1. MSK and Proactive Care Planning
From Rhetoric to Reality
Dr David Paynton
National Clinical Lead
RCGP
Centre for Commissioning
Holly opens the day

2. Changing the Conversation
What is the Problem
Correcting biomedical
Traditional medical approach
History
Examination
Investigations
Diagnosis
Treatment
Context
Review
Preparation
Discussion
Agree/record
Make it happen
CC&SP
Supported by nurses/advocate
The hardest bit!
What is important to you

3. Medical or Social Model of Care
Medical model Reactive
Social model
Proactive
Crisis plan, focus on bio-medical solutions – passive involvement
Support planning focus on biosocial solution – active involvement

4. So why is this important?

5. So where does MSK fit?

6. RCGP commission principles (Oct 15)

7. Changing the way we work is not easy!
Proactive processes to enable monthly MDT’s
Redefine the primary care team
Working with people, third sector and social services
Sharing the information
Perverse system levers
Cultural ways of working
But
This is our chance to take back the professional agenda

8. Developing a network of champions Learning by Doing
Support those implementing despite the system
Encourage them to cascade locally
Inform us and share the learning in real time
Four types of champions
Regional
Specialty
Process
Local influencers
We are all on a journey