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Background-Pre Self Referral

Self Referral to Muculoskeletal Physiotherapy Services Senga Cree - Professional Lead Physiotherapy Services NHS Lanarkshire. Background-Pre Self Referral. 30,000 MSK referrals per annum Demand exceeded capacity GP acted as gatekeeper to the service Variation in: Waiting times DNA’s

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Background-Pre Self Referral

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  1. Self Referral to Muculoskeletal Physiotherapy ServicesSenga Cree - Professional Lead Physiotherapy Services NHS Lanarkshire

  2. Background-Pre Self Referral • 30,000 MSK referrals per annum • Demand exceeded capacity • GP acted as gatekeeper to the service • Variation in: • Waiting times • DNA’s • Opportunity for patients to self manage

  3. Self Referral Model • Single point of access • Initial telephone assessment and advice • Number of exit routes • Self management • Face to face treatment • Group exercise • Case management • Chronic pain service

  4. Why this model? • Delivers equity of access • Supports the quality strategy • Clinical governance • Best value • Corner stone to delivering wider innovation in AHP MSK services

  5. Assessment Form

  6. Implementation • Project Board • Current best practice, evidence base • Stakeholders events • Call management system • IT support- patient information and electronic transfer • Staff training package • Marketing • Pilot • Data • Evaluation

  7. Impact • 22% increase in referrals • 30% discharged to self management • 4367 telephone assessments completed • Assessment completed on day of phone call or if message left within 2 working days • No wait for specialist advice (provided on average 6 weeks quicker)

  8. Impact • 30% “true” self referral • 70% go on for face to face treatment • DNA average 5% • Need for repeat treatment reduced for those receiving initial telephone assessment

  9. Three top tips • Robust systems- processes, data, IT • Staff and stakeholder engagement • Sustainability

  10. Thank you! • Any questions • senga.cree@lanarkshire.scot.nhs.uk

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