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

Joint effects 2011
Forth Valley Back Pain Service and Exercise Classes
Norma Turvill
nturvill@nhs.net
The strength of the service lies in its capacity to direct patients to the part of the service that
can help them the most. Patients can refer themselves to the Physiotherapy Department where
they will be thoroughly examined and talked through a treatment plan. Exercise is an essential
part of back care and Forth Valley has classes to suit all abilities, these can be accessed by
self referral or referral by the physiotherapist. A pain management programme is in place for
patients with longer term problems and the service can also give advice about workplace issues.
Patients who require a second opinion or further investigation can meet with an extended scope
physiotherapist practitioner who specialises in back pain via the Orthopaedic Department.
Improvements measured: outcomes from the orthopaedic clinic are recorded, e.g. discharged,
exercise programme, pain management, investigations, onward referral, physiotherapy.
Outcomes measured: before and after treatment by pain management programme – TSK,
coping skills inventory, exercise programme – VAS, exercise options taken up.
Forth Valley Physiotherapy
Catriona Phin
catriona.phin@nhs.net
01786 434061
Occupational Therapy for In-patients
Rosina McGuire
rosina.mcguire@nhs.net
01324 567435
Orthotic Services (Open Referral)
Lynne Rowley
lynne.rowley@nhs.net
01324 616084
This Forth-Valley-wide service includes a staff physiotherapy service, injection clinics, specialists
in hands, paediatrics and women’s health. Close links with local GPs and orthopaedic clinics
with ESP physiotherapists working in orthopaedic and rheumatology clinics
Outcomes measured: WOMAC, KOOS, Roland and Morris, HAD, TSK, VAS, DASH, MYMOP,
although outcomes not recorded with all patients.
The OTs perform an assessment and then the rehabilitation of acute trauma and elective
patients to enable a safe and effective discharge home.
The service has an open-access referral system with clinics held in hospitals and health centres
with ward cover at weekends when required.
Improvements measured: audit of referral-to-treatment dates compared to standard orthopaedic
pathway.
Outcomes measured: the foot function index and pain scale being recorded before and after
treatment where possible.
28
mskscoping2011-rs.indd 28 03/11/2011 11:01