GP Haworth Medical Practice GPwSI MSK Airedale Consortia Dr Daniel Wardleworth GP Haworth Medical Practice GPwSI MSK Airedale Consortia

What’s involved in GPwSI MSK work? Assessment and advice on a range of musculoskeletal conditions Longer appointments Patient involvement Shared decision making

My experiences in becoming a GPwSI Brief history BACS Eccleshill In house clinic at Haworth GPwSI accreditation Airedale Consortia Good/Challenging bits

Brief history 12 month community MSK post Lots of contact with physios, osteopaths and podiatrists Large education versus service component BIMM diploma course Many courses and conferences!

BACS Eccleshill 2005-2010 One session per week Support and links with more experienced colleagues Educational meetings with secondary care clinicians Lack of investment in service

In house clinic at Haworth Practice based commisioning Triage and assess orthopaedic referrals Popular with patients Easier to reflect on patient journeys Re-investment in service – new couch / joint models

GPwSI accreditation Application to primary care trust Collecting evidence (patient feedback / audit / reflective work) Consultant supporting letter Panel meeting

Airedale consortia service Set up with existing PBC services Four GPwSIs with One Extended Scope Physio Various locations Short waiting times

Good bits Confidence in dealing with large area of GP workload Working with enthusiatic and supportive colleagues Expanding knowledge area Empowering patients Drugs don’t work!

Challenging bits GP clinics filled with complicated MSK conditions Maintaining skills (no extra study leave) No separate appraisal system Building support/confidence with GP colleagues

How do I become a MSK GPwSI? Community MSK post Diploma course ?University of Bradford/BIMM Get a GP post Develop links/support in local area