Transcript Next Steps
Next Steps
The Future State
Ongoing Work • Datasets and outcomes • IT – SCI referrals to physio, pathway stages monitoring • Ongoing measure of impact • Spinal Pathway completion in light of the Spinal Services Review Group report • Link with dimensions of Quality Strategy • Collaboration with National MSK Pathways Project
self referrers
NHS SCOTLAND MSK ADVICE AND TRIAGE SERVICE
LOW RISK
Enhanced self management resources, web, digital TV & APP
www.nhsinform.co.uk/msk
Protocol Driven TRIAGE TOOL
GP directed
Ability to identify: MEDIUM / HIGH RISK
Referred to local MSK hub for access into local services,
plus
www.nhsinform.co.uk/msk
directed from other sources • • • •
Triage Tool
Developed by expert panel Safe: identifies red flags Employment: identifies WHS Includes STaRT MSK tool: stratifies into low, medium and high risk Hill et al www.thelancet.com
29/09/11
non-emergency (non 999, A&E) callers with sprains, strains and pains of joints and muscles
WHS REFERRAL
for
those in paid employment & absent from work for over 4 weeks (Small-medium org) Ability to redirect to medical services, if safety issues
The E Clinic – future state
Leadership / Mothership
Orthopaedics – The E Clinic • Electronic vetting by consultant and ESPs • Streamline the vetting process – right person first time • Managing urgent and named referrals • Anticipated benefits – reduction in internal referrals (consultant – consultant + consultant to AHP) • Pilot of 10 /20/30 min slots – clinic profiles • Future – electronic booking from E clinic
Back to GP Return Clinic
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Clinic ESP:
•
General
•
Knee
•
Shoulder
G.P.
e-clinic
Appliance/Orthotist Physio Podiatry:
•
ESP
•
Biomechanical
•
Nail Surgery
•
Chiropody
Urgents Carpal Tunnel +/ Diagnostic General Foot & Ankle Shoulder Knee Hip Back Golden Jubilee See & Treat
Teething Issues
Teething Issues • Timing – large number of referrals pan Lanarkshire • Time – checking carestream etc • Difficulties of managing allocation to surgeons (specialism) • Communication •
It’s a learning curve !!
18 weeks RTT Workbench • Orthopaedic pathways built on trakcare • Each stage of patients journey identified and times applied • Plan in place to role out access across NHSL
Prospective monitoring at a patient level !