ensuring that we listen to you so that we can develop our programme of work and understand the role others have to play in driving action forward.
How can you as a service user be involved and help shape your future services?
The Work and Health Unit would like to work closely with people working in or needing Musculoskeletal services in order to identify how and where current services and support can be improved, as we start developing policy proposals for improving MSK services for both service users and professionals.
Looking widely across the current range of services and provision of support for people with MSK, we would like to discuss with service users your views on these questions:
- how do you access MSK services and how can this access be improved?
- how can you be assisted to stay in work/return to work after being away from work due to your condition?
- how can practitioners (non-specialist health, employability professionals, work coaches) help you with work and health issues?
- how MSK services can provide you with the help and care you need and link with employment support to deliver a more joined-up service for you.
This webinar was part of a public consultation which ran until 17th February 2017.
An online survey hosted on Citizen Space also provides a simple and easily accessible way to respond to all consultation questions.
It can be found at: https://consultations.dh.gov.
‘Improving Lives – the Work, Health and Disability Green Paper’ can be found at http://www.gov.uk/
Friday 7th July 2017
Falls and fractures are a common and serious health issue. The human cost can include distress, pain, injury, loss of confidence, loss of independence and mortality. For health services they are both high volume and costly with 255,000 falls related emergency hospital admissions per year for older people in England and the annual cost of hip fractures to the UK estimated at being around £2 billion.
RightCare is a national programme to improve population health by addressing unwarranted variation. In collaboration with national experts and patient groups, is launching an ‘Optimal Solution for Falls and Fragility Fractures’ to support systems to improve outcomes.
In January, a number of national organisations launched a ‘Falls and fragility fractures consensus statement’ and we are now publishing an accompanying technical annexe with resources to support delivery of key interventions and the RightCare Optimal Solution.
The webinar will introduce the Falls and Fragility Fractures Optimal Solution and how this is supported by the new technical annexe. This will assist health economies in the delivery of key interventions including how to develop a fracture liaison services according to clinical standards as well as strength and balance exercise programmes. For those with established services, this is an opportunity to ensure that your service is optimally configured for your population.
This webinar will be presented Amy Bowen, Optimal Solutions Lead NHS RightCare, Daniel MacIntyre, Population Health Services Manager, Public Health England, Tim Jones, from National Osteoporosis Society and Ann Parry, living with osteoporosis and will be of relevance to any health professional, manager or commissioner concerned with improving Falls and Fragility Fracture Services.