A new way of delivering MSK pain service: Integrated Pain Assessment and Spinal Service

The webinar describes the Integrated Pain Assessment and Spinal Service (IPASS) which started in 2016 in Berkshire West. It will describe the previous state of pain management in Berkshire West and the reasons for coming together as a system to develop IPASS. It will cover how joint working with a strong patient focus can improve outcomes, and outline the positive outcomes post IPASS which has been recognised by the British Society for Rheumatology (BSR) for a Best Practice Award in 2016 Continue reading

The British Society for Rheumatology’s Choosing Wisely UK Recommendations

Choosing Wisely UK is part of a global initiative which aims to reduce unnecessary tests and treatment by promoting shared decision-making conversations between patients and their healthcare professionals. The British Society for Rheumatology’s (BSR) recommendations were developed in partnership with patients, nurses, and primary and secondary care clinicians. Continue reading

Operational Delivery of the Multi-Disciplinary Care Pathway for Diabetic Foot Problems

The aim of this document is to provide a framework for the operational delivery of hospital trust-based diabetic foot services, ensuring that patients with acute diabetic foot disease receive the same high quality of care irrespective of where they present.

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Joint Pain Advisor: A new model of care for managing chronic knee, hip or back pain

NICE approved Joint Pain Advisor is a new model of care to support people with chronic knee, hip or back pain.

Joint Pain Advisor is a safe and cost effective alternative to GP consultations. Involving a series of face-to-face consultations, advisors work collaboratively with people with hip and/or knee osteoarthritis and/or back pain, focusing on supporting self-management. Continue reading

Quality Standards for Osteoporosis and Prevention of Fragility Fractures

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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Fracture Prevention Practitioner Training (e-learning)

This online training course enables all health professionals to deliver excellent health care to people with or at risk of osteoporosis and fragility fractures throughout the UK. This is the only course of its kind that provides the underpinning knowledge required to deliver best practice. The modules are free to access. The assessment is CPD accredited and costs £50.00.

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Self-care and prevention workforce skills and competencies

HEE is working with and across the system to articulate how we develop the workforce to build skills in person centred approaches, i.e. how we work in partnership with people and their families to support health and wellbeing. This work brings together the core skills of:
– health coaching
– care and support planning
– shared decision making
– a number of behavioral change interventions

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Joint Pain Advisor

Chronic joint pain accounts for around 1 in 5 primary care consultations. GPs feel overwhelmed and are concerned that they don’t have the time or the skills to give people adequate information or advice.

To improve access to better management London Health Innovation Network has introduced Joint Pain Advisors into six primary care surgeries. Their role is to give people simple information, advice about self-management strategies, constructed personalised care plans and use behavioural change techniques to help people adopt healthier lifestyles.

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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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