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

Joint effects 2011
Rheumatology podiatry
Adele Osborne
adele.osborne@nhs.net
01383 722911
The Rheumatology Podiatry Department provides a comprehensive Fife-wide lower limb
musculoskeletal service which also includes acupuncture and steroid injections. This is delivered
by specialists who provide the assessment, diagnosis and treatment of adults presenting with
inflammatory conditions. There are late clinics to accommodate working patients. Work is
ongoing to introduce skill mix.
Improvements and outcomes: audit, patient satisfaction survey, VAS, Care Aims with mean VAS
scores improving following podiatry interventions.
Rheumatology
Janet Harkess
janetharkess@nhs.net
01383 623623
The service provides an OT assessment, intervention and rehabilitation service for individuals
with rheumatological conditions, in clinics or patients’ own homes.
NHS Forth Valley
Extended Scope Practitioner Clinics in Orthopaedics
Lesley Dawson
lesleydawson@nhs.net
01786 434061
These clinics have played a significant role in reducing waiting times in NHS FV over the last
eight years. They assess and treat 50% of all elective orthopaedic patients, with just over
half of these being discharged at their first appointment, requiring only advice or referral to
physiotherapy or appliances.
All referrals are triaged to ensure appropriate streaming to ESP or consultant clinics. ESP see on
average seven new patients per clinic and onward referral rates are low at less than 5%.
A recent audit showed that only 2.8% of patients discharged from ESP clinics in 2009 were
re-referred back into the system and seen by an orthopaedic consultant within twelve months of
discharge.
Outcomes measured: discharge rates and a patient satisfaction survey.
27
mskscoping2011-rs.indd 27 03/11/2011 11:01