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 DriversSpecific 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