First 2 Physio Service The service is provided by Chapman - PowerPoint PPT Presentation

First 2 Physio Service The service is provided by Chapman Physiotherapy Limited from Devonshire House, South Parade, Doncaster, DN1 2DJ The service is a triage and advice service that aims to reduce pressure on GP appointments for patients with musculoskeletal conditions Patients will be assessed and given advice, a home exercise programme and where necessary requests for analgesia, onward referral or x-rays will be made via the patients registered GP practice This service is an initial assessment service only. Patients will be discharged back to their registered GP practice should any follow up appointments be required. Who is Eligible? Patients MUST: • Be registered with a Doncaster GP practice • Not have of any of the exclusion criteria • Not have any red flags • Must be over the age of 6 years old

First 2 Physio Service Inclusion and Exclusion Criteria Inclusion Criteria Exclusion Criteria Musculoskeletal (MSK) pain of less Chronic (pain of more than six months) than six months duration musculoskeletal (MSK) Work related disorders including Infection repetitive strain disorder Road traffic accident / whiplash related Children under the age of 6 years old pain Pain caused by repetitive action / sitting / standing for long periods of time Pain or discomfort during walking or running Post-operative musculoskeletal pain

First 2 Physio Red Flags If a patient has any of the following symptoms they are not eligible for the First 2 Physio Service and you must inform the duty GP / clinician immediately or book an urgent appointment • History of Cancer (particularly breast, kidney, lung, prostate, melanoma and gynae) • Feels unwell i.e. has a fever, decreased appetite, weight loss, night sweats • Pain wakes the patient at night • Swelling in more than one joint • Joint problems associated with a rash • Upper back pain (thoracic pain) • Joint is red and warm • New joint deformity or there is a history of trauma – these patients should be advised to attend the Emergency Department • Reduced feeling in buttocks or genital area • New onset of bladder or bowel problems (inability to pass urine and not controlling bowel movements) since pain began

First 2 Physio Patient Pathway • Patient contacts GP practice complaining of MSK problem. • Receptionist informs patient of First 2 Physio Service • Verbal consent from patient they are happy to share patient record and attend • Receptionist screens with inclusion/exclusion criteria and First 2 Physio appointment red flags Call to receptionist with MSK problem • Receptionist books appointment with First 2 Physio • Primary Care Doncaster Limited to facilitate training and support for Reception • Patient attends Devonshire House Team • Patient has First 2 Physio Assessment Attend for Assessment at Devonshire House • Home exercises provided with the Physiotec application and printed for the • Patient is given self management strategies and a home patient to retain exercise programme FCMS support on the day prescribing for analgesia. • • If necessary onward referral for further investigations or to • Assessment Patients registered practice is tasked if any referral to other services or X-ray etc. other services is made via the registered GP practice Outcome is required. • Compilation of final report using joint resources. • Patient Questionnaire follow-up and outcome data collection • Close working between Chapman Physiotherapy, Primary Care Doncaster and • Analysis and Feedback HealthWatch Doncaster to evaluate service Evaluation

First 2 Physio Service in Doncaster A Summary for Care Navigator information may still be provided ) The First 2 Physio Service is a triage and advice service that promotes an alternative to a GP appointment by offering an assessment with an accredited What do I do if a patient doesn’ t want / refuses to go to the Physiotherapist? physiotherapist. This service is an initial assessment service only . Patients will be discharged back to their registered GP practice should any follow up The First 2 Physio Service is optional. Patients who do not wish to use the service appointments be required can access medical care via the usual routes. The First 2 Physio Service is based on the ground floor, Devonshire House, Key Messages for Patients South Parade, Doncaster, DN1 2DJ.  All patients can get free advice and assessment from an accredited Who is Eligible? physiotherapist without needing to see a GP Patients MUST:  Be registered with a Doncaster GP Practice First 2 Physio Inclusion Criteria:  Not have meet any exclusion criteria  Not have any red flags Musculoskeletal pain of less than six months  Be over the age of 6 years old duration Work related disorders including repetitive strain If care navigators ask the nature of the call to practice they can inform the patient disorder that they can see a physiotherapist if they fit the inclusion criteria. Road traffic accident / whiplash related pain Pain caused by repetitive action / sitting / standing Under the First 2 Physio Service Patients Will Be Offered: for long periods  Free advice and printed information Pain or discomfort during walking or running  Post-operative musculoskeletal pain A home exercise programme  Medication if appropriate First 2 Physio DOES NOT Include: What happens when a patient goes to the physiotherapist for the First 2 Musculoskeletal pain of more than six months Physio Service duration Infection All patients will be offered an assessment with a physiotherapist and given Unwell patients (i.e. has a fever, weight loss, advice on how to manage their condition. This will include what to expect, i.e. decreased appetite) what’s normal for the condition / usual duration of symptoms. The patient will Swelling in joints (including red and warm joints) also be given a home exercise programme. Any requests for analgesia, onward Pain with a rash referral or x-rays will be m ade via the patient’s registered GP practice. Upper back pain (thoracic pain) New deformities or deformities following trauma The three possible outcomes for patients using the service are: Reduced feeling in buttocks or genital area 1. Advice only Pain associated with new bladder or bowel 2. Advice and home exercise programme problems 3. Signpost back to practice for non-urgent GP appointment (advice, printed