1 / 19

Reforming MSK Pathways: Enhancing the Commissioning Cycle for Better Patient Outcomes

This document addresses the critical need for reform in Musculoskeletal (MSK) pathways, emphasizing the commissioning cycle's challenges and opportunities. It highlights the local reflections of national demands, showcasing the rise in consultant outpatient appointments, inappropriate GP referrals to orthopedics and rheumatology, and the lack of standardized primary care pathways. The need for improved community physiotherapy access, robust service specifications, and effective procurement strategies are discussed. This framework aims to enhance patient care, streamline referrals, and reduce waiting times significantly.

moriah
Télécharger la présentation

Reforming MSK Pathways: Enhancing the Commissioning Cycle for Better Patient Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. REFORMING MSK PATHWAYS

  2. The Commissioning Cycle

  3. Needs Assessment • National picture reflected locally: • JSNA • Increasing demand for consultant outpatient appointments • Inappropriate GP referrals to Orthopaedics and Rheumatology • Lack of standard primary care pathways • Long waits for community physiotherapy

  4. Outpatients, Elective IP/DC Specialist Physiotherapy CATS Incl GPwSIs / ESPs / Consultant input Physiotherapy / Podiatry / Exercise Referrals (Patient able to self-refer) GP Practice Improve standard of care, knowledge and patient information SoTW MSK Vision Secondary Care based Agreed protocols for referral pathways Community based Patient Access

  5. What works – evidence? • Nice • Literature search • Local Intelligence gathering • Conferences • Visits

  6. Community Physiotherapy

  7. Service development and pathway reform

  8. What works – evidence? • Nice • Literature search • Local Intelligence gathering • Conferences • Visits

  9. Methodology – NETS • Current state – 13 week waiting times • Future state – 4 days

  10. Community Physiotherapy – service specification

  11. Issues and challenges • Self referral • Shroud waving • Professional vested interest • No evidence?

  12. Market stimulation & Procurement • Relationships • Procurement law • Whole system effect • Procurement process - award contract 2 providers • Time – lines • Managing expectations

  13. Implementation • Time • Mosaic approach • Resilience • Mount Doom

  14. Contract Management and Evaluation • Service specification • How frequently • How long • Managing Risk

  15. Tier 1Average Waiting Times in Hours

  16. TIER 2Initial Assessment Average Waiting Times

  17. TIER 2Review Average Waiting Times

  18. Conclusions Long process Issues and challenges Unexpected outcomes Remember the evidence Cost of hairdressers

  19. Thank you Questions?

More Related