Joint effects 2011 - An update of the involvement - 18 Weeks

Joint effects 2011
Podiatry Service
Helen Jackson
helen.jackson@aapct.scot.nhs.uk
MSK Podiatry Service accepts self referrals, GP, physio, consultant and other AHP referrals.
A team of specialists provide assessment, diagnosis and treatment for children and adults
presenting with MSK conditions. Three team members carry out foot and ankle steroid
injections and a further three staff input to the multidisciplinary inflammatory joint disease
clinics. Special provision is made for diabetic patients who require ‘off-loading’ bespoke devices.
Functional orthoses, both bespoke and off the shelf, are provided by clinicians with technical
support. A foot and ankle MSK pathway is currently being developed which it is hoped will
improve access to imaging, bloods and orthopaedics.
Outcome measures: audit, VAS. Plan to start using the Manchester and Oxford foot pain scale.
Service Redesign in Orthotics
Colin Keith
colin.keith@aapct.scot.nhs.uk
NHS Borders
Musculoskeletal Physiotherapy in 13 locations
Maggie Stobie and May Sharp
maggie.stobie@borders.scot.nhs.uk
may.sharp@borders.scot.nhs.uk
01896 826545
Orthotics provide services across Ayrshire but currently can only be accessed through
Orthopaedics. Referral pathways to Orthotics are being reviewed as part of the MSK redesign to
allow direct access for GPs and other AHPs and an email triage system set up. Over 60% of the
service caseload involves treatment of foot and ankle conditions. Joint working with Podiatry in
treatment of diabetic and rheumatoid conditions has been established together with ongoing
clinics in Paediatrics and LDS with Physiotherapy.
Physiotherapy is delivered at 13 locations and all accept self referral. The orthopaedic ESP
includes a multidisciplinary team providing effective assessment of the routine orthopaedic
out-patient waiting list at the Borders General Hospital and creates effective management of
non-surgical cases. The patient pathway through triage has run since 2008 with future plans to
introduce the service into primary care settings.
The Physiotherapy Spinal Service has implemented evidence-based guidelines for both primary
and secondary care. They treat and manage complex spinal patients and those triaged from
the orthopaedic waiting list. The recently launched hip and knee school is part of the enhanced
recovery programme, set up to reduce patient length of stay in hospital. Patients are seen before
their operation for an hour-long education and exercise class, the classes are run jointly with
occupational therapy, enabling home requirements to be assessed and relevant equipment
delivered prior to their operation.
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