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

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Joint effects 2011 Grampian Physiotherapy Services Lynn Morrison lynn.morrison@nhs.net 01224 555466 Musculoskeletal services are provided at several different settings – GP practice, Community hospital, District General hospital and Acute hospital. Self referral is available at some but not all sites. There are plans in place to make self referral into MSK physiotherapy services available throughout Grampian in May 2011. Staff work as a team across a locality, providing sickness and annual leave cover. Triage issued and based on knowledge of demand and capacity. There is a pilot of different assessment times (20/30/40 minutes) and local research funding has been obtained for this. Moray Occupational Therapy Judy Fairburn judith.fairburn@nhs.net 01343 567245/559461 Orthopaedic Rehabilitation Unit Eve Cruickshank eve.cruickshank@nhs.net 01224 556044 An integrated OT service between NHS and Council. Moray Occupational Therapy has a duty system for all new referrals. There is an open referral system – self referral or anyone else representing the patient. Anyone can access the service by telephone, email or letter. The unit provides a service to patients from 16 onwards with orthopaedic trauma or elective orthopaedic conditions who require specialist in-patient rehabilitation. The unit also takes patients who have had amputation following orthopaedic surgery. Improvements measured: patient satisfaction questionnaire. Outcomes measured: goal setting takes place throughout treatment. Orthotics Services Steven Lindsay steven.lindsay@nhs.net 01224 556843 Orthotics clinical and technical services are provided in Woodend Hospital and in some satellite clinics within Grampian. Currently, initial referral can be made by any medical or AHP professional, with self referral available for existing patients. The orthotic service along with the prosthetics and wheelchair services are ‘housed’ in the primary care setting, although a significant volume of work takes place within secondary care. 30 mskscoping2011-rs.indd 30 03/11/2011 11:01
Joint effects 2011 Rheumatology Fiona McCurdy f.mccurdy@nhs.net 01224 554751 Supported Discharge Service Stroke and Trauma Orthopaedics Beth Thomson beththomson@nhs.net 01224 556401 NHS Greater Glasgow and Clyde Call Centre Access and evening clinics popular with patients Paul Higgins paul.higgins@ggc.scot.nhs.uk 0141 211 142 Community Physiotherapy Services. Out-patient musculoskeletal services – Renfrewshire CHP Elizabeth Lightbody elizabeth.lightbody@ggc.scot.nhs.uk 01505 821621 The service provides specialist assessment and intervention to both in- and out-patients. The occupational therapy team has input into the Rheumatoid Arthritis Management Programme (RAMP) as well as the Adolescent Transition Service, to assist patients as they move from paediatric to adult services. The service is part of a multidisciplinary team, it offers an education programme for chronic fatigue management and provides specialist information for OTs working in community rehabilitation services. The service’s consultant uses a range of standardised measures. The service provides rehabilitation from OTs, physiotherapists and SLT within the patient’s own home for up to six weeks after early discharge from acute or specialist rehabilitation or intermediate care. Outcomes measured: individual professional measures, goal setting, service users rating own achievements. All podiatry primary and community care services use self referral or referral by another healthcare professional. All new patients referrals are by telephone using a single call centre. This operates daily from 9.00 am to 5.00 pm in the old Glasgow area (and some areas of Clyde). The model is used in some places for return patient appointments. It has proved to be popular with patients and was highlighted at a recent patient feedback day as top priority. This cannot be rolled out across the board area at the moment due to IM&T capability and capacity issues at the call centre. Evening clinics are also available where the DNA rates are close to zero. Access to services will be further simplified as part of a general AHP redesign. This service covers 30 GP practices and offers out-patients physiotherapy for most postsurgical and musculoskeletal problems. Patients are referred via their GP or other healthcare professionals. Outcomes measured: EMS, Tinetti. Record before and after completion of treatment in domicilary service. MSK use VAS etc. Injection-service-specific proforma and outcome. 31 mskscoping2011-rs.indd 31 03/11/2011 11:01
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Page 15 and 16: Joint effects 2011 13 Summary of MS
Page 17 and 18: Patient involvement Access: evening
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Page 47 and 48: Joint effects 2011 Glossary ACL Ant

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