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ARMA Newsletter March 2022

Integration: It takes time to turn a tanker

by Sue Brown, CEO ARMA

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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AI, data and the future of orthopaedics

AI, Data and the Future of Orthopaedics
Guest blog by Dr Arash Angadji, Chief Executive, Orthopaedic Research UK

I was talking to a PhD student who has recently received one of our fellowship grants to research the use of statistical modelling to help better predict patient outcomes, who told me, ‘I am part of that generation that has grown up with computers, so It feels natural to ask how we can we exploit this technology. We are all getting more on board with the idea of smart technology and wearable devices and questioning why we are not applying these technologies to our patients.’ She is typical of a new generation of clinicians and researchers entering the musculoskeletal (MSK) discipline who are operating at the intersection of medical and data science.

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ARMA publishes new social prescribing resource

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ARMA published a new resource for social prescribing for musculoskeletal conditions. The resource aims to help link workers make a difference to the lives of people with MSK conditions.

The resource is split into four sections including mental health, work and education, self-managing musculoskeletal conditions and information about musculoskeletal health.

The resource includes links to useful programmes and support.

Access and download the resource

Webinars to watch

If you missed our last webinar, it’s available to watch again:
The role of patient organisations in rheumatology and implementing the GIRFT rheumatology report featuring Clare Jacklin, CEO of National Rheumatoid Arthritis Society, and Dale Webb, CEO of National Axial Spondyloarthritis Society.

Key MSK COVID-19 resources

ARMA continues to keep its COVID-19 resources page up to date.
See key resources at the ARMA COVID-19 resources page.

Members' news

Outcomes from AHP student placements

Outcomes from AHP student placements

Innovative multi-professional student placement project shows positive outcomes
A pilot in Allied Health Professions student placements, funded by Health Education England and facilitated by the Institute of Osteopathy, has shown how an innovative interprofessional approach can deliver positive outcomes for students and educators, ultimately facilitating improved patient outcomes through the delivery of multi-disciplinary care.

Read more on the iO website.
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MSK Physiotherapy Service standards 

CSP publishes new UK-wide Musculoskeletal physiotherapy service standards
In January 2022 a new set of Musculoskeletal (MSK) physiotherapy service standards were launched by the CSP. The standards focus on the delivery of physiotherapy for any services managing MSK conditions within any part of the MSK pathway in the UK. They are applicable in any setting, for adults of 16 years and over, requiring physiotherapy for a MSK condition, their families and carers, and across multidisciplinary integrated care. 

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ESCAPE-pain winter newsletter

ESCAPE-pain winter newsletter

Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain): winter newsletter
Orthopaedic Research UK has been thrilled to see so many ESCAPE-pain classes restarting or coming on board, despite the challenges posed by the pandemic. ORUK has especially enjoyed receiving participant feedback showing how the programme is helping people to improve their quality of life. Please read more programme updates in the latest newsletter which has information for people living with joint pain as well as information for providers.
Diploma Revision Course

MSK Diploma revision course

The revision course for the FSEM PCRMM diploma in MSK Medicine
Booking is now open for this course, which will be delivered online on the 5 March and 2 April 2022; it is aimed specifically at those preparing to sit the diploma and as such will be based around the diploma syllabus. The course will be in the format of two study days and an online Learning Hub. Diploma resources and presentations will be made accessible, where relevant, as well as presentation recordings from the study days.

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Vitamin D and Calcium webinar

Vitamin D and Calcium - an overview with a focus on bone health PCRMM webinar
Tuesday 1 March 2022,
7 – 8.30pm
This webinar about calcium and vitamin D will cover: indications for testing; interpretation and significance of abnormal results; calcium and vitamin D replacement; and, a brief overview of the evidence and clinical need for calcium and vitamin D replacement in the context of musculoskeletal disease.

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More than Skin Deep report

More than Skin Deep report

A new report More than Skin Deep: The Underlying Burdens of Psoriasis and Psoriatic Arthritis has been published, setting out the challenges currently faced by people living with these chronic, interlinked conditions, and providing a number of key recommendations for improving services.

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NOA Never events webinar

NOA Webinar: Learning from never events and serious incidents (SUIs)

The next National Orthopaedic Alliance (NOA) webinar will take place on Wednesday, 20 April 2022 at 1pm. The session will focus on learning from never events and serious incidents.

You can find out more and register on the NOA website.
Calling all rheumatology services!

Calling all rheumatology services!

NASS has launched the search for the third round of teams to join the Aspiring to Excellence programme. The successful applicants will have the opportunity to plan and implement projects aimed at reducing diagnosis times for people with axial SpA.

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What do patients value in healthcare services?

NASS is working on a piece of research with Headstrong Thinking. They want to know what people value in their health services, from the time they first visit a health professional with symptoms of axial SpA, to long term management of their condition.

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Are you a champion in primary care?

NASS is calling for first contact practitioners, GPs, community MSK physiotherapists and other NHS primary and community care professionals to apply for the opportunity to join their brand-new Champions in Primary Care programme.

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Ailsa Bosworth on the EULAR PARE Podcast

NRAS’s National Patient Champion, Ailsa Bosworth MBE, talks about SMILE-RA on the EULAR PARE podcast. SMILE-RA is a self-management e-learning programme for people with rheumatoid arthritis, a programme which was one of the winners of the Best Practice Fair at the EULAR PARE Conference. You can listen to the episode, “Meet a PARE Best Practice Fair winner – NRAS” of the podcast on Apple Podcasts, and also find the EULAR PARE Podcast on Spotify.

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JIA Awareness Week: 13 – 17 June 2022

JIA Awareness Week: 13 – 17 June 2022

After the success of RA Awareness Week, this year NRAS is having its first JIA Awareness week #SameJIADifferentDay, which will run from the 13th to 17th June 2022. When NRAS staff speak to parents, children and adults with JIA, the same conversation comes up: how can we get people to understand that some days people living with JIA can do things like go for long walks or play football, when other days they really struggle to get out of bed or climb the stairs at work?

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Spotlight on...

CQC issues first contact practitioner mythbuster

CQC FCP Mythbuster
A significant document was released on 8 February 2022: the CQC FCP MythBuster. This document describes the responsibilities of employers when recruiting and managing staff deployed in first contact practitioner (FCP) roles in primary care settings.

The document currently lists the five professions that are under the additional roles scheme in the Network Contract DES, as they are moving in large numbers and at pace into primary care, but this can be amended to include other professions working as FCPs in the future.

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MELODY – Investigating COVID-19 vaccine efficacy in immunocompromised people

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A new national trial is recruiting people with rare autoimmune diseases to measure their COVID-19 antibody response following at least 3 vaccinations. The MELODY study is recruiting immunocompromised people to determine the antibody levels they develop in response to COVID-19 vaccination.

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ARMA publishes chronic pain resources

Recently, ARMA published a suite of chronic pain resources to address the 15.5 million people and 81% of people with a musculoskeletal condition reporting being in chronic pain. Chronic (persistent or long-lasting or recurrent) pain is life-changing and can affect all parts of life. Chronic pain is linked to deprivation and health inequalities. For these reasons, chronic pain is important to the ARMA alliance of members.
ARMA members have collaborated to produce these resources:

ARMA Core Offer for pain

This sets out what ARMA believes should be available in every area for people living with long term pain. Most of this provision needs to be delivered locally, as close as possible to people. We believe that every local health body (ICS, Health Board or Health and Social Care Trust) should have a plan for how this will be delivered. Read the "Core Offer".

ARMA Chronic Pain Policy Position Paper

The policy position paper makes recommendations for chronic pain including that more community-based approaches to pain should be developed to meet the needs of people with chronic pain. Multidisciplinary, networked, personalised approaches to pain should be standard.

Executive summary

Full version

Other chronic pain resources are available on the Pain and MSK page of the ARMA website.

ARMA Calendar

1 March 2022 NOA Members’ Conference closes for speaker submissions
1 March 2022, 7:00 - 8.30pm Vitamin D and Calcium – PCRMM bone health webinar
2 March 2022, 13:00 NASS Imaging for axial SpA
5 March 2022 FSEM PCRMM MSK Diploma Revision Course
8 March 2022, 18:00 NASS Family life with arthritis
14 March 2022 Nuffield Foundation deadline for outline applications
15 March 2022 Edgar Stene Prize winner announcement
16 March 2022, 13:00 NASS Intro to health and wellbeing coaching
23 March 2022, 13:00 NASS Nordic walking
24 March 2022, 2:00 - 4pm ‘Is it inflammatory arthritis or fibromyalgia syndrome?’ webinar
25 March 2022, 8:30am - 5pm RSM's Impact of oral health on athletic performance and wellbeing
30 March 2022, 13:00 NASS Working with axial SpA
31 March 2022 BMP Grant closes for applications
2 April 2022 FSEM PCRMM MSK Diploma Revision Course
20 April 2022, 13:00 NOA Webinar: Learning from never events and serious incidents
20 April 2022, 18:00 NASS High-Intensity Interval Training
4 May 2022 FSEM Diploma in MSK Medicine exam
4 May 2022 Champions in Primary Care closes to applications
4 May 2022, 10:00 Aspiring to Excellence closes to applications
13–17 June 2022 JIA Awareness Week
17 June 2022 #WearPurpleforJIA Day
12–18 Sept 2022 RA Awareness Week
19 Oct 2022 NOA Annual Members’ Conference, Birmingham
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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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