Self Referral to Muculoskeletal Physiotherapy Services Senga Cree - Professional Lead Physiotherapy Services NHS Lanarkshire

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

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

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

Assessment Form

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

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)

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

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

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