1. REFERRALS What do we want to know? Humbernhsft www.humber.nhs.uk
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2. What We Will cover The detail we require on a referral
Why we need the extra details
Referrals we reject/return to referrer and why
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3. The detail we require
Mechanism of injury- is there something specific they associate with their injury, such as squatting down and suddenly getting knee pain after that incident. Or is it an insidious onset E.G. overhead activities started to get uncomfortable and are now painful.
The date of onset/injury- We need this information to help with prioritisation. Is this their first acute episode or is it an acute flare up of a longstanding chronic condition?
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4. Have they had any investigations
Have they had any investigations? If so where there any significant findings?
Treatments you have tried so far E.G analgesia, Steroid injections + date
Relevant PMH/screening questions- Bladder or Bowel conditions or issues, CES questions covered, Pregnancy, Rheumatism, History of falls
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5. Rejected and Returned Referrals/patients
Insufficient information on the referral to determine if suitable for the MSK service
Orthopaedic patients referred from GP due to requirements of protocols
They do not present as an MSK problem on initial assessment
There are red flags present at time of assessment that require further investigation
The patient does not appear to be responding to physiotherapy interventions
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6. Your Task Imagine you’re a physiotherapist
Look at the next 2 referrals
Who do you treat first? Why have you made that decision?
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8. Which of those 2 patients would you want to see first for the information we have available? What additional information might make your decision easier?
CES question
Date of onset
Investigations
Previous treatments
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11. Any Questions?
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