Dr Daniel Wardleworth

GP Haworth Medical Practice GPwSI MSK Airedale Consortia

What’s involved in GPwSI MSK work?

 Assessment and advice on a range of musculoskeletal conditions  Longer appointments  Patient involvement  Shared decision making

My experiences in becoming a GPwSI  Brief history  BACS Eccleshill  In house clinic at Haworth  GPwSI accreditation  Airedale Consortia  Good/Challenging bits

Brief history  12 month community MSK post  Lots of contact with physios, osteopaths and podiatrists  Large education versus service component  BIMM diploma course  Many courses and conferences!

BACS Eccleshill 2005-2010  One session per week  Support and links with more experienced colleagues  Educational meetings with secondary care clinicians  Lack of investment in service

In house clinic at Haworth  Practice based commisioning  Triage and assess orthopaedic referrals  Popular with patients  Easier to reflect on patient journeys  Re-investment in service – new couch / joint models

GPwSI accreditation  Application to primary care trust  Collecting evidence (patient feedback / audit / reflective work)  Consultant supporting letter  Panel meeting

Airedale consortia service  Set up with existing PBC services  Four GPwSIs with One Extended Scope Physio  Various locations  Short waiting times

Good bits  Confidence in dealing with large area of GP workload  Working with enthusiatic and supportive colleagues  Expanding knowledge area  Empowering patients  Drugs don’t work!

Challenging bits  GP clinics filled with complicated MSK conditions  Maintaining skills (no extra study leave)  No separate appraisal system  Building support/confidence with GP colleagues

How do I become a MSK GPwSI?

 Community MSK post  Diploma course ?University of Bradford/BIMM  Get a GP post  Develop links/support in local area