The document discusses the importance of improving musculoskeletal (MSK) health in the UK, as it affects over 10 million adults and leads to significant healthcare costs and disability. It outlines initiatives aimed at enhancing place-based care through MSK networks, focusing on collaboration, resource sharing, and patient empowerment to achieve better outcomes. The document also highlights ongoing and future efforts to support local improvements, workforce development, and evidence-based practice in MSK services.

1. Delivering system change and place-
based care through MSK networks of care
Professor Peter Kay National Clinical Director MSK, NHS England
Federico Moscogiuri CEO Arthritis and Musculoskeletal Alliance (ARMA)
Bernadette Kennedy Head of Integrated Falls and Bone Health Service ,
St George’s University Hospitals NHS Foundation Trust
Christina Heaton, Nurse Consultant , Bridgewater Community Healthcare
NHS Foundation Trust

2. 30.9 million
working
days
lost
One third
of all
GP
appointments
Third poorest
quality
of life
Main cause of
physical
disability
£5 billion of
NHS spending
per year
Why is MSK Important?
It affects more than 10 million adults and 150,000 children in the UK
Associated with a large number of co-morbidities, including diabetes, depression and obesity
Accounts for
over 25% of all
surgical
interventions in
the NHS

3. Good musculoskeletal health –healthy
muscles, joints and bones working well
together - is essential to carrying out daily
activities with ease and without pain,
and remaining, independent and socially and
economically active for longer.
Our aim is:

4. Our vision is that there will be improvement in outcomes for people with
musculoskeletal (MSK) disorders in the UK.
Our mission is to work collectively and collaboratively with our member and partners to
achieve this vision.
Capturing,
interpreting and
enabling the
application of
MSK knowledge
Influencing and raising awareness of MSK with
decision-makers, practitioners and the public
Working in partnership to improve outcomes
for MSK in key areas
Building a strong,
diverse and vibrant
MSK community
From community
to movement
Knowledge into actionKnowledge
What are we doing to support improvements
in MSK place based care?
Working with national partners

6. What are we doing to support improvements
in MSK place based care?
MSK Programme
• Developing MSK Clinical Networks
3 key elements:
• MSK Knowledge Network: a forum for the sharing of information, resources and
experience
• National guidance in key priority areas based on the best possible evidence
– Establishing MSK indicators (metrics)
– Workforce
– Fracture Liaison Services
• Disseminating key resources
– NHS Confederation: Developing MSK Networks resource pack
• Supporting the wider programme roll-out including Optimal Value Pathways and CfV
resources (with NHS Right Care), GIRFT

7. What have we done so far?
Co-producing and Sharing National Tools and Resources
Yammer MSK Knowledge Network Also utilising….
MSK Knowledge Network Webinars Series
Contact us at: ENGLAND.longtermconditions@nhs.net
NHS Confederation
resource packNational MSK Seminar

8. What have we done so far?
Supporting wider programme roll-out
Developing measures and
optimal pathways
that drive
improvement
Work as a Health outcome
Supporting healthy lifestyle
and preventing ill-health
Transforming the MSK
workforce to support
person-centred care

9. What are our next steps?
• Supporting the delivery of local MSK improvement aligning with NHS Right Care and GIRFT
• Supporting the development of a sustainable regional network approach aligning with STP
footprints
• Further developing resources sharing best practice and evidence for commissioners,
providers and clinicians
• Pilot and test a competency framework for MSK workforce for rapid adoption and spread
• Further support the delivery of the Health and Work programme and MSK prevention
programme

10. Delivering system change and place-based
care through MSK networks of care:
Best Practice Examples

11. Self Referral and patient empowerment model
Sept 2016
Bernadette Kennedy, Head of Integrated Falls and Bone
Health
St Georges University Hospitals NHS Foundation Trust

12. Vision for MSK services: EASY Access to a service developed by
patients for patients
Self Referral pivotal part of the model: to deliver to the right people, in the right
place at the right time
Empower them to mould service delivery that would work for them.
What is different between us and traditional MSK physiotherapy =
patient led service
• Change in Culture for staff
• Different choices for first contact
• Different provision arms of the service – what matters to You and what intervention
model suits YOU
• Ongoing Patient Empowered Supported self management

13. DVD – a visual: our bone health service
• https://www.stgeorges.nhs.uk/gps-and-
clinicians/clinical-resources/bone-boost/
Bernadette.kennedy@stgeorges.nhs.uk

14. Integrated Falls Management & Fracture Liaison Service
Sept 2016
Christina Heaton, Nurse Consultant
Bridgewater Community Healthcare NHS Foundation
Trust

15. Integrated Falls Management & Fracture Liaison Service
Christina Heaton Nurse Consultant
Falls & Balance clinic - over 18 yrs. with dizziness, blackouts, complex osteoporosis
Fracture Liaison Service – over 50 yrs. with a recent fracture
MDT, multifactorial, physical assessment, environmental assessment,
medication review, osteoporosis assessment utilising FRAX & NOGG,
investigations undertaken and providing therapeutic interventions &/or
appropriate timely referral
Partnership working with local acute NHS trust, Mental Health
NHS trust, Social Services, Leisure & Culture trust, NWAS,
GMFRS, Patient groups & charities

16. Key Performance outcomes
100% of patients
assessed against
NICE guidance
95% of patients
assessed within 6
weeks
Referrals onto
secondary care
Falls- 12%
OP- 6%
Other - 3%
100% of patients
started on
bisphosphates are
follow-up
DNA’s
FLS-10%
Falls-5%
34% of patients referred
for Dexa-
+ve Osteoporosis- 22%
↓BMD- 44%
-ve OP- 32%
‘Made to feel
comfortable,
explained so I was
able to understand
& allowed me to ask
questions’
Patient
‘It seems to be working
well, had a lot of
positive feedback’
Orthopaedic
Consultant

17. How can you get involved?
Join our Yammer MSK Community
Contact us at: ENGLAND.longtermconditions@nhs.net
Any Questions?