1. MSK CATS service Pilot Project at FGH Nov 07

2. CATS - Rationale Improve patient access to service 18 week Referral to Treatment (RTT) target –achieving –sustaining delivery Deliver a swift and efficient pathway –new models care - integration –elimination duplication –decreased number of appointments

3. UHMB CATS Musculoskeletal –Orthopaedics –Rheumatology –Pain –Physiotherapy –Diagnostics –Pre-operative assessment

4. UHMB CATS - Principles Patient focused Improved patient experience Patient to correct healthcare professional for their needs first time Early diagnosis and treatment Understand needs of stakeholder partners to develop a collaborative approach to clinical assessment at a specialised level

5. UHMB CATS - Principles Clinical audit Measure outcome Evaluate clinical outcome data Survey views of service users Survey views of service professionals Continuing education programmes Evolution

6. Progress to date Steering Group Workshop –Option appraisal process for models –Development of UHMT model –Referral flows –‘Time trial’ Operational meetings GP / PBC meetings

7. ReferralTriage Book appointment Patient attends for appointment Direct assess diagnostics done Same day treatments in OP setting, joint injections etc. POA and listed for surgery 2nd line diagnostics booked Patient discharged Results back to clinicians following second line diagnostics  Patient contacted to book next appointment or discharged.  Listed for surgery 1 st appointment Within 48- 72 hours of seeing the referrer Patient attends for treatment / surgery or further diagnostics 2 nd appointment In 2-4 weeks 3 rd appointment within 2-6 weeks (if required) Integrated MSK Pathway for UHMBT. 15/10/2007 Patient discharged 4th appointment within 2 weeks (if required)

8. Proposed Timeline Business Case approval Operational preparation Terrific Tuesday Choose & Book / CPCC GP education 01/01/08 – FGH April / May for RLI/WGH ( Start prep in Jan)

9. Key Stakeholders Communication plan GP afternoon Links with PPI –ARMA group –Local volunteer organisations PCTs Advertise and celebrate success