1. Self Referral to Muculoskeletal Physiotherapy Services Senga Cree - Professional Lead Physiotherapy Services NHS Lanarkshire

2. Background-Pre Self Referral
30,000 MSK referrals per annum
Demand exceeded capacity
GP acted as gatekeeper to the service
Variation in:
Waiting times
DNA’s
Opportunity for patients to self manage

3. Self Referral Model Single point of access
Initial telephone assessment and advice
Number of exit routes
Self management
Face to face treatment
Group exercise
Case management
Chronic pain service

4. Why this model? Delivers equity of access
Supports the quality strategy
Clinical governance
Best value
Corner stone to delivering wider innovation in AHP MSK services

6. Assessment Form

7. Implementation Project Board Current best practice, evidence base
Stakeholders events
Call management system
IT support- patient information and electronic transfer
Staff training package
Marketing
Pilot
Data
Evaluation

9. Impact 22% increase in referrals 30% discharged to self management
4367 telephone assessments completed
Assessment completed on day of phone call or if message left within 2 working days
No wait for specialist advice (provided on average 6 weeks quicker)

10. Impact 30% “true” self referral 70% go on for face to face treatment
DNA average 5%
Need for repeat treatment reduced for those receiving initial telephone assessment

11. Three top tips Robust systems- processes, data, IT
Staff and stakeholder engagement
Sustainability

12. Thank you!
Any questions