Implementing patient-initiated follow-up in rheumatology

New guidance on implementing patient-initiated follow-up (PIFU) in adult rheumatology services is now available. For clinicians, service managers and commissioners the guidance will support the appropriate, safe and sustainable implementation and delivery of PIFU for people with rheumatological conditions who are under the care of adult rheumatology services. 

You can find the guidance on NHS England and NHS Improvement FutureNHS websites. If you are not already a member of FutureNHS platform, please visit the joingroup page to request access. You will be required to register for a FutureNHS account if you don’t already one.…

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Place-based partnerships report

The way NHS services are delivered is changing. Part of this is the development of place-based partnerships which will cover a geographical area smaller than an integrated care system (ICS). These will play a key role in integrating care and improving population health, which needs to happen more locally. The King’s Fund has produced a report on place-based partnerships to outline how this is happening and to provide local health and care leaders with a set of principles to support their approach to working at place.…

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Ride the wave

by Sue Brown, ARMA CEO

There’s been an optimistic feel to ARMA in the last week. A big part of this is down to our first ever virtual annual lecture. “Great lecture and discussion. As a patient I feel much more positive after listening to this!” said one person in the chat. Andrew Bennett opened the lecture with an update on the BestMSK Health Collaborative. This was followed by a wide ranging panel discussion on partnership with Public Health, Health Education and people living with MSK conditions.…

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State of health and care: The NHS Long Term Plan after COVID-19

State of Health reportState of health and care: The NHS Long Term Plan after COVID-19

A new report from IPPR shows the extent to which the coronavirus pandemic has disrupted progress on the NHS Long Term Plan. The report looks at cancer, mental illness, cardiovascular disease and multiple long term conditions, but the findings are equally relevant to MSK services.

The report argues that COVID-19 should not become an excuse for low ambition, and that world-class healthcare must remain the overall goal. To achieve this, the report recommends a package of six ambitious changes designed to do three things:

  • Ensure the pandemic does not cause lasting damage to healthcare services for future generations.


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Guest blog: A New Deal for Prevention

by Sebastian Rees, Researcher, Reform.

At Reform, we’ve long advocated for prevention to be central to any proposals for building a healthier Britain. Tackling the drivers of ill health early reduces demand on health care services further down the line, easing pressures on our already strained system. Far more importantly, averting or delaying the development of preventable conditions allows people to live for longer in better health. If the goal of our health system is to help people build happier, healthier lives, prevention must remain a priority. …

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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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