Workforce planning chart for MSK

The launch of NHS England’s Best MSK Health programme gives the population’s musculoskeletal health in England a focus and priority like never before, and much needed in the wake of the COVID-19 pandemic. 

NHS England waiting times data shows people with serious MSK conditions needing diagnosis and treatment by rheumatology and elective care services are waiting much longer. The same is true for community MSK services and treatment. At the other end of the spectrum, for people who previously had no long-term conditions, the lockdown effect on mental well-being, exercise and weight-gain are significant obstacles to their musculoskeletal health now and into the future.…

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Welsh Government MSK consultation

Open Consultation

Arthritis and long-term musculoskeletal conditions in adults

Consultation ends 30 July 2021

The Welsh Government has released a consultation document: Arthritis and Long-term Musculoskeletal Conditions in adults. This guidance is currently being developed to replace the Welsh Government’s Service Development and Commissioning Directives for Arthritis and Chronic Musculoskeletal Conditions [2006].

The new consultation seeks views on the proposed direction of the draft guidance and closes on 30 July 2021.

Please see the links below to the consultation documents:

The document provides definitive models of access and advises health boards on designing, planning and managing person-centred services for adults living with arthritis and long-term musculoskeletal conditions.…

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Green shoots

As I write this, the sun outside my window is shining and swathes of blue and yellow crocuses bloom in the local parks. As if that were not enough to lift the spirits, last night saw the launch of NHS England’s Best MSK Health programme. ARMA has worked for many years to raise the profile of MSK health. We have made some progress, often in very specific areas, such as the introduction of First Contact MSK Practitioners a few years ago.…

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#BestMSKHealth programme launch

NHS England has launched a new programme with the aim of sustaining the delivery of evidence-informed, personalised, high-quality integrated healthcare of value to all. This new initiative, part of the Pathways for Better Health Programme, significantly increases the resource to support MSK service delivery.

The programme covers the breadth of MSK including orthopaedics, rheumatology and pain, spanning primary secondary and community services. You can watch the launch event here.

The programme has ten workstreams, each led by a relevant clinical specialist:

  • Diagnostics
  • Orthopaedics
  • Rheumatology
  • Primary and Community MSK Provision
  • Spinal Services
  • Falls, Fragility Fractures and Osteoporosis
  • Data, Validation and Coding
  • Communications and Developing MSK Networks
  • Supporting those with Long Term MSK Conditions
  • Outpatients

There is the intention to ensure that the programme is coproduced involving the range of stakeholders including people with lived experience and patient organisations.…

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Proposed Health Index consultation

The Office for National Statistics is consulting on a new measure for health in England, recognising that the nation’s health is an asset – as important to the economy and wider society as it is to the individual. The proposed health index not only measures how healthy people are today but also looks at the wider social and economic circumstances that will influence our – and the next generation’s – ability to live healthy lives in the future. Tracking these indicators over time provides the opportunity to finally look beyond GDP as a sole measure of national success.…

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NICE to develop Interventional Procedures Guidance

NICE is developing Interventional Procedures Guidance: Supercapsular percutaneously assisted total hip arthroplasty for osteoarthritis IP1842.

Hip osteoarthritis can cause pain, stiffness and difficulty walking. Standard surgery to replace the joint (total hip arthroplasty) involves cutting tendons and muscles and pulling the hip joint apart to insert the new metal joint. In this procedure, a small cut is made in the skin (percutaneous). Muscles and tendons are moved apart to access the hip joint. A metal joint is inserted without fully pulling the hip joint apart (supercapsular).…

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CEO update: Promoting MSK health

The incidence of MSK conditions, particularly neck and shoulder pain, has gone up during the pandemic. This represents a significant amount of pain that would not have happened without the pandemic changing the way we live and work. Which got me wondering how much of the pre-pandemic MSK conditions would have been preventable.

MSK ill-health represents many thousands of lives impacted and restricted by pain and poor mobility. However great the services we have, prevention is the better option where possible.…

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The Campaign for orthopaedics surgery ‘goes’ to Parliament

On Monday 23 November 2020 the campaign to prioritise extra capacity in orthopaedics surgery ‘went’ to Parliament in the form of a roundtable event. The virtual roundtable brought together a wider range of stakeholders including representatives of charities, surgeons, clinicians and industry to make the case in Parliament as to why orthopaedics should be a priority for the NHS over the next few years.

The event was hosted by Dr James Davies MP – a GP, member of the Health and Social Care Select Committee – and a Conservative MP for the Vale of Clwyd in North Wales.…

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Guest blog: A rollercoaster year in MSK

by Andrew Bennett, National Clinical Director for Musculoskeletal Conditions NHS England and NHS Improvement

It’s been a year since I was fortunate to attend the annual ARMA lecture at the canal museum in London and enjoyed a fantastic talk by Brendan Stubbs about physical activity and mental health. New to the role of National Clinical Director for MSK, this was the first time I met Sue Brown the CEO of ARMA, as well as number of other colleagues from the MSK world.…

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Understanding shielding – a briefing for clinicians

The information in this briefing is based on the collated experiences of many of those shielding and information from patient helplines about the enquiries they were receiving earlier this year. For more information about the experiences of people with MSK conditions during lockdown, please see the report ‘MSK Lived Experience Themes of What Matters.’

Earlier this year, over 2 million people including some with musculoskeletal conditions, received a letter advising them to “shield” by remaining in their homes for 12 weeks.…

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