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

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Joint effects 2011 Joint effects 2011 provides an important insight into the role of allied health professionals in delivering care to musculoskeletal patients in Scotland. Since the scoping in 2005, a great deal of progress has been made in improving care for patients including improved patient involvement schemes, self referral processes and the development of outcome measures for musculoskeletal conditions. However as our own recent research has found, the quality of musculoskeletal services in Scotland continues to vary between different health boards. It will thus be important that the good practice identified in this work is spread widely across individual boards. Ros Meek Director Arthritis and Musculoskeletal Alliance We at Keele University are delighted to be working together with the MSK redesign team in Scotland to pilot the suitability of the STarT MSK tool which is a modification of the hugely successful STarT Back tool. This work takes forward recent primary care research demonstrating the benefit of stratified models of care for low back pain problems, recently published in The Lancet. This project seeks to build on this proven decision aid and will expand this approach to individuals with a range of musculoskeletal conditions. In collaboration with the MSK redesign team in Scotland we will ensure that the new risk stratification approach can safely assist the selection of the large group of low-risk patients who are unlikely to benefit from additional interventions beyond minimal packages of reassurance and information. We also anticipate that our stratified approach will help to facilitate patient access to treatment resources for those who really need them in a timely and cost-effective manner. I would like to congratulate this team for trail blazing an exciting path that is likely to have substantial benefits for MSK patients in Scotland. Well done! Dr Jonathan Hill Arthritis Research UK Lecturer in Physiotherapy Keele University 4 mskscoping2011-rs.indd 4 03/11/2011 11:01
Joint effects 2011 Contents The policy context 6 The musculoskeletal umbrella 6 Person-centred, safe and effective 7 The National Musculoskeletal Redesign Programme 8 Multi-professional MSK care pathways 8 The National Advice and Triage Service 8 Working Health Services Scotland 11 The 2011 Scottish AHP MSK scoping 12 Wider aims 12 Method 12 Findings 12 Conclusion 13 Summary of MSK services 15 Overview 16 Service descriptions 20 Glossary 47 5 mskscoping2011-rs.indd 5 03/11/2011 11:01
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