Matthew Wyatt – Consultant Physiotherapist Helen Dean – Service Manager Merton MSK Service
How does Merton MSK service work? Get the patient to the right place, right time • Orthopaedics • Rheumatology • Pain Management • CATS clinics • Physiotherapy How can patients access the service? • Self Referral • GP Referral Page 2
CATS – Referral and Triage Process Triage Outcome Contact NHS.net patient and CATS book appointment Refer to Register Secondary Care GP Download patient and Clinical Referral referral attach paper triage referral Discharge to GP eRS Refer to Physiotherapy Community Physiotherapy – Referral Process NHS.net Register Register GP Download patient and patient and Referral referral attach attach referral referral eRS Book appointment Patient Self- Register calls Referral patient Connect
What does the MSK service do? Right time: • Paper triage within 1 day • Call and book appointment within 2 days • Physiotherapist telephone contact within 4 days Or • Initial assessment within 20 days Right Place • Hub – Nelson Health Centre • Multiple venues across the borough Page 4
How does Merton MSK service work? • Research and international best practice tells us the vast majority of patients with MSK problems need physiotherapy input • This, in most cases, is the definitive treatment, but is also a pre- operative requirement for most surgical procedures • All our management pathways are based on the latest evidence based practice • The team’s key focus is supporting the patient to self -treat / manage their own condition • Shared decision making is embedded in the process Page 5
CATs Service If physiotherapy fails to help or is not indicated, CATS assist further MSK management including: • All investigations can be considered / requested where appropriate • Peripheral injections • Onward referral can be made Page 6
Questions and Feedback Page 7
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