1. DEMAND MANAGEMENT Kathryn Davies Physiotherapy Team Lead Welshpool Hospital Cohort 8 CLP

2. “If you always do what you always did You will always get what you always got” Mark Twain

3. Historically - Musculoskeletal  Orthopaedic morning  Routine “knee” assessment clinic

4. Demand Management  Demand Management is about understanding demand  The process should focus on using planning and forecasting skills to ensure patients receive the most appropriate care in the right setting

5. What I decided to do?  Gather statistics  Broaden my knowledge of Demand Management Kathryn Davies, DOTH, Hywel dda Health Authority Nichole Pickrell, Deputy Head of Physiotherapy, Neath & Port Talbot  Liaise Co lleag ues Jan Lawrence, Lead Therapist, Mid Powys Gwyneth Jones, Senior Physiotherapist, Newtown

6. Gather Statistics  General Musculoskeletal  Elective Orthopaedic  Trauma & Fractures  Neurological, Falls & Respiratory  Women’s Health

7. General Musculoskeletal January to June 2011

8. Interesting trends after snow!  Wrist fractures  Shoulder traumas  Ankle fractures  Wrist fractures  Shoulder traumas  Ankle fractures

9. Referrals – large numbers  Musculoskeletal Shoulders, knees, lumbar, lumbar & sciatica  Elective orthopaedic Knees  Trauma & fractures Wrists and ankles

10. Referrals – large numbers  Neurological CVAs, MS, Parkinson’s  Falls & mobility  Women’s health Antenatal back pain

11. Confirm YES  “Orthopaedic” morning Elective surgery – lower limb Trauma & fractures – lower limb Carpel tunnel referrals/wrist splints

12. Challenge ?  Routine knee assessment clinic ?better managed through telephone assessment & advice

13. Present developments  Musculoskeletal Telephone assessment & advice January 2012 with Welshpool GPs.

14. Present developments  Neurological conditions Upper limb group Movement disorder’s group (Parkinson’s)  Falls & mobility Balance & movement group (additional to Falls Prevention Programme)

15. Present developments  Women’s health Antenatal back group

16. Future developments  Develop present groups Consider shoulder class (linking with upper limb group)  Increased networking with external agencies (NERS, EPP)  Link with local communities – what is out there?

17. Thank you for listening Kathryn Davies, Physiotherapy Team Lead 01938 558930 kathryn.davies2@wales.nhs.uk