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

Joint effects 2011
Person-centred, safe and effective
The three national quality ambitions for NHSScotland clearly state that all services will
be person-centred, safe and effective. Alongside this, a wide ranging and evidencebased
work programme underpins the National Musculoskeletal Redesign Programme.
● ● 2005 AHPs do count. The AHP Census Day demonstrated that neuro-MSK and
orthopaedic patients represent 65% of the caseload of occupational therapists,
physiotherapists and podiatrists.
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2006 to 2009 National work and publications on patient self referral
(www.selfreferralphysioinfo.com).
2007 Co-ordinated, integrated and fit for purpose – the delivery framework for
adult rehabilitation (SGHD).
2009 NHS Quality Improvement Scotland (NHS QIS) published a systematic review
on service delivery organisation for acute low back pain recommending that the
physiotherapy management of low back pain (LBP) should take account of existing
evidence-based guidelines.
● ● 2009 Health works, The SGHD’s Fit for Work Service will allow workers to access
rapid diagnosis and referral to services for common physical and mental health
conditions in a bid to reduce their time out of work.
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2009 National physiotherapy low back pain audit – Improving back care in
Scotland (NHS QIS) identified that over 55,000 people each year are referred
to physiotherapy with back pain. Audit cycles demonstrated improvement in
recording of red and yellow flags, improving patient safety and treatment in line
with best guidance.
2010 Scottish backs (www.scottishbacks.co.uk) a web-based relaunch of the
award-winning Working Backs Scotland.
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2010 A national dataset of clinical outcome measures for MSK conditions. Nine
measures were agreed, based on a review of the literature and professional
consensus. These measures will be used across Scotland.
2010 The healthcare quality strategy provided reinforcement that services need to
have a direct and positive impact in supporting everyone in Scotland to live longer
healthier lives and to participate more productively both economically and socially.
Increased effectiveness, efficiency and productivity of the health sector in Scotland
will make a significant and direct contribution to economic growth. It focuses on
three quality ambitions: safety, effectiveness and person centredness.
2010 Realising potential, an action plan for AHPs in mental health reflected the
key role of rehabilitation within mental health services. This rehabilitation-focused
initiative builds on the understanding that both physical health and mental
wellbeing are integral to all AHP services and future healthcare provision.
2010 The Evaluation report of Lothian and NHS 24’s telephone physiotherapy self
referral pilot identified benefits for patients in being able to access physiotherapy
via the telephone. However, in terms of sustainability and cost effectiveness, the
evidence for that particular operating model was less convincing.
2011 From strength to strength: Celebrating 10 years of the AHPs in Scotland
(SGHD) identified significant developments in the MSK AHP workforce in terms of
their extended roles in diagnostics, prescribing and advanced treatments.
2011 Achieving sustainable quality: A 20:20 vision, most recently published by the
Scottish Government, clearly articulates the need for services to play their part in
achieving sustainable quality. It also recognises the challenges healthcare will have
into the future and the need for them to be radically different. It calls on health
services to be bold enough to be able to meet these future demands in a way that
is sustainable by making changes to turn vision into reality.
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