MSK Archives - Here Rated Outstanding by the CQC Fri, 25 Oct 2024 11:04:57 +0000 en-GB hourly 1 https://wordpress.org/?v=6.5.5 https://hereweare.org.uk/app/uploads/2024/03/cropped-Here_favicon-32x32.png MSK Archives - Here 32 32 Why have this evaluation of our CADs? https://hereweare.org.uk/blog/why-have-this-evaluation-of-our-cads/ https://hereweare.org.uk/blog/why-have-this-evaluation-of-our-cads/#respond Fri, 25 Oct 2024 10:00:24 +0000 https://hereweare.org.uk/?p=15399 Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

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Why have this evaluation of our CADs?

Graphic with a photo of Laura Finucane, a white woman with short bobbed hair, stood on a chair speaking to a big group of people at a Community Appointment Day

Earlier this year we commissioned an evaluation of our Community Appointment Days.

Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

Why was it important to have this evaluation?  

When we commissioned this evaluation, our main goal was to get an independent and fresh perspective on what we had already observed. We needed an objective review to validate our findings and to dig deeper into the data – helping us to see what might have been overlooked.

Most importantly, we wanted to assess it all through the lens of health inequality, ensuring our work is truly making an impact where it’s needed most.  

The value of independent scrutiny  

One of the key purposes of this evaluation was to keep evolving. We wanted the data not only to validate what we were doing, but to inform and improve future Community Appointment Days (CADs), strengthening the overall offer.

This has been an invaluable process, continually shaping how we support our community. 

What have we learned?

A significant shift we’ve made is moving our health hub to the front of the patient journey. This simple change led to a dramatic increase in screening for blood pressure and diabetes – a real success in terms of uptake. But the evaluation also revealed some gaps, like the fact that many people weren’t engaging with the information provided. So, we’ve now placed extra resources on stewarding, helping guide people right from the front door.  

Data has become a powerful tool for us, highlighting areas that need further attention and helping us plan the next steps. We’re seeing the importance of exploring longitudinal data to understand long-term outcomes. And one key takeaway? Both people attending and staff have really valued the service, with many staff members appreciating the chance to step outside their usual routine and connect more deeply with people and colleagues.  

Importantly, this evaluation has paved the way for new initiatives, particularly in tackling health inequalities. We’re now focusing on reaching those who don’t typically engage with services, ensuring that our approach is as inclusive as possible. 

A woman wearing a dark coloured coat is stood at a desk talking to another woman wearing glasses who is sat down. They are in a sports hall at a Community Appointment Day

Applying our findings to future work  

Looking ahead, we’re keen to build on what we’ve learned. Our current model was developed with patients on waiting lists in mind, but our future plans aim to offer CADs as the first touchpoint in a person’s health journey with us. We believe this early intervention will help people understand what to expect and get the support they need sooner.  

We’re also strengthening our collaboration with the voluntary and community sector, ensuring our offer truly reflects the needs of our local population – and we’re using data to guide us every step of the way. 

Laura’s reflections on the project  

This project started with a bold vision in 2022, alongside Natalie Blunt, Managing Director of Sussex MSK Partnership Central.

We took a risk in trying something different, but with the focus on what matters most to people who access the service– staff thought we were a bit mad at first – but gradually, they came on board. Initially, there was a temptation to simply ‘lift and shift’ hospital services to the community, but we knew that wasn’t the right approach.

What we needed was a more radical change, and our staff fully embraced that challenge. 

The CAD continues to evolve, change and works because of the enthusiasm and dedication of the team. This has only been possible because of that commitment and the team effort. 

It was the culture of the organisation that allowed us to take those risks and pushed us to think outside the box. We were supported every step of the way.

For me, one of the biggest takeaways has been the sheer joy of working with our staff in such an engaging and inspiring way.

This journey has been full of learning, growth, and joy, and it’s something we’re all proud of.

You can read the Evaluation Summary or download the full Review and Evaluation document here.

Thank you to Kate Cheema, part of Kaleidoscope Health & Care, who undertook the analysis and evaluation of the data.

For us the report confirms that for many, this is a powerful way of linking the physical and social sides of health and gives us clear recommendations on how to develop both the CAD events and our data and evaluation work in the future. 


We hope it is useful to you too, feel free to get in touch with us at collab@hereweare.org.uk if you’d like to discuss collaborating with us. 

A younger white man wearing glasses, stood with his arms folded behind his back and smiling - he's stood in a sports hall at a Community Appointment Day
A sports hall where a Community Appointment Day is being held with seats laid out for people attending. The evaluation was commissioned to understand and learn from these events.

