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

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Joint effects 2011 Podiatry Biomechanics Service Jim Logan jim.logan@lanarkshire.scot.nhs.uk 01355 585447 NHS Lothian East and Midlothian Physiotherapy Service Brian Brockie brian.brockie@nhslothian.scot.nhs.uk 0131 536 8430 2,500 new patients last year accessed the service by referral from GPs, Physiotherapy, Podiatry or other healthcare providers. No self referral. Patients are able to initiate a re-referral back into the system for an existing condition providing it is within an agreed timescale. Preassessment questionnaires are sent out prior to patients first visit. There are currently ten podiatrists providing biomechanics service across NHSL. A MSK foot and ankle pathway is under development and will provide direct links into orthopaedic services in NHSL. A change in stock procurement resulted in a 20% saving on the cost of orthotic devices. Provide a skilled, accessible and equitable musculoskeletal and rehabilitation service for the population of East and Mid Lothian, in a variety of settings. Provide users with timely and clinically effective care, including assessment, treatment and advice to elevate pain, maximise function and promote self management. Provide clinical education and specialist teaching to undergraduates and post graduates. Contributes to a hospital-based consultant out-patient clinic based in Roodlands by way of extended scope physiotherapy practitioners being part of a hospital multidisciplinary team consisting of orthopaedic surgeons, rheumatologist and MSK GPwSI to provide expert assessment and treatment. Edinburgh Community Physiotherapy Service Eddie Balfour eddie.balfour@nhslothian.scot.nhs.uk 0131 536 9732 Foot and Ankle, Orthopaedic Clinic Colin Thomson colin.thomson@luht.scot.nhs.uk Provide a skilled, accessible and equitable musculoskeletal and rehabilitation service for the population of the City of Edinburgh, in a variety of out-patient settings. To provide users with timely, individualised and clinically effective care, including screening, assessment, treatment and advice to alleviate pain, maximise function and promote self-management. To provide clinical education and specialist teaching to undergraduate and post-graduate physiotherapists and other healthcare professionals. This multi-professional clinic has access to diagnostic facilities including ultrasound, x-ray, MRI and bloods. Treatment may include exercises, referral for orthotic therapy or injection therapy. Some patients may require surgery. Manchester and Oxford foot pain questionnaire is used before surgery. 38 mskscoping2011-rs.indd 38 03/11/2011 11:01
Joint effects 2011 Podiatry Biomechanics Clinic (Edinburgh, East Lothian and Midlothian) William McMurrich william.mcmurrich@nhslothian.scot.nhs.uk 0131 537 7463 Spinal Practitioner Support to Orthopaedic Spinal Service Vivienne Boyd vivienne.boyd@luht.scot.nhs.uk 0131 242 1946 West Lothian Musculoskeletal Service Orla Crummey orla.crummey@nhslothian.scot.nhs.uk 01506 522063/522057 NHS National Waiting Times Centre Innovations in Orthopaedics Birgit Clark birgit.clark@gjnh.scot.nhs.uk 0141 951 5193 The podiatry service operates throughout Edinburgh, East and Mid Lothian CHPs. Patients may self refer or be referred by any healthcare professional. Initial assessment and treatment (including supplying orthoses) is provided in community settings. Further gait analysis, orthotics and injection therapy may be obtained from the in-house MSK/Biomechanics clinic. Orthotics are manufactured on site using Podiatry Department laboratory technicians. The spinal practitioner post supports the Orthopaedic Spinal Service by performing exactly the same tasks as the surgeon, providing the appropriate screening i.e. taking a history, clinical examination, ordering the appropriate investigations, making a diagnosis and arranging the appropriate management including putting the patient on to the surgical waiting list. This service incorporates a large physiotherapy department based in St John’s hospital at Livingston and physiotherapy centres in 12 outlying clinics in primary care (many of these are part-time clinics). St John’s offers hydrotherapy and a large rehab gym as well as one-to-one treatments. Two of the new-build health centres have larger departments with gym facilities. The service receives approx 12,000 new referrals a year and services a growing population of 172,800. The population is increasing year on year (10% in the past 10 years). Referrals are from consultants, GPs and other health professionals. Self referral is possible in most centres. The patient caseload includes post-surgical, chronic pain, rheumatological, general MSK, A&E, and ENT (dizziness and TMJ) patients. The NHS National Waiting Times Centre in Clydebank is an NHS special health board which manages the Golden Jubilee National Hospital, the Beardmore Hotel and Conference Centre and the new Beardmore Centre for Health Science. It provides an elective service to help local NHS Boards meet their waiting time targets in key specialties. This service is available to patients across Scotland. The orthopaedic programme continues to grow year on year. From 30 operations in 2002 the hospital performs 300 per month. The GJNH does 15% of all joint replacements in Scotland. It takes a lead in pioneering new techniques, e.g. computer-assisted orthopaedic surgery (CAOS) and The CALEDonian Technique (enhanced recovery) leading to four days length of stay following joint replacement surgery. 39 mskscoping2011-rs.indd 39 03/11/2011 11:01
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Page 15 and 16: Joint effects 2011 13 Summary of MS
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Page 27 and 28: Joint effects 2011 Rheumatology pod
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Page 43 and 44: Joint effects 2011 Injection Therap
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Page 47 and 48: Joint effects 2011 Glossary ACL Ant

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