1. Self Referral to Muculoskeletal Physiotherapy ServicesSenga Cree - Professional Lead Physiotherapy Services NHS Lanarkshire

2. Background-Pre Self Referral • 30,000 MSK referrals per annum • Demand exceeded capacity • GP acted as gatekeeper to the service • Variation in: • Waiting times • DNA’s • Opportunity for patients to self manage

3. Self Referral Model • Single point of access • Initial telephone assessment and advice • Number of exit routes • Self management • Face to face treatment • Group exercise • Case management • Chronic pain service

4. Why this model? • Delivers equity of access • Supports the quality strategy • Clinical governance • Best value • Corner stone to delivering wider innovation in AHP MSK services

6. Assessment Form

7. Implementation • Project Board • Current best practice, evidence base • Stakeholders events • Call management system • IT support- patient information and electronic transfer • Staff training package • Marketing • Pilot • Data • Evaluation

9. Impact • 22% increase in referrals • 30% discharged to self management • 4367 telephone assessments completed • Assessment completed on day of phone call or if message left within 2 working days • No wait for specialist advice (provided on average 6 weeks quicker)

10. Impact • 30% “true” self referral • 70% go on for face to face treatment • DNA average 5% • Need for repeat treatment reduced for those receiving initial telephone assessment

11. Three top tips • Robust systems- processes, data, IT • Staff and stakeholder engagement • Sustainability

12. Thank you! • Any questions • senga.cree@lanarkshire.scot.nhs.uk