Knowledge Portal

The MSK Knowledge Hub is part of the partnership between the Arthritis and Musculoskeletal Alliance and NHS England. The aim is to provide a searchable resource library for people working on support for people with musculoskeletal conditions. If you have musculoskeletal-related articles or documents which meet our criteria you’d like to share, please register and then use the add a resource button to let us know. The Hub incorporates an interactive MSK Forum enabling people to discuss and share views.

The MSK Knowledge Hub is a new project. We are in the process of uploading resources. Please let us know of any resources that are missing and you think should be included.

Patients presenting with MSK problems make up to 1 in 5 primary care consultations and 10% of GP referrals. Enabling people to self-refer to MSK first contact practitioner (FCP) services can speed up access to treatment, reduce GP workload and associated costs, reduce unnecessary diagnostic referrals, increase self-management and reduce inappropriate referrals to secondary care.

To support clinicians, managers and commissioners in their efforts to forecast and monitor these impacts, we have developed an easy to use tool; the MSK First Point of Contact Model.


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Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management
This guideline was developed by a group of clinicians and scientists with expertise in vitamin D and osteoporosis. This is a clinical guideline intended to inform patient management.


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Quality Standards for Osteoporosis and Prevention of Fragility Fractures
Identifying vertebral fractures systematically has proven challenging for all clinicians and currently more than two-thirds are undiagnosed. The purpose of this guidance is to ensure that all vertebral fractures are systematically identified, reported using clear terminology to the referring clinician and lead to appropriate management to avoid further fragility fractures.


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Clinical Guidance for the Effective Identification of Vertebral Fractures
Derived from current guidance, these seven standards reflect high-quality practice across the fracture prevention pathway. Detailed criteria and measures are included to allow evaluation of service performance. They provide the foundation for Peer Review of osteoporosis services.


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Bisphosphonates in primary care: starting, reviewing and stopping

In this interactive webinar, the GP and rheumatologist presenters, acknowledging the multiplicity of guidance on osteoporosis management, present a pragmatic approach to risk assessment, treatment initiation, patient reviews, and drug 'holidays' or cessation. A reference flowchart and potential targets for audit is also provided.


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