North Tyneside Integrated Musculoskeletal Service Overview
The North Tyneside Integrated Musculoskeletal Service offers an innovative approach to managing musculoskeletal conditions, with a focus on ESCAPE Pain programs for individuals with hip and knee pain. The service started in January 2018, targeting a practice population of 215,000. Facilitators and instructors from Northumbria Healthcare play a key role in conducting the programs at various locations in North Tyneside. The program targets individuals over 45 years with OA or chronic knee and hip pain, providing supervised exercise sessions to enhance their confidence and mobility. The service utilizes multiple recruitment approaches to engage participants effectively.
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ESCAPE Pain The Northumbria Challenge Angela Larkin Acting Physiotherapy Clinical Manager Northumbria Healthcare North Tyneside Integrated Musculoskeletal Service
N Tyneside Practice Population 215,000 Contracting started January 2018 Staff training commenced February 2018 Projected plan for start was March 2018 BUT North Tyneside Integrated Musculoskeletal Service
ESCAPE Pain in North Tyneside Commenced 1stSeptember with Sport England funding North Tyneside Integrated Musculoskeletal Service
Location of Programme: Various locations throughout North Tyneside assessed as being appropriate by AGE UK. All cohorts were based at Linskill Centre North Shields. Facilitators Physiotherapy Technical Instructors from Northumbria Healthcare Warren Johnson Chris Lamb North Tyneside Integrated Musculoskeletal Service
MSK referrals with referral reason of 'Hip Pain' 01/04/2018 - 31/03/2019 Apr 74 May 98 Jun 134 Jul 121 Aug 112 Sep 164 Oct 122 Nov 126 Dec 109 Jan 158 Feb 112 Mar 121 Total 1451 Grand totals Hip Pain Totals 180 160 140 120 100 Grand totals 80 60 40 20 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar North Tyneside Integrated Musculoskeletal Service
Approaches to patient recruitment Departmental Briefings Communications Department GP Teamnet GP Education Event Delivered at Practice Managers Forum North Tyneside Integrated Musculoskeletal Service
Participants are suitable to participate in the programme if they meet the following criteria: Over 45 years of age Knee and/or hip OA or Chronic knee and/or hip pain for 3 months Needing a supervised exercise programme in order to: gain confidence and motivate themselves or get them started on a self-management programme Independently mobile Able to communicate well enough to participate in a group setting Able to attend twice per week for 6 weeks North Tyneside Integrated Musculoskeletal Service
Exclusion Criteria Unstable angina Systolic blood pressure >180 and/or diastolic blood pressure >100 BP drop >20mm Hg demonstrated during ETT Resting tachycardia >100bpm Uncontrolled atrial or ventricular arrhythmias Unstable or acute heart failure Unstable diabetes Febrile illness North Tyneside Integrated Musculoskeletal Service
ESCAPE Pain Referals Number started Number completed Start Date: 01/09/2018 Cohort 1 4 1 Start Date: 08/01/2019 Cohort 2 9 8 Start Date: 03/2019 Cohort 3 8 6 Total referrals in 26 21 18 North Tyneside Integrated Musculoskeletal Service
Top tips for optimising referrals, uptake and retention: Ensure that you have dedicated time to set-up the programme (i.e. it is not in addition to your normal workload) Secure senior support for the set-up this helps to send a message across the department that the programme is considered important and senior manager can help with any issues that might come up in setting up and running ESCAPE-pain North Tyneside Integrated Musculoskeletal Service
Fully integrate the programme into local systems and processes (rather than simply bolting it on) o Ensure all colleagues understand what ESCAPE- pain is, the evidence behind it, and how to refer in (e.g. use team meetings, in-service, email, invite colleagues to observe sessions) Make referral forms and processes quick and easy to complete (e.g. ask colleagues what would work best) Consider if some patients can be referred directly in at triage, in order to reduce 1:1 assessments and increase efficiency X North Tyneside Integrated Musculoskeletal Service
Engage with the referrers into your service and promote the evidence-based benefits of the programme Timings consider what days and times work best for your participants (rather than best for you) X A short wait between referral and starting capitalises on people s motivation X North Tyneside Integrated Musculoskeletal Service
Participant opt in ask them to think about it and then sign-up later. This helps to ensure that people are motivated to take part and can improve retention Overbook each group there will often be DNAs from the start X North Tyneside Integrated Musculoskeletal Service
Make the group fun, interactive and sociable so that people want to come back this sounds obvious but does not always happen Retrospective feedback: I have recently completed a programme of twelve sessions at Linskill Centre over a six week period and found it to have been most beneficial. Both instructors were excellent and delivered the programme in a personal manner. They were considerate, observant and caring, always ready to provide advice and assistance. I shall continue with the exercises at home which should be a boon for me in continuing to live independently. Especially for me was the commitment to attend and the opportunity to be with others who were in circumstances similar but not necessarily the same as mine. North Tyneside Integrated Musculoskeletal Service
Thank you North Tyneside Integrated Musculoskeletal Service
