Preventing Chronic Disability from Low Back Pain - Welfare.ie

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9. PROMOTING THE RENAISSANCE PROJECTTo assist in the dissemination of the guidelines on which the project is basedand to encourage their implementation in other areas the author has:●●made the ‘Back Book’, published by TSO (the UK Stationery Office),available, free of charge, to DSFA customers and relevant organisationsobtained commitments from1) the Board of the Faculty of Occupational Medicine of the Royal Collegeof Physicians of Ireland2) the Health and Safety Authority3) the Council of the European Union of Medicine in Assurance and SocialSecurity (EUMASS)to endorse the European Guidelines on Best Management of Acute Low BackPain, to assist in their dissemination and to encourage their implementation●●Made several presentations at conferences nationally and internationallyto medical and relevant non-medical audiencesContributed to the media dissemination of the guidelines.10. CONCLUSIONSThe Renaissance Project employing early intervention by the DSFA has resultedin a significant reduction in the progression to chronic disability from simpleLBP. The impact of this early intervention in the acute stage should result notonly in the improved health of LBP suffers in the long term but also indecreased health care costs, reduced absenteeism, increased production andsignificant savings in long-term illness benefit schemes.12
11. RECOMMENDATIONSWhereas, unilateral intervention by the DSFA has proved to be effectivein reducing chronic disability from LBP, it is only part of a solution to amulti-faceted problem.Ideally, to sustain and improve the effectiveness of early intervention a coalitionof disability managers, mainly representing those players listed in 3.1 above,needs to be formed. This coalition should implement a universally agreed,evidence-based protocol for best management of LBP.In this regard some initial progress has been made. The Health and SafetyAuthority, in association with the DSFA, is to launch a poster campaign toeffect a change in the attitudes and beliefs of the general public regarding LBP.This initiative has been endorsed by the majority of the role players.12. EXTENDING THE PRACTICE OF EARLY INTERVENTIONAs a consequence of the results being achieved in the project it was decided toextend beyond June 2003 the processing of LBP cases in the manner describedabove This involved the targeting of a further 8,400 cases in Dublin, Cork andGalway in the period July 2003 to June 2004. Approximately 3,700 of thesecases have been referred for assessment and the findings to date haveremained consistent with those in the project. (See Appendix J).13
Page 1: Preventing Chronic Disabilityfrom L
Page 6 and 7: AcknowledgmentsThe author wishes to
Page 8 and 9: RENAISSANCE PROJECTPreventing Chron
Page 10 and 11: In appreciation of the facts that:a
Page 12 and 13: 7. MEDICAL ASSESSMENTSAs part of th
Page 16 and 17: 14APPENDICES
Page 18 and 19: APPENDIX A2:FORMS DESIGNED FOR USE
Page 20 and 21: 3.2 CAUDA EQUINA SYNDROMEYES NO●
Page 22 and 23: C: MEDICAL REPORT ON BACK CONDITION
Page 24 and 25: APPENDIX BGROWTH IN ILLNESS SCHEMES
Page 26 and 27: APPENDIX CSTATEMENTS FROM INTERNATI
Page 28 and 29: APPENDIX EOUTCOMES OF MEDICAL ASSES
Page 30 and 31: APPENDIX FOUTCOMES FOR APPEALS CASE
Page 32 and 33: APPENDIX GANALYSIS OF CLAIMS DURATI
Page 34 and 35: APPENDIX HOUTCOMES OF CALLS FOR ASS
Page 36 and 37: APPENDIX IESTIMATED SAVINGS FROM PR
Page 38: Table J: Comparison of outcomes of

Preventing Chronic Disability from Low Back Pain - Welfare.ie

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