Guest blog: Time for the final Cinderella to attend the ball?

Musculoskeletal support professionals in the community

by Dr Rob Hampton, GP and Occupational Physician

Across the world, chronic musculoskeletal conditions such as osteoarthritis, inflammatory disorders and common regional conditions such as back, neck, shoulder, hip and knee pain now represent the single greatest cause of years lived with disability 1. When measuring their negative impact on employment, self-reported wellbeing and day-to-day function, chronic musculoskeletal pain conditions are every bit as invasive as other chronic conditions such as heart failure, diabetes and COPD.…

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NHSE planning and contracting guidance summary

Since the NHS Long Term Plan (LTP) was published on 7 January 2019, the NHS Operational Planning and Contracting Guidance 2019/20 has been released. It gives guidance on how the additional funding settlement for the NHS should be used.

Key points of interest are:

 It is the start of the process of producing the local plans that will be the implementation of the NHS LTP. For 2019/20, every NHS trust, NHS foundation trust and clinical commissioning group (CCG), will need to agree organisation-level operational plans which combine to form a coherent system-level operating plan.…

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CEO update – Prevention: putting MSK centre stage

Prevention seems to have been the theme of my February. The possibility that a lot of the pain and disability of MSK conditions might be prevented, and that this is being taken seriously is an exciting prospect. Even where the conditions can’t be prevented, good self-management support can make a big difference to the impact of the condition. The Government is clear that the future sustainability of the NHS depends on prevention, and that it wants to improve healthy life expectancy by at least five extra years, by 2035.…

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GP contract reform

Since the NHS Long Term Plan (LTP) was published on 7 January 2019 a new document, Investment and evolution: A five-year framework for GP contract reform to implement The NHS Long Term Plan, has been released which includes the roll out of the Primary Care Networks model. Here’s a summary of the relevant MSK elements.

The publication covers the following areas:

  • Addressing the workforce shortfall
  • Solving Indemnity Costs
  • Improving the Quality and Outcomes Framework (QOF)
  • Introducing the Network Contract DES
  • Going ‘digital-first’ and improving access
  • Delivering new network services
  • Guaranteeing investment
  • Supporting research and testing future contract changes
  • Schedule of future contract changes and development work

Workforce

Workforce is identified as the priority for primary care.…

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Prevention green paper

The process of developing the green paper promised by Government has just begun with a consultation meeting involving a range of health charities, including ARMA. It seems clear that MSK conditions will be included, but ARMA, with our members, will work with the Department to help shape what that looks like in the final Green Paper.

The Green Paper was promised when the government published Prevention is Better than Cure last November. The goal remains to improve healthy life expectancy by at least 5 extra years, by 2035, and to close the gap between the richest and poorest.…

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Universal Personalised Care – a summary

Since the NHS Long Term Plan (LTP) was published on 7 January 2019, the Universal Personalised Care: Implementing the Comprehensive Model has been published.

The document defines personalised care: people have choice and control over the way their care is planned and delivered based on ‘what matters’ to them and their individual strengths, needs and preferences.

There are six components to the model:

  1. Shared decision making
  2. Personalised care and support planning
  3. Enabling choice, including legal rights to choice
  4. Social prescribing and community-based support
  5. Supported self-management
  6. Personal health budgets and integrated personal budgets.


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MSK Core Offer

ARMA has welcomed the inclusion of references to MSK in the NHS Long Term Plan. The real challenge is how to implement this in the local NHS plans. ARMA has set out the “core offer” of MSK services and support which need to be implemented locally if the ambition of the long term plan is to be realised.

The NHS plan states: “Longer-term health conditions also make an increasing contribution to the overall burden of disease. Mental health, respiratory and musculoskeletal conditions are responsible for a substantial amount of poor health and place a substantial burden on the NHS and other care services.”…

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Guest blog: How your local pharmacy can help

by Leyla Hannbeck, Director of Pharmacy at NPA

People living with musculoskeletal conditions are often taking several prescribed and over-the-counter medicines, so come into frequent contact with their local pharmacist. For example, someone with arthritis may be taking Co-Codamol for pain relief, patches for heat therapy and amitriptyline for depression. (ARMA’s policy paper on mental health is a cogent reminder about the complex interplay of mental and physical conditions).

But even frequent visitors to pharmacies may not be aware of the full range of NHS services available there.…

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GIRFT spinal surgery

Getting It Right First Time (GIRFT) national report calls for short-term pain relief to be replaced with rehabilitation.

GIRFT say that replacing short-term pain relief injections with long-term physical and psychological rehabilitation programmes could help tens of thousands more patients cope with debilitating back pain, in their new report on spinal surgery.

See the spinal surgery report page for more details.

All Our Health MSK Chapter

phe logoPublic Health England added a musculoskeletal chapter to its All Our Health guidance to help health professionals prevent ill health and promote wellbeing in their everyday practice.

This guidance helps front-line health and care staff promote the benefits of maintaining good musculoskeletal health with a focus on prevention, early detection and treatment.

PHE also recommend important actions that managers and staff holding strategic roles can take.

All our Health is a PHE led ‘Call to Action’ for all health and care professionals to embed and extend prevention, health protection and promotion of wellbeing and resilience into practice.…

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