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MSK Pathway Guiding Principles Focus on individuals quality of life

MSK Pathway Guiding Principles Focus on individuals quality of life Prevention is key – first do no harm Education to change beliefs and attitudes Equity of access Multi-speciality service Affordability (individual/society) Supported by best evidence and best practice examples

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MSK Pathway Guiding Principles Focus on individuals quality of life

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  1. MSK Pathway Guiding Principles • Focus on individuals quality of life • Prevention is key – first do no harm • Education to change beliefs and attitudes • Equity of access • Multi-speciality service • Affordability (individual/society) • Supported by best evidence and best practice examples • Innovation encouraged

  2. Principles at each Point of the Pathway • Sickness prevention & health promotion emphasised at each point of contact by all health professionals. • Use of informed decision making with patients at each point of the pathway. • Patient agreed outcome measures at each stage.

  3. South Central MSK Pathway GW/RW 23.11.2010 Patient Agreed Outcomes Measured Along Pathway 48 Hours 48 hours to 14 days 18 weeks GP Prevention & Education Promote Self-Management Patient Choice On Decision To Consult Telephone advice line – Self management ICATS (Integrated Clinical Assessment and Treatment Service) Specialist Capability: GP Therapist Surgeon Rheumatologist Pain Psychology/CBT Diagnostics Dietetics MDT learning Surgery ERP Principles A&E Physio – Direct access STarT Back Questionnaire On Line Telephone In person 3rd Sector Patient Support Groups Advice & Guidance Hip and knee School Discharge planning Locally Determined Venue Non NHS Specialist Informed Decision Making at each point in the pathway

  4. Patient and Clinician together reach an Informed Decision Tools are available to assist Clinician’s expertise lies in diagnosing and identifying treatment options Patient’s role is to communicate values and personal priorities Informed decision making 4

  5. Startback tool Psychosocial obstacles to recovery – enhanced package – CBT practitioners High risk Explanations – coaching/pain relief Medium risk Reassurance , pain relief Low risk

  6. Oldham’s Planned Service Model Programme Budgets Community programme hubs delivering commissioning within programme budgets Move away from PbR and devolve programme budgets to main secondary care providers Federated partnership between PCFT and PCO LLP

  7. Programme budget

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