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Community Appointment Days – Evaluation proves impact on MSK care https://hereweare.org.uk/blog/community-appointment-day-evaluation/ https://hereweare.org.uk/blog/community-appointment-day-evaluation/#respond Wed, 23 Oct 2024 07:16:05 +0000 https://hereweare.org.uk/?p=14817 We’re delighted to publish the Sussex MSK Partnership Community Appointment Days Evidence Review & Evaluation, and share our learnings.

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Community Appointment Days – Evaluation proves impact on MSK care

Jamie Tulley

We’re delighted to publish the Sussex MSK Partnership Community Appointment Days Evidence Review & Evaluation, and share our learnings.

As a not-for-profit, we’re always focused on learning from our work and pushing to improve our services, ensuring exceptional care reaches everyone. This review highlights the tangible impact CADs are having on MSK care delivery and reveals key insights that will help us build on this progress. 


One of the standout successes of the initiative has been the rise in Patient-Initiated Follow-Up (PIFU) rates. More than 50% of CAD attendees opted for this approach, a significant increase compared to the 12% seen in other services. Although national evidence on PIFU’s effectiveness is still emerging, these figures suggest that CADs are making a real difference in promoting long-term self-management.

An older man wearing a jacket and jeans is sat with his legs crossed talking to a younger black male clinician - who is listening and taking notes at a Community Appointment Day
A large number of staff stood in a sports hall at a Community Appointment Day listening to someone speaking

How are Community Appointment Days making a difference? 

  • Supporting self-care: Over 50% of patients who attended CADs were able to move to self-care after just one session, reducing the need for ongoing clinic visits. 
  • Boost in Patient-Initiated Follow-Up (PIFU): More than half of CAD attendees opted for PIFU, compared to just 12% in other services. This shows that patients are taking charge of their long-term care. 
  • Overwhelmingly positive feedback: Patients and staff alike have praised the expert advice, personalised care, and collaborative environment that CADs offer. 

Helping to manage waiting times 

Although CADs weren’t specifically designed to reduce waiting times, we’ve seen another benefit: they’ve helped us keep waiting lists stable, a big achievement given national trends of increasing backlogs. 

Read evaluation in full 

We’re excited to share these findings with you. You can download the complete Evaluation Review and Report and dive into all the details. 

If you’re thinking of starting your own Community Appointment Days, check out our Essential Ingredients guide for tips on how to get started.  

Curious about how CADs work? Read more in our blog series:

A group of four team members, one male, three female stand close together and smiling in a sports hall at a Community Appointment Day
Photo of a sports hall with a woman stood helping to direct people where they need to go, next to a banner that reads 'What Matters To You'

Evaluation overview

 

Support for self-management: 

  • CAD effectiveness: The initiative has significantly improved patient self-management, with over 50% discharged to self-care after just one CAD appointment. This suggests a reduction in the need for multiple follow-up appointments, potentially easing the burden on downstream clinics. 
  • PIFU outcomes: CAD patients had a much higher rate (over 50%) of Patient Initiated Follow-Up (PIFU) as an outcome compared to other services (12%). Although the evidence base for PIFU’s effectiveness is limited, the higher rate in CAD indicates a positive impact on long-term self-management.

Patient experience: 

  • Positive feedback: Patients reported overwhelmingly positive experiences, especially regarding face-to-face expert advice and personalised care. Despite some operational concerns like waiting times, patients felt involved and heard, meeting the initiative’s goal of enabling active participation in care.

Staff experience: 

  • Professional development: Staff enjoyed the CAD events, appreciating the opportunity to spend quality time with patients, understand their needs, and provide tailored advice. The collaborative environment also fostered a sense of collegiality. However, there were some negative comments about operational issues, such as workflow and IT challenges. 

Adoption and attendance: 

  • Good adoption: High conversion rates from invitations to attendance indicate strong adoption of CAD across different areas. However, attendance variations by age group suggest barriers for working-age adults, who may benefit from more advanced information and preparation. 

Exploration of broader health issues: 

  • Broader services: Feedback indicates that CAD attendees could explore broader issues affecting their musculoskeletal (MSK) conditions giving people the opportunity to access support from other health and wellbeing services.

Impact on equity: 

  • No perpetuation of inequalities: Analysis by age, gender, and deprivation suggests that the CAD initiative does not exacerbate inequalities. However, higher DNA (Did Not Attend) and cancellation rates among working-age adults indicate accessibility issues for this group. 

