Trafford Integrated Community Musculoskeletal (MSK) Service

Descriptions

The Trafford Integrated Community MSK Service will treat patients with a range of MSK conditions including their feet; serving as an alternative to hospital treatment for the majority of patients. Patients will be referred to secondary care only when there is a need for such services. Aims of the service: •Provide a comprehensive service offering patient choice, improvement in quality of life and individual client centred treatment •Flexible and responsive service •Maximise integration delivering excellent patient experience, avoid duplication and achieve good clinical outcomes •Reduce waiting times •Increase access •Provide value for money •Reduce GP referrals to outpatients in orthopaedics, rheumatology and pain management Key objectives: •Ensure that patients: ocan be managed within the capacity and capability of one integrated service oare supported to self-manage oreceive access to high quality interventions •Stakeholders are satisfied with the service and kept well informed and involved in their care •Increase conversion rates from outpatient attendances to surgery •Achieve reduction of orthopaedic, rheumatology and pain management referrals to acute hospitals •Enable GPs to use the service as alternative to Secondary Care •Work with GPs to increase their knowledge and confidence of diagnosis and management of MSK conditions and improve outcomes for patients Key stages of the MSK service: •Seamless care pathways •Shared Decision Making •Prevention, support for self-care and advice to patients, carers and professionals •Physioline •Clinical assessment including screening for serious conditions and pathology indicators •Treatment including medicines management •Shared management with the patient’s GP •Management and prevention of MSK complex/chronic pain •Onward referral as appropriate for surgical interventions The contract has a set of health outcomes and improvements built in as deliverables, including: •Increase the percentage of patients, completing treatment, reporting high levels of patient satisfaction •High number of patients reporting they feel confident to self-manage their condition •Provision of patient, carer and referrer education •Reduce waiting times for patients with MSK conditions •Transfer activity from an acute setting to the community •Improve the clinical pathway by developing joint working between primary and secondary care providers •Increase the management of patients in primary care without the need for referral •Reduce health inequalities by improving access •Seek and act on the views of patients in planning change to the service •Minimise the number of patients presenting at GP Practices with MSK Chronic Pain •Provide services convenient to the needs of patients •Improve patient experience •Demonstrate increasing conversion rates for surgery (for referrals from the service to secondary care)