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MSK CATS service

MSK CATS service. Pilot Project at FGH Nov 07. CATS - Rationale. Improve patient access to service 18 week Referral to Treatment (RTT) target achieving sustaining delivery Deliver a swift and efficient pathway new models care - integration elimination duplication

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MSK CATS service

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  1. MSK CATS service Pilot Project at FGH Nov 07

  2. CATS - Rationale • Improve patient access to service • 18 week Referral to Treatment (RTT) target • achieving • sustaining delivery • Deliver a swift and efficient pathway • new models care - integration • elimination duplication • decreased number of appointments

  3. UHMB CATS • Musculoskeletal • Orthopaedics • Rheumatology • Pain • Physiotherapy • Diagnostics • Pre-operative assessment

  4. UHMB CATS - Principles • Patient focused • Improved patient experience • Patient to correct healthcare professional for their needs first time • Early diagnosis and treatment • Understand needs of stakeholder partners to develop a collaborative approach to clinical assessment at a specialised level

  5. UHMB CATS - Principles • Clinical audit • Measure outcome • Evaluate clinical outcome data • Survey views of service users • Survey views of service professionals • Continuing education programmes • Evolution

  6. Progress to date • Steering Group • Workshop • Option appraisal process for models • Development of UHMT model • Referral flows • ‘Time trial’ • Operational meetings • GP / PBC meetings

  7. Integrated MSK Pathway for UHMBT. 15/10/2007 1st appointment 2nd appointment In 2-4 weeks 3rd appointment within 2-6 weeks (if required) Referral Triage Book appointment • Patient attends for appointment • Direct assess diagnostics done • Same day treatments in OP setting, joint injections etc. • POA and listed for surgery • 2nd line diagnostics booked • Patient discharged Patient attends for treatment / surgery or further diagnostics 4th appointment within 2 weeks (if required) Within 48- 72 hours of seeing the referrer • Results back to clinicians following second line diagnostics • Patient contacted to book next appointment or discharged. • Listed for surgery Patient discharged Patient discharged

  8. Proposed Timeline • Business Case approval • Operational preparation • Terrific Tuesday • Choose & Book / CPCC • GP education • 01/01/08 – FGH • April / May for RLI/WGH ( Start prep in Jan)

  9. Key Stakeholders • Communication plan • GP afternoon • Links with PPI • ARMA group • Local volunteer organisations • PCTs • Advertise and celebrate success

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