Bedfordshire MSK Service Scope The scope of the MSK service is: Adults - Patients aged 18 and over MSK related physiotherapy (including SPD/back pain in pregnancy but not continence issues) MSK podiatry (non MSK podiatry goes direct to provider e.g. in growing toe nails, corns and diabetes) Community MSK (ESP and GPSI) clinics Orthopaedics (trauma is out of essentially any pathway that began in A&E once they are – – discharged or if the GP does the referral it is in scope) Spinal surgery (undertaken by Neurosurgery/ Orthopaedic spinal surgery) Podiatric surgery (except for that relating to toe nails! -that should go straight to the provider) Rheumatology Chronic pain (MSK related) Out of scope includes: Under 18s direct to acute trust provider –refer Orthotics- should be referred direct to acute orthotics department (podiatry only provide simple insoles) Suspected cancer should be referred on 2 week wait pathway Suspected cauda equina should be referred directly to A&E. Neurology, falls or continence related physio should be referred direct to provider – Trauma (see above) Neurosurgery relating to neurology conditions, tumours, surgery etc.
Bedfordshire MSK Service Scope The scope of the MSK service is: Adults - Patients aged 18 and over MSK related physiotherapy (including SPD/back pain in pregnancy but not continence issues) MSK podiatry (non MSK podiatry goes direct to provider e.g. in growing toe nails, corns and diabetes) Community MSK (ESP and GPSI) clinics Orthopaedics (trauma is out of – essentially any pathway that began in A&E – once they are discharged or if the GP does the referral it is in scope) Spinal surgery (undertaken by Neurosurgery/ Orthopaedic spinal surgery) Podiatric surgery (except for that relating to toe nails! -that should go straight to the provider) Rheumatology Chronic pain (MSK related) Out of scope includes: Under 18s –refer direct to acute trust provider Orthotics- should be referred direct to acute orthotics department (podiatry only provide simple insoles) Suspected cancer should be referred on 2 week wait pathway Suspected cauda equina should be referred directly to A&E. Neurology, falls or continence related physio – should be referred direct to provider Trauma (see above) Neurosurgery relating to neurology conditions, tumours, surgery etc.
BedfordshireMSK_ServiceScope.docx