1. Bristol Bones and Joints HIT (Co-directors: Prof Sarah Hewlett, Dr Emma Clark & Prof Ashley Blom)
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2. Associate Professor in Musculoskeletal Rehabilitation, UWE
ESCAPE Pain: An exercise and self-management intervention for Osteoarthritis
Dr Nicola Walsh
Associate Professor in Musculoskeletal Rehabilitation, UWE
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3. What is ESCAPE? 10-12 x1 hour group sessions of exercise and SMI
Facilitated by a Physiotherapist
Located in Primary care/Community settings
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4. What is the Evidence?
RCT (n=422) increased clinical and cost-effectiveness 2½y post-intervention compared to GP Care
RCT (n=64) more cost-effective than ‘standard’ physiotherapy over 1 year
Treatment costs = £64pp v £130pp (-£66)
Healthcare utilisation costs = £320pp v £583pp (-£263)
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5. Assisting Implementation
QIPP approval
Website containing all free delivery materials
NICE OA Guidelines 2014
AHSN adoption (SE London and West of England)
RSPH Health & Wellbeing Award 2015
BSR Best Practice Award 2016
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6. Where has it been implemented?
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7. What now? WEAHSN/Pfizer to assist local ‘roll-out’
Exercise Instructor facilitated
ESCAPE for employees (SL)
Hong Kong Feasibility_
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8. Thank-you
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