National MSK Redesign NHS Scotland and Partners* Improvement and Value Update Summary- April 2014 In 2012, a team of local and national NHS leaders set out to redesign MSK services in Scotland. The aim was to improve access, efficiency, quality and patient experience. The programme is a joint effort, with spread and sustainability work now involving all the territorial health boards of Scotland, through active dissemination of best practice knowledge and implementation of each intervention in all locations. * This document relates to work done principally by the adopter boards NHS Lanarkshire, NHS Lothian and NHS Ayrshire and Arran, their GPs and patient groups; NHS 24; Working Health Services Scotland and local Leisure services; the Scottish Government Health and Social Care Directorate; the University of Glasgow; and GE Healthcare Finnamore. The Problem AHP MSK services deal with high volume demand, currently presenting in Scotland at 400,000+ referrals per annum. 20-30% of all GP consultations are for MSK complaints, with 10 million work days lost annually from MSK problems. MSK secondary care activity is high, with duplication across GP, orthopaedic and AHP services. There is variation in patient experience in information, access, waiting times and investigations. The Approach The following new approaches were prioritised for testing with patients and staff of NHS Lanarkshire, NHS Lothian and NHS Ayrshire and Arran: Musculoskeletal Advice and Triage Service by NHS 24 National self-management platform, through NHS Inform National self-referral model through a single point of access Telephone call handler protocol triage model IT and Referral Management Electronic Referral Management Efficient administration processes Reminder Systems National MSK dataset reporting Clinical Pathways Evidenced based, person-centred pathways AHP impact on MRI Demand Minimum Standards Framework Exit Route Solutions Leisure partnerships Employability pathway MSK pathways into Specialist Pain services Mental Health pathways
National MSK Redesign NHS Scotland and Partners* Improvement and Value Update Summary- April 2014 In 2012, a team of local and national NHS leaders set out to redesign MSK services in Scotland. The aim was to improve access, efficiency, quality and patient experience. The programme is a joint effort, with spread and sustainability work now involving all the territorial health boards of Scotland, through active dissemination of best practice knowledge and implementation of each intervention in all locations. * This document relates to work done principally by the adopter boards NHS Lanarkshire, NHS Lothian and NHS Ayrshire and Arran, their GPs and patient groups; NHS 24; Working Health Services Scotland and local Leisure services; the Scottish Government Health and Social Care Directorate; the University of Glasgow; and GE Healthcare Finnamore. The Problem AHP MSK services deal with high volume demand, currently presenting in Scotland at 400,000+ referrals per annum. 20-30% of all GP consultations are for MSK complaints, with 10 million work days lost annually from MSK problems. MSK secondary care activity is high, with duplication across GP, orthopaedic and AHP services. There is variation in patient experience in information, access, waiting times and investigations. The Approach The following new approaches were prioritised for testing with patients and staff of NHS Lanarkshire, NHS Lothian and NHS Ayrshire and Arran: Musculoskeletal Advice and Triage Service by NHS 24 National self-management platform, through NHS Inform National self-referral model through a single point of access Telephone call handler protocol triage model IT and Referral Management Electronic Referral Management Efficient administration processes Reminder Systems National MSK dataset reporting Clinical Pathways Evidenced based, person-centred pathways AHP impact on MRI Demand Minimum Standards Framework Exit Route Solutions Leisure partnerships Employability pathway MSK pathways into Specialist Pain services Mental Health pathways
msk_impact_summary_document_april_2014.docx