Guest Blog: The Need for Competency-Based Commissioning

Matthew-Bennett-President-BCA

by Matthew Bennett, President, British Chiropractic Association

As we all know back pain is the single biggest cause of disability in the UK according to the Global Burden of Disease Report. Despite this huge cost both in human and financial terms, care can often appear to be disjointed. In 2009 NICE published guidelines on the Management of persistent non-specific low back pain but many regions in the UK still struggle to implement the guidance and with many different providers being involved in the management of back pain an integrated approach is elusive.



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Guest Blog: What the ARMA Manifesto means for me

Ella-Vine-guest-blog by Ella Vine, Chief Executive, FibroAction It was a pleasure to attend last week’s ARMA parliamentary reception, an event with expert speakers and healthcare professionals on the subject of musculoskeletal conditions. The event was well attended and it was good to see that some MPs are genuinely interested in the cause and support the 2015 ARMA Manifesto. Lord Hunt, the Deputy Leader of the Opposition, has spoken about the challenges lying ahead of us to improve the diagnosis and care of MSK conditions and addressed all six points of ARMA’s Manifesto.…

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Guest Blog: Musings from Primary Care

AlanNye-largesquare by Dr. Alan Nye, President Primary Care Rheumatology Society, Executive Director, Pennine MSK Partnership Ltd.

This is my final month as President of the Primary Care Rheumatology Society and it’s been a very interesting 2 years for me. I apologise that this blog is England-centric, but England is the totality of my NHS experience and I cannot write about areas outside of my experience. I would like to cover, albeit briefly, three areas that over the past few years have become very dear to my heart:

  • MSK training for primary care
  • MSK networks and commissioning MSK services
  • Shared decision-making

For a long time the lack of training for front line GPs has been a real issue for the NHS.…

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Guest Blog: Care planning and musculoskeletal conditions

Guest-blog-LJB3 by Laura Boothman, Policy Manager at Arthritis Research UK

Planning is indispensable in many areas of life – we use it to manage projects, finances and time. Identifying goals, setting actions and discussing and sharing them with others can make us more likely to stick to our plans and achieve the outcomes we want. When it comes to planning to support our health, however, there is room for improvement; according to the latest survey data only 3% of general practice patients currently say they have a written plan.…

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Guest Blog – Back pain and the hidden opportunity of public health

guestblog-adamalkashiby Dr Adam Al-Kashi, Head of Research & Education, BackCare

In his 1985 paper – Sick Individuals and Sick Populations (1) – epidemiologist, Professor Geoffrey Rose rendered a crucial insight, “The more widespread a particular cause, the less it explains the distribution of cases. The hardest cause to identify is the one that is universally present”. Despite decades of evidence, policy and best intention, a musculoskeletal health crisis has emerged and escalated to the point of now warranting its very own world summit.…

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Guest Blog – Chief Cooks and Bottle Washers?

Jann Landles at Ullswaterby Jann Landles, Hon Secretary, Vasculitis UK

In the European Union, a disease is defined as rare when it affects less than 1 in 2000 people. The European Commission defines rare diseases as ‘life-threatening or chronically debilitating diseases which are of such low prevalence that special combined efforts are needed to address them’. With 15 systemic vasculitis disease phenotypes and several subsets, some of these diseases being very rare but not all of them life threating, you can begin to image the issues facing Vasculitis UK.…

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Guest blog – The Ice Bucket Challenge

Chloe-Guest-Blog by Chloe Kastoryano, Project Coordinator, Scleroderma Society

Amyotrophic lateral sclerosis (ALS) – a condition very few of us had heard of until recently – is suddenly widely known throughout the world. The ice bucket craze that started in America has swept across the pond and now in the UK we’re doing the same. The globe has united behind the #icebucketchallenge, and different countries have put their stamp on the stunt with their own variants – Gaza, for example, is doing the #RubbleBucketChallenge. …

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Guest Blog – Collaboration and Genuine Innovation

guestblog-MCCby Maurice Cheng, Chief Executive of The Institute of Osteopathy I’m sitting here on a Sunday morning writing this blog post, having missed the deadline, wondering what I could reflect on that would be interesting for ARMA colleagues. The reason I’m late with this is because we’ve just relaunched the British Osteopathic Association as the Institute of Osteopathy; finally got our phase one new website and branding up this week (dead links, typos and all); finalised our annual convention programme in October and embedded it on an event microsite; published a new format members’ journal; and signed off on an extraordinarily long career and lifestyle census questionnaire for osteopathic practitioners – all in the same week.…

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Guest Blog – On being a bit short for your weight

Judi-Rhys-guest-blogby Judi Rhys, Chief Executive of Arthritis Care I recently attended a plenary session at the European Federation of National Associations of Orthopaedics and Traumatology Congress. The presentations were concerned with the ‘global musculoskeletal challenge’ and the ‘imminent avalanche of demand’ ahead. Many of the speakers referred to the rise in worldwide obesity and the link between obesity and osteoarthritis. A review of research in this area suggests an obese person is 14 times more likely to develop knee osteoarthritis, compared with a person of normal weight.…

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Guest Blog – Early diagnosis leads to a better prognosis

Chris-Maker-LUPUSUKby Chris Maker, Director of LUPUS UK One of the biggest problems for people who have lupus is obtaining a diagnosis. During 2009 LUPUS UK posted a survey questionnaire to all 5,700 members asking them to provide information about how lupus impacts on their lives. The response was overwhelming with over 3,000 completed questionnaires being returned. The summary of findings was:

  • It was taking, on average, more than 7 years to diagnose lupus from the first symptom experienced – this had not improved over a 20 year period.


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