Getting It Right First Time – reducing unwarranted variations

Getting It Right First Time (GIRFT) is a national, clinician-led programme, created to help improve the quality of medical and clinical care within the NHS by identifying and reducing unwarranted variations in service and practice.

This webinar explores the philosophy behind GIRFT, its methodology, including the deep dive data analysis and peer-to-peer engagement with frontline medics, and importantly the benefits it has brought in improving patient outcomes and delivering efficiencies through the sharing of best practice.

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The Musculoskeletal Health Questionnaire

Musculoskeletal disease (MSK) is one of the largest single sources of disability in the UK and MSK services are making major changes to address growing demands. To date few direct measures of health status have been in place which could be used across the spectrum of MSK to inform service improvement. The introduction of the Musculoskeletal Health Questionnaire (MSK-HQ) has been developed to meet this need.

The webinar introduces different possible applications from audit, quality improvement and performance evaluation through to facilitating communication and personalised care with individual patients. The role of Patient Reported Outcome Measures (PROMs) will also be discussed.

The webinar provides an overview of their experiences and plans for use of MSK-HQ in various NHS settings. This webinar will be of relevance to any health professional, manager or commissioner concerned with MSK service provision.

New models of MSK Masterclass

NHS England with its national partners and individual organisations are collaborating to establish new models of MSK care for promoting health and wellbeing and providing care that can be replicated more easily in other parts of the system.

This webinar looks at how we can build on current service provision for people with MSK conditions in order to identify how and where current services and support can be improved and reflects how this new programme of work has influenced the commissioning of MSK services
The webinar is jointly presented by Dr Christian Verrinder and Dr Giles Hazan, both Clinical Leads who have worked closely with their respective CCG’s to help design, procure and develop integrated musculoskeletal services across Sussex and Dorset. The target audience will be MSK professionals and commissioners – both clinicians and non-clinicians who work in primary and secondary care, CCGs and Healthcare providers.

One stop Multidisciplinary clinic for patients with Fibromyalgia

Fibromyalgia is a condition affecting around 2% of the adult female population. It is characterised by generalised widespread pain with a spectrum of other symptoms including disturbed sleep and fatigue and is frequently associated with psychological comorbidity. Current guidelines for diagnosis reflect the spectrum of symptoms experienced by patients and this is reflected in treatment recommendations.

In this webinar best practice with regards to the diagnosis and treatment of fibromyalgia is discussed with an emphasis on management in primary care. The most recent treatment recommendations are presented along with a discussion on recent moves away from an emphasis pharmacological therapy.

Clinical Service Accreditation: achieving better value for MSK services

Accreditation helps clinical services become better organised to achieve change and reduce variation, and improve value. It provides motivation, recognition and reward. The CQC is using information from accreditation to inform its inspections and has indicated it would like to see more widespread accreditation of clinical services.
The Clinical Services Accreditation Alliance (CSAA) is a collection of colleges, professional bodies, regulators, commissioners and patients who have come together to standardise and improve the quality of healthcare service accreditation, ensuring accreditation is patient focused, leads to improvements in standards of care. They have developed a strategic approach to accrediting clinical services to bring consistency, leverage an integrated approach to care and to reduce burden and costs.

This webinar describes the methodology, potential benefits of accreditation and indicate why MSK is perfectly placed to be an early adopter.

How to help people ESCAPE the misery of chronic joint pain

NICE guidelines recommend people with osteoarthritis receive information and advice about self-management, exercise and weight control. Unfortunately, few people receive these interventions.

ESCAPE-pain (Enabling Self-Management and Coping with Arthritic Pain using Exercise (www.escape-pain.org | @escape_pain) is a group-based, 6-week rehabilitation programme which combines exercise and education. Participants learn how to manage chronic joint pain and the interactions of the group are powerful in changing health beliefs and increasing physical activity. The Programme can also help people avoid/delay joint surgery.

ESCAPE-pain is both clinically and cost effective and is endorsed by the British Society of Rheumatology and Royal Society of Public Health. ESCAPE-pain was adopted as a case study in NICE’s Quality, Innovation, Productivity and Prevention programme [2013] and delivers the NICE core recommendations of exercise and education for the management of osteoarthritis. It is currently delivered at 27 sites across England including physiotherapy departments, community leisure centres and workplaces.

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Coordinating a person-centred pathway to high quality care for people with rare autoimmune disorders

Primary Sjögren’s syndrome is associated with significant direct and indirect costs, and represent a significant impact upon the healthcare system.

Primary Sjögren’s syndrome is a rare autoimmune disease affecting up to 0.4% of the adult female population and leading to severe dryness of the mouth and eyes and often associated with disabling fatigue and systemic manifestations. Patients require input from multiple specialities and diagnosis is often delayed.

In this webinar we describe how we have set up a multidisciplinary clinic run by rheumatologists and attended by oral medicine and ophthalmology to streamline the diagnostic pathway and reduce frequency of visits. Key components are access to a slit lamp for eye examination, provision of a lip biopsy clinic, and standardised histopathological reporting following guidelines we have developed. Patients now have access to a focused, coordinated diagnostic service, coordinated care, and opportunities to participate in research.

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The National Back Pain and Radicular Pain Pathway

In 2008 NICE estimated the cost to the NHS of back pain management was £2.1 billion, or just over £12 million for the average CCG of 300,000 people. In 2013 back pain was responsible for 11% of the total disability in the UK. The NICE guidance published in 2009 in general was not implemented.

The National Back Pain and Radicular Pain Pathway is the product of a unanimous consensus of 29 stakeholders based on best evidence. Its objectives are to provide a streamlined care pathway for radicular pain, and most importantly an effective, managed pathway for patients with low back pain.

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Self-Referral to Physio and physio’s working alongside GP’s in Surgeries

The webinar, was led by Chartered Society of Physiotherapy (CSP) and explored how direct access to physiotherapy can improve patient care, save the NHS money and address the GP workforce crisis.

The learning objectives from the webinar are:

· Develop an understanding of the benefits of direct access physiotherapy and how to measure them
· Learn how to use the Physiotherapy Cost Calculator to access the cost savings in primary care
· Gain an awareness of the commissioning options for direct access physiotherapy.

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