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Medically Unexplained Symptoms MUS: CSL Project

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Medically Unexplained Symptoms MUS: CSL Project

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    1. Medically Unexplained Symptoms (MUS): CSL Project

    2. 1 Topics

    3. 2 About Medically Unexplained Symptoms (MUS) What are MUS Symptoms? Physical symptoms that remain unexplained after an appropriate evaluation. The symptoms prompt the patient to seek healthcare. Could include a range of symptoms including: abdominal pain, pelvic pain, seizures, headaches, back pain, joint pain, fatigue, breast pain, incontinence, shortness of breath, eye complaints, dental complaints, ENT complaints etc. Identifying the Problem: MUS can result in unnecessary and costly referrals, diagnostic tests and even operative procedures. Unnecessary stress and dissatisfaction for both clinicians and patients in addition to the use of resources.

    4. 3 How common are MUS in Secondary Care? Prevalence of MUS in acute out patients

    5. 4 Primary Care

    6. 5 MUS in Primary Care Screen out undiagnosed anxiety and depression Upto 70% of MUS patients will also suffer from anxiety and/or depression disorder. These mental health disorders are detectable and treatable, irrespective of the explanation for the physical symptoms. Consultation Skills 20% - 30% consultations in primary care are with people who are experiencing MUS and have no clear diagnosis. Preparing patients for psychological therapies by explaining how depression or anxiety disorders may be linked to their physical health problems. Collaborative Care Patients are often described as somatisers, but this term is not popular by the patients as it implies that the condition is related to psychological disorder, which may or may not be present. Patients often do not accept that there is no physical cause for their symptoms.

    7. 6 Why MUS Pilot in London? How much does the PCT spend on out-patient departments? Is the money well spent? Can anything be done differently and get better results for the patient?

    8. 7 Success Criteria for the Project 6 Month Project Implementation started in April Identify prevalence of severe MUS in 6 Pilot Sites in London and evidence spending on severe MUS in Primary and Secondary Care

    9. 8 How will this be done?

    10. 9 Project Schedule

    11. 10 Current Status of the Project High-level overview of progress against schedule

    12. 11 Next steps

    13. 12 Conclusion

    14. 13 Further information: fionuala.bonnar@csl.nhs.uk danijela.levarda@csl.nhs.uk Questions and Answers

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