Health Policy | ARMA

Guest Blog: Active Hospitals – OUH SEM Pilot

The Oxford University Hospitals Foundation Trust Pilot

By Dr Christopher Speers, Sport and Exercise Medicine Consultant Oxford University Hospitals Foundation Trust

Physical inactivity is the fourth leading cause of death worldwide¹ and it contributes significantly to the worldwide burden of non-communicable disease^{2, 3}. Hospitals, historically, have been dominated by a culture of rest⁴. Promoting rest contradicts the evidence which clearly demonstrates that disease outcomes are better for moving more and that post hospital syndrome, or hospital deconditioning, leads to increased risk and adverse outcomes^{5, 6}.…

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Ration Watch – Surgery

ARMA has been working with the Medical Technology Group (MTG) to raise concerns about increasing rationing of joint replacement surgery.

The MTG is a coalition of patient groups, research charities and medical device manufacturers working to improve access to cost effective medical technologies for everyone who needs them. MTG has concerns about treatment rationing in general and have launched the Ration Watch campaign to highlight care inequality and the impact it has on patients’ lives.

Ration Watch aims to expose the scale of rationing and the issues around local commissioning across the UK.…

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Closing the workforce gap

The Health Foundation, Kings Fund and Nuffield Trust recently published a report Closing the Gap: key areas for action on the health and care workforce. The report looked at two areas – nursing and general practice, both very relevant to MSK health care. At the moment the future looks bleak, with 41,000 nursing vacancies in the NHS and another 5,000 in social care. There are 2,500 fewer GPs than are needed. The report, however, is optimistic that these shortfalls can be addressed, provided policy changes are made.…

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NASS delivers inaugural meeting of the first ever APPG on AS

Last week saw a momentous event for people living with axial SpA (AS) in the UK, when NASS held the inaugural meeting of the first ever all-party parliamentary group (APPG) specifically for Axial Spondyloarthritis. Parliamentarians, policy makers, clinicians, healthcare commissioners and NASS members and staff came together to identify and address concerns about AS care.

You can read NASS CEO Dr Dale Webb’s reflections on the meeting and more of what’s to come from NASS’ Every Patient, Every Time campaign.

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:

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

…

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