Waiting Times Impact:

Stable waiting times: The CAD initiative was not specifically designed to reduce waiting lists, but has shown a potential positive impact. From January to May 2024, the waiting list for Sussex MSK Partnership remained stable, while national trends show increasing volumes. Sussex MSK has also reduced the number of patients waiting over 18 weeks, outperforming the national average. Although a direct causal link between CAD and waiting list reductions cannot be confirmed, timing correlations and qualitative findings suggest a positive influence.

Potential long-term effect: Further analysis is required to determine CAD’s long-term impact on waiting times, but current patterns, combined with low Patient Initiated Follow-Up (PIFU) rates, indicate that CAD may contribute to sustained reductions if the initiative continues.

Limitations and recommendations: 

  • Data and methodology limitations: The report is based on limited data from six CAD events without a comparator group. Longitudinal data and independent qualitative data collection are recommended for a more robust evaluation. 
  • Key recommendations: 
  • Commission independent qualitative data collection and follow-up with non-attendees. 
  • Link CAD attendee data to primary and secondary care records to assess service utilisation. 
  • Refine data on PIFU usage by CAD attendees, stratified by key demographics. 
  • Maintain records of review and learning activities related to CAD and implement operational improvements. 

Background on MSK care: 

  • Growing demand for MSK care: MSK conditions are a leading cause of disability in the UK, significantly impacting individuals and the healthcare system. The CAD initiative in Sussex aims to address these challenges by providing a comprehensive, integrated care model in a community setting. 

Conclusion: 

The CAD initiative has achieved its goals of improving patient self-management and staff engagement. There are opportunities for further operational improvements and more comprehensive data collection to enhance future evaluations.

If you’ve looked at our work at Here and you think we’d make a good partner for your next project or you’d like to share ideas, we’d love to hear from you. 

To get in touch email: collab@hereweare.org.uk 

A white man is stood on one leg leaning against a wall and receiving physio care from a woman kneeling next to him holding his leg at a Community Appointment Day

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Personalised care made accessible from Sussex MSK Partnership https://hereweare.org.uk/blog/personalised-care-made-accessible/ https://hereweare.org.uk/blog/personalised-care-made-accessible/#respond Wed, 18 Sep 2024 09:42:13 +0000 https://hereweare.org.uk/?p=14867 We know that conveying complex medical information in a clear and accessible manner can be challenging. This is where Sussex MSK Partnership Central's animations step in, rethinking the way healthcare information is delivered to patients.

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Personalised care made accessible from Sussex MSK Partnership

Animated image of a man sat at computer talking on the phone asking 'How can we help you?'

In the realm of healthcare, patient education plays a pivotal role in ensuring individuals understand their conditions, treatments, and how to manage their health effectively.

Shaping services around the needs of our population

We know that conveying complex medical information in a clear and accessible manner can be challenging. This is where Sussex MSK Partnership Central‘s animations step in, rethinking the way healthcare information is delivered to patients. 

Their three short videos – Introduction to Musculoskeletal Health, What to Expect and How to Prepare for Your Appointment and Person Initiated Follow Up offer simplicity in messaging, providing people with a clear understanding of the term MSK and what to expect from the service.

 

Accessible videos for people receiving MSK care

Accessible information about the services we offer

Jo Hall, Professional Lead at Sussex MSK Partnership, reflects: 

 As part of Personalised Care and understanding what matters most to people, we know how important it is to support people with friendly, accessible information about the services we offer, what to expect, and how to prepare, to enable them to make the most of any contact they have with us. 

It also goes beyond this – helping inform people about MSK health and beyond, offering reassurance and signposting to support living well within their community. 

By simplifying medical jargon and presenting information in a visually engaging format, people can grasp crucial healthcare insights more easily.

Through colourful visuals and dynamic storytelling, patients are not only informed but also entertained, making the learning process more enjoyable and effective. 

Head shot of a white woman with dark straight hair, smiling. Photo is of Jo Hall, Professional Lead at Sussex MSK Partnership

“We gained a lot of insight from our communities at The Big Conversation, hearing that people didn’t understand what MSK meant, who we are as a service and what we offer. It made a big difference to work with them to shape our animation to suit the needs of the end user.” Jo Hall, Professional Lead at Sussex MSK Partnership

Speaking directly to people at their Big Conversation events allowed the MSK service to understand what the local population wants and needs when it comes to accessible healthcare, helping to shape their offerings. By incorporating feedback and insights from these events, Sussex MSK Partnership Central ensured their animations provide