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

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Joint effects 2011 Trauma and Elective Hand Clinics Sarah Dalgleish sarah.dalgleish@nhs.net 01382 425668 These plastic surgery hand clinics are staffed by OTs and physiotherapists, who assess and treat patients appropriately and are then able to discharge them without consultant follow up. This enables waiting lists to be reduced and improves patient care. Improvements measured: reduction in plastic surgery waiting times. Outcomes measured: TAM scores, VAS recorded before and after completion of treatment. Virtual Ward (Community Rehabilitation) Denise Connon denise.connon@nhs.net 01382 425665 The aim of the virtual ward construct is to provide a co-ordinated, multidisciplinary approach to identifying people living with long-term conditions and to intervene earlier in their disease trajectory to improve quality of life and reduce use of unplanned health and social care services. The principles of the Virtual Ward have been prioritised in NHS Tayside through Steps to Better Health and recently aligned within new overarching Integrated Community Services (ICS) work streams in each CHP. Four Dundee and three Perth practices are involved in the first wave. Working Health Services Cathy Grieve cathy.grieve@nhs.net 01382 825100 This new NHS service was launched in 2008, it aims to assist employees (who live and/or work in NHS Tayside) of small to medium-sized enterprises (SMEs) to remain in or return to work quickly after a period of absence. SMEs are companies with less than 250 employees and most do not provide access to Occupational Health services. The service offers access to a range of services including physiotherapy, case management, occupational therapy and counselling. Outcomes measured include: COPM, EQ5D and HADS, assessments are completed at entry and discharge from the programme. 44 mskscoping2011-rs.indd 44 03/11/2011 11:01
Joint effects 2011 NHS Western Isles Musculoskeletal Physiotherapy, class-based exercise groups Sheila Nicolson sheila.nicolson@nhs.net Self Referral Clinic at the Physiotherapy Department Sheila Nicolson and Nico Groenendijk sheila.nicolson@nhs.net nico.groenendijk@nhs.net 01851 708258 Physiotherapy Services across Western Isles Nico Groenendijk nico.groenendijk@nhs.net 01851 704704 ext. 2258 Following an audit of the type of condition referrals to OP MSK Physiotherapy, class-based exercise groups have been initiated in the Physiotherapy Department, Western Isles Hospital. A Back to Fitness class was commenced in June 2009 for clients with chronic low back pain. A Lower Limb class was commenced in July 2010. Both of these classes are led by a physiotherapy clinical support worker. The classes are based on six weekly circuit classes, consisting of warmup, stretches, circuit-based exercise and relaxation. All clients are assessed prior to attending the classes, clients for the Back to Fitness class using the Roland-Morris Disability questionnaire, clients for the Lower Limb class, using both the KOOS knee survey or the Aggregated Locomotor Function (ALF) score. These classes are audited regularly and the outcome of attendance assessed. Overall the outcomes and feedback are excellent. There is a weekly self referral clinic at the Physiotherapy Department, Western Isles Hospital, Stornoway. This commenced in September 2008. This drop-in clinic allows patients to self refer to Physiotherapy without having to attend their GP first. The DIC operates every Thursday afternoon, from 3.00 pm to 5.00 pm. By July 2011 approximately 3,000 attendees had self referred via this route. Ongoing patient satisfaction surveys of DIC clients indicate that this service is well received, feedback has been very positive. NHS Western Isles Physiotherapy Department employ an extended scope practitioner, who works in the orthopaedic clinic and fracture clinic. The ESP currently vets the orthopaedic waiting list and is able to assess and treat patients directly from this list. He is also able to list for surgery, administer cortico-steroid injections, refer onwards to other specialised centres, request plain x-ray, CT and MRI and ultrasound. The ESP routinely reviews all post-elective arthroplasty patients and post-operative hip fractures in the orthopaedic clinic. This service has helped to reduce orthopaedic waiting times and provides a more streamlined service. There are discussions taking place as to how the ESP post could support a remote rheumatology service to NHS Western Isles in the future. 45 mskscoping2011-rs.indd 45 03/11/2011 11:01
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Joint effects 2011 - An update of the involvement - 18 Weeks

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