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TEAMS - towards integration of services

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This lecture was given by Dr Rhian Lewis, Consultant in Pain Management from Bangor, North Wales, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care". www.wspg.org.uk

Economy & FinanceHealth & Medicine
1 of 32
TEAMS - towards integration of services Rhian Lewis Ysbyty Gwynedd Bangor
Chaos
TEAMS T argeted E arly A ccess to M usculoskeletal S ervices ,[object Object],[object Object],[object Object]
Order
Bangor
North Wales
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Wider environment ,[object Object],[object Object]
TEAMS working party ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aims of TEAMS ,[object Object],[object Object],[object Object]
Key features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Integration of services GP referral Triage Surgical advice Chronic back OA/soft tissue Arthritis/CTD Acute back Physio assessment Pain management Rheumat- ology Orthopaedic service
Difficulties to overcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute back pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acute back pain pathway Orthopaedics GP Referral Teams Co-ordinator RED Flags ESP screening / telephone Re-assessment Pain Team/Epidural Physio Treatment Resolving D/C Further physio
[object Object],[object Object],[object Object],[object Object],[object Object],Chronic pain - changes
Pain clinic - staff increases ,[object Object],[object Object],[object Object],[object Object]
Chronic pain - results ,[object Object],[object Object],[object Object]
Rheumatology - changes inflammatory triage GP referral non-inflammatory rheumatology musculoskeletal
New programme - GPwSI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Musculoskeletal clinics ,[object Object],[object Object],[object Object],[object Object]
Rheumatology - results ,[object Object],[object Object],[object Object],[object Object]
Orthopaedics - changes ,[object Object],[object Object],[object Object],[object Object]
Educational meetings ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results in first year (2002) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Waiting time reductions (weeks) 2001-2002 ,[object Object],[object Object],36 --> 9 52 --> 7 Pain Rheumatology
Current position 2007 ,[object Object],[object Object],[object Object]
Pain clinic perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What did we learn? ,[object Object],[object Object],[object Object],[object Object],[object Object]
TEAMS - the answer? ,[object Object],[object Object]
 

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TEAMS - towards integration of services

  • 1. TEAMS - towards integration of services Rhian Lewis Ysbyty Gwynedd Bangor
  • 3.
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  • 10.
  • 11.
  • 12.
  • 13. Integration of services GP referral Triage Surgical advice Chronic back OA/soft tissue Arthritis/CTD Acute back Physio assessment Pain management Rheumat- ology Orthopaedic service
  • 14.
  • 15.
  • 16. Acute back pain pathway Orthopaedics GP Referral Teams Co-ordinator RED Flags ESP screening / telephone Re-assessment Pain Team/Epidural Physio Treatment Resolving D/C Further physio
  • 17.
  • 18.
  • 19.
  • 20. Rheumatology - changes inflammatory triage GP referral non-inflammatory rheumatology musculoskeletal
  • 21.
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