Good MSK services must include rheumatology, mental health and pain

Rheumatoid Arthritis (RA) is very much on my mind as I write this during RA Awareness Week. Yesterday I attended a roundtable discussing the NHS Long Term Plan (LTP) and RA. Rheumatology doesn’t get a specific mention in the plan, but there is plenty of content on related issues. There is mention of chronic pain, for instance, which is very relevant to ARMA and to RA. Access to integrated pain services is something ARMA members have identified as a priority following the publication of our mental health report last month, and by the time this is published I will have presented at a meeting of the Chronic Pain Policy Coalition.…

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Call for service user involvement in MSK physiotherapy study

A team of researchers and clinicians from the University of East Anglia’s School of Health Sciences and the Norfolk and Norwich University Hospitals NHS Foundation Trust are looking for contributors/partners to help in their next project. The project would involve an application for NIHR Research for Patient Benefit (tier 3) funding.

Their aim is to develop a computerised tool to support physiotherapists and patients working together in a more holistic and patient-centred way. Their intention is to work together to improve the outcomes that are important for patients.…

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PCRMM Society Annual Conference 2019

Primary Care Rheumatology & Musculoskeletal Medicine Society Annual Conference
14-16th November 2019
Park Inn Hotel, York

PCRMM supports GPs and Allied Health Professionals to deliver excellent MSK care within Primary Care. The annual conference has something to appeal to everyone with hands-on injection workshops and small group sessions discussing chronic problems such as osteoporosis. The conference programme consists of expert speakers who use the latest evidence-based guidelines in their day-to-day practice. The conference aims to support GP registrars and clinicians in training in a friendly atmosphere with lots of practical experience.…

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Two publications on prevention

In the run up to the publication of the Government’s Green Paper on prevention, the IPPR has published a report Ending the blame game: The case for a new approach to public health and prevention. The UK has made significant progress on prevention in the past, IPPR says, but we appear to have ‘hit a wall’ with limited progress since 2010. They call for the government’s prevention green paper to deliver a paradigm shift in policy from interventions that ‘blame and punish’ to those that ‘empathise and assist’.…

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NHS People Plan

One major criticism of the NHS Long Term Plan was the lack of any detail on workforce. This detail has begun to emerge with the publication of the Interim People Plan for the NHS. It looks at the need to transform the way the entire workforce, including doctors, nurses, allied health professionals (AHPs), pharmacists, healthcare scientists, dentists, non-clinical professions, social workers in the NHS, commissioners, non-executives and volunteers, work together. It works on the basis that multi-professional clinical teams will be the foundation of the future workforce, rather than treating the workforce as a group of separate professions.…

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PHE framework for MSK prevention published

Public Health England has published two documents related to MSK prevention. The first is a whole-system strategic framework for prevention of musculoskeletal conditions across the life-course. The purpose is to provide stakeholders and system collaborators with a clear statement of PHE, NHS England and Versus Arthritis’ commitments to promote MSK health and to prevent MSK conditions. Each collaborating organisation, including ARMA, has identified what they will be contributing, and in some cases, leading on.

The document contains information about a range of MSK prevention activities and links to resources and tools to help prevention activity.…

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A new trend in elective hip surgery?

The ARMA Alliance with Versus Arthritis and the British Orthopaedic Association voiced its concerns previously about rationing of joint replacement surgery for people with MSK conditions. ARMA published a position paper on this in 2017.

So what does the latest data tell us about hip surgery? In June, Deborah Ward and Lillie Wenzel from the policy team at The King’s Fund published a blog post: ‘A new trend in elective hip surgery’. They examine the trend in hip replacements, health gain and health gain reported by patients and interpret these trends.…

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