1. HILLINGDON 2008-9 29th April 2009Hillingdon Masterclass

2.  GeneralSaturdaySean Hughes  GeneralTuesdayRafique Khan  Upper LimbSaturdaySrinath Kamineni  Lower LimbTuesdayIan McDermott 29th April 2009Hillingdon Masterclass

3.  To improve the patient’s care  To give a consultant opinion early on  If possible to plan patient’s management within the community 29th April 2009Hillingdon Masterclass

4.  Since April 2008  Approximately 30 patients per day  Over 7,500 referrals 1. Refer to secondary provider 2. Refer to MSK clinics 3. Occasionally advice to GP or redirection 29th April 2009Hillingdon Masterclass

5.  Month 25 th March – 24 th April 2009  595 patients triaged  141 to MSK clinic  60 to Mr Kamineni  59 Mr McDermott  i.e. 44% of patients sent to clinics 29th April 2009Hillingdon Masterclass

6.  4 clinics March – April 2009 (S. Hughes)  78 patients given appointment in clinics  38 referred to secondary provider  12 DNA  2 patients changed appointment  24 discharged with or without physiotherapy 29th April 2009Hillingdon Masterclass

7.  4 clinics March- April 2009  64 patients seen  24 discharged  38% patients discharged back to GP 29th April 2009Hillingdon Masterclass

8.  Dependent on the information GP’s provide  Especially Clinical Assessment  Any relevant Investigations need to be enclosed  Any treatment already provided 29th April 2009Hillingdon Masterclass

9.  Rarely priority needs to be changed to urgent  Redirect to Dermatology; Gynaecology  Outstanding letters  Patient’s Choice - elect not to attend MSK clinic  Specific referral by GP to named consultant 29th April 2009Hillingdon Masterclass

10.  Saturday clinics popular  Consultant opinion early on is useful  Expansion to appropriate investigations i.e. MRI  Simple treatment in sterile environment i.e. injections  Use of Specialist Therapists i.e. back therapists  Respond online to the GP 29th April 2009Hillingdon Masterclass