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HILLINGDON 2008-9. MUSCULOSKELETAL CLINICS. MSK Clinics. General Saturday Sean Hughes General Tuesday Rafique Khan Upper Limb Saturday Srinath Kamineni Lower Limb Tuesday Ian McDermott. AIMS. To improve the patient’s care

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MUSCULOSKELETAL CLINICS


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hillingdon 2008 9
HILLINGDON

2008-9

MUSCULOSKELETAL CLINICS

Hillingdon Masterclass

msk clinics
MSKClinics
  • General Saturday Sean Hughes
  • General Tuesday Rafique Khan
  • Upper Limb Saturday Srinath Kamineni
  • Lower Limb Tuesday Ian McDermott

Hillingdon Masterclass

slide3
AIMS
  • To improve the patient’s care
  • To give a consultant opinion early on
  • If possible to plan patient’s management within the community

Hillingdon Masterclass

triage of patients
Triage of Patients
  • Since April 2008
  • Approximately 30 patients per day
  • Over 7,500 referrals
  • Refer to secondary provider
  • Refer to MSK clinics
  • Occasionally advice to GP or redirection

Hillingdon Masterclass

triage early results
TRIAGEEARLY RESULTS
  • Month 25th March – 24th April 2009
  • 595 patients triaged
  • 141 to MSK clinic
  • 60 to Mr Kamineni
  • 59 Mr McDermott
  • i.e. 44% of patients sent to clinics

Hillingdon Masterclass

early results msk clinics
EARLY RESULTSMSK Clinics
  • 4 clinics March – April 2009 (S. Hughes)
  • 78 patients given appointment in clinics
  • 38 referred to secondary provider
  • 12 DNA
  • 2 patients changed appointment
  • 24 discharged with or without physiotherapy

Hillingdon Masterclass

early results msk clinics7
EARLY RESULTSMSK CLINICS
  • 4 clinics March- April 2009
  • 64 patients seen
  • 24 discharged
  • 38% patients discharged back to GP

Hillingdon Masterclass

gp referral form
GP ReferralForm
  • Dependent on the information GP’s provide
  • Especially Clinical Assessment
  • Any relevant Investigations need to be enclosed
  • Any treatment already provided

Hillingdon Masterclass

triage comments
TRIAGEComments
  • Rarely priority needs to be changed to urgent
  • Redirect to Dermatology; Gynaecology
  • Outstanding letters
  • Patient’s Choice - elect not to attend MSK clinic
  • Specific referral by GP to named consultant

Hillingdon Masterclass

msk clinics comments
MSK clinicsComments
  • Saturday clinics popular
  • Consultant opinion early on is useful
  • Expansion to appropriate investigations i.e. MRI
  • Simple treatment in sterile environment i.e. injections
  • Use of Specialist Therapists i.e. back therapists
  • Respond online to the GP

Hillingdon Masterclass