National AHP MSK Programme Building Blocks

• Creating capacity• NHS24• MSK Hubs• Data for improvement/4 week wait• Electronic diaries• Sustainable Pathways • MSK Solutions Tool

Technology Enabled Care

Process Infrastructure

Using data/improvement methodology

to drive change

AIM

To get patients with an MSK problem to the right advice and/or right healthcare professional first time.

If they require assessment or intervention they are seen within 4 weeks (March 2016 target)

Whole System Sustainable

Clinical Pathways/Flow

Musculoskeletal Driver Diagram-Getting patients onto the right pathway, first time. DRAFT

Primary Drivers Secondary Drivers

Specific ideas to test or change concepts

Consistent high standard self- management advice

AHP MSK Standards

MMI

Using data to inform care delivery improvements

Shift flow to appropriate professions/part of pathway

MSK Administration Hubs

Optimal booking and capacity utilisation

NHS24 MATS and Clinical Telephone Consultation

Embed evidenced based person centred pathways

Electronic tracking and data systems

Development self-management video’s/advice

MSK Health Improvement Strategy Public Marketing Communication Web Orthotic Review

Whole System Workflow Clinical protocols Clinical pathways Imaging protocols Exit routes –specialist services ,

third sector MSK Orthopaedic Rehab

Integrated hubs Electronic outcome measures Opt in as standard Reminder systems

• Monitoring and evaluating flow-duplication → test of change

• Monitoring and evaluating re-referrals

• Outcome measures• Adapting systems• Evolving MSK Leads Group

Senga Cree – April 2015

Developing Improvement and Analytics Capacity

Web based algorithms

MSK Solutions Tool

Exit/Parallel routes

Meet ISD 4 week data requirements

Improvement focus

• Pathway flow optimisation (access, decision support, clinical intervention, assessment and treatment in primary care, surgery and secondary care)

• Workforce optimisation (right professional at right time)

• Using available data to inform and shape future care delivery (current data and development of a MSK Dashboard)

AHP MSK Standards

• Reporting &Publication AHP MSK waiting times data• MSK workforce profiling and benchmarking• Web based work- Enhancing MSK zone self

management –digital postcards, MSK Solutions, web based access/algorithm models

• National foot and ankle pathway and supporting audit • Imaging Change package-AHP lead role• Tests of change -rehab models• 4 week target

2015