Musculoskeletal (MSK) community services in North Kirklees – Have your say

MSK services are for people with bone, ligaments, muscle or joint problems. This includes conditions like knee pain and a bad back, as well as other more complex conditions such as rheumatoid or osteo arthritis. There was a recent opportunity to find out more about our proposals and for people to have their say.  The deadline for completion of the survey was Friday 18 December 2015.

The following MSK community services are currently provided at Dewsbury Health Centre, with some physiotherapy and diagnostic services provided at Dewsbury and District Hospital:

  • Community assessment for treatment of bone, ligaments, muscle or joint problems
  • Community physiotherapy (e.g. back and shoulder mobility problems and exercise)
  • Podiatry services and surgery (e.g. foot and ankle problems diagnosis and treatment)
  • Pain services (e.g. long term pain – knee, back, shoulder)
  • X-ray and DEXA scanning
  • Rheumatology outpatient clinics (e.g. treatment of arthritis)
  • Orthopaedic clinics (e.g. joint replacement, elbow surgery)

Proposed changes to MSK community services

The main contract for MSK community services is provided by Locala, they see over 6,000 patients a year. This contract is due to end on the 30th September 2016.  Some physiotherapy and diagnostic services are provided by Mid Yorkshire Hospitals NHS Trust at Dewsbury and District Hospital. We are at the early stages of looking at how these services can be provided in the future, and have developed a proposed model of care for MSK community services.

What happens now?

What are we proposing?

What could this mean for patients

The MSK community service is mainly provided from Dewsbury Health Centre with some physiotherapy and diagnostic services provided at Dewsbury and District Hospital. To increase the number of locations where you can access services, by providing them from more locations across North Kirklees. Patients will be able to access services in a venue that is closer to their home or work.
Appointments are available Monday to Friday during the hours of 8.30am – 6.00pm.
  • Appointments to also be available early morning or evening.
  • Telephone follow up appointments (where appropriate to the patients’ condition).
  • Greater choice of appointment times
  • Shorter waiting times
  • Faster onward referral for those who need more specialist care
  • Greater choice of appointment times
  • Shorter waiting times
  • Faster onward referral for those who need more specialist care
Patients often need to see a range of specialists in different locations. For example, attendance at consultant  clinics where these are required To have a range of services provided in one location e.g. access to diagnosis, treatment and therapy in a single location.
  • More convenient for patients
  • Patients won’t have to repeat their story

 

Patients MSK needs are assessed by clinicians that decide the diagnosis after examination and tests; taking into account your whole needs not just the pain experienced. No change – it is crucial that patients maximise their health from the advice received and hopefully reduce the need to go into hospital for operations and treatment unless clinically indicated. Continued progress to improve the health and wellbeing of patients in North Kirklees,  by helping to focus on overall health improvement
Hand surgery is currently provided by Huddersfield Medical Services for the CCG. Services are provided at Dewsbury Health Centre, Oaklands Health Centre in Holmfirth and the BMI Hospital in Huddersfield. There might be potential to provide such services closer to home if it is clinically effective to do so. Patients will be able access the service closer to home.
If a patient has a relapse and need to access physiotherapy again, they may have to be re-referred by their GP. Some patients would be able to refer themselves to physiotherapy, without having to go back to their GP for a number of conditions to be decided.
  • Patients would feel more in control of the treatment of their condition
  • It would be quicker and easier to access physiotherapy
Patients are unable to access group physiotherapy Wider range of community-based group therapy will be available e.g. exercise therapy, patient education, pain control.
  • Patients will be able to benefit from group therapies
  • Patients will be able to manage their conditions better
  • May prevent some conditions from getting worse
For pain advice or relief,  if your practitioner cannot assist,  a separate referral to a pain service will have to be made by your GP To treat pain management as part of the assessment and treatment process, without the need for patients to go back to their GP. A more responsive service.  Hopefully the use of strong medication will be reduced by accessing a range of alternative pain advice where clinically indicated
Limited access to technology or internet advice and guidance services. Patients provided with better support to care for their conditions e.g. through advice, guidance and techniques. The use of video to help explain treatments or assess improvements.  To expand the opportunities to use the My Health App.
  • Patients will be able to manage their conditions better
  • May prevent some conditions from getting worse
  • Patients regain confidence and maintain independence
Some community based group therapy is available. Wider range of community-based group therapy will be available e.g. exercise therapy, patient education, pain control (for example).
  • More people able to benefit from group therapies
  • Patients will be able to manage their conditions better
  • May prevent some conditions from getting worse

Next steps

Your feedback will be used to help us develop a model of care for MSK community services. In early 2016, we will share this with you and we will give you the opportunity to let us know if you think we have got it right.