1. Advice to GP’s on using MSK Proforma Upper Body
Shoulder
Pain
Neck Pain
Inflammatory
Non-inflammatory
Inflammatory
Non-inflammatory
Rheumatology
All other
presentations
Previous surgery
# dislocator
Rheumatology
ICATS
(MSK Triage)
ICATS
(MSK Triage)
Orthopaedics
Non Surgical
management
Surgical
Management
SUMMARY – All non-inflammatory shoulder pain refer to ICATS (MSK triage) except previous surgery/# or previous dislocation
Inflammatory – refer rheumatology
SUMMARY – All neck pain refer to ICATS (MSK triage)
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

2. Advice to GP’s on using MSK Proforma Upper Body
Elbow Pain
Hand Pain
Inflammatory
Non-inflammatory
Inflammatory
Non-inflammatory
Rheumatology
Rheumatology
Diagnosis
Unsure
Definite Soft
tissue problem
Tenosynouitis
Carpel Tunnel Syndrome
Trigger Finger
Ganglion
Other Conditions
Refer
Orthopaedics
Refer ICATS
(MSK Triage)
Refer ICATS
(MSK Triage)
Refer
Orthopaedics
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

3. Advice to GP’s on using MSK Proforma Lower Body - KNEE
Knee pain
Inflammatory
Non-Inflammatory
Rheumatology
Young Knee
Old knee for
replacement
Middle aged knee
(Under discussion
with Orthopaedics)
Previous #
or surgery
No trauma
Traumatic
Ref Orthopaedics
Wishes surgery
Not fit/
does not
wish surgery
ICATS
(MSK Triage)
ICATS
(MSK Triage)
Orthopaedics
Refer
orthopaedics
ICATS
(MSK Triage)
Non Surgical
Intervention
Surgical
Intervention
Palliative
Management
SUMMARY –All knee pain to be referred to MSK Triage except:
Traumatic/ Joint Knee
OA Ready/ Fit for surgery
Previous #/ Surgery
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

4. Advice to GP’s on using MSK Proforma Back Pain
Inflammatory
Non-inflammatory
Rheumatology
Radicular
Signs
Chronic
Non Specific
ICATS
(MSK Triage)
New Radicular
Pain Service -
autumn 2009
New Chronic
Pain Management
Service - autumn 2009
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

5. Advice to GP’s on using MSK Proforma Lower Body – Foot and Ankle
Pain
Inflammatory
Non-inflammatory
Rheumatology
Previous #
or surgery
All other
conditions
Orthopedics
Refer ICATS
(MSK Triage)
Will include joint
Podiatry autumn 2009
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

6. Advice to GP’s on using MSK Proforma Lower Body – Hip
Hip Pain
Inflammatory
Non-inflammatory
Rheumatology
Hip OA
Confirmed
Diagnosis
Unclear
Previous
Surgery / #
Fit for surgery
Not fit for
surgery
Refer ICATS
(MSK Triage)
Refer
Orthopedics
Refer
Orthopedics
Refer ICATS
(MSK Triage)
SUMMARY – All non-inflammatory shoulder pain refer to ICATS (MSK triage) except previous surgery/# or previous dislocation
Inflammatory – refer rheumatology
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)

7. MSK Red Flags Requiring Urgent Referral
MSK Symptom +
Cauda Equina
Symptoms
Previous H/O
Cancer
Weight Loss
Systemic Illness
Orthopedics Or
Spinal Surgeon
Cancer Specialist
Refer for
Investigation
weight loss not
orthopedics
Refer general
Physician or
urgent
rheumatology
ICATS= Integrated clinical assessment and treatment service (= MSK Triage or Airedale NHST)