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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Consultation on new Chiropractic Quality Standard: Osteoporosis

The Royal College of Chiropractors has opened a consultation on a draft Osteoporosis Quality Standard and is seeking the views of all stakeholders including interested organisations, chiropractors, other healthcare professionals, patients and the public.

rcc logo Comments are invited on any aspect of the document including its relevance and applicability to the chiropractic profession, the achievability of the standards described in the quality statements, the utility of the quality statements in terms of promoting best care, the document’s accuracy and validity in terms of the evidence base and the clarity of the content to practitioners, patients and other stakeholders.…

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CEO update: Let’s all get on the bandwagon together

As I sat down to write this, NHS Chief Executive Simon Stevens was on the radio talking about plans to increase the ability of patients to see pharmacists and physios rather than a GP as their first point of contact in the NHS. Ensuring we have the right workforce to meet the growing health needs of an ageing population is a real challenge. ARMA’s different professional members have a lot to contribute, as I discovered when I spent a day at the Royal College of Chiropractors conference.…

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CEO update: The NHS Long-Term Plan – it’s what happens next that matters

NHS logo

by Sue Brown, CEO ARMA

The NHS Long-Term plan was published earlier this week. I was pleased to see quite a bit about musculoskeletal health throughout the document. There has been lots of immediate reaction, positive and negative. I think now is the time to focus on the positive, so here are my highlights.

The first reference to musculoskeletal health comes early on, (para 1.17) but seems to be mostly about frailty and older people. Great, I thought as I read this, but MSK isn’t just about older people.…

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