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DEMAND MANAGEMENT

DEMAND MANAGEMENT. Kathryn Davies Physiotherapy Team Lead Welshpool Hospital Cohort 8 CLP. “If you always do what you always did You will always get what you always got” Mark Twain. Historically - Musculoskeletal. Orthopaedic morning Routine “knee” assessment clinic.

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DEMAND MANAGEMENT

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  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 Colleagues • 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 MusculoskeletalJanuary 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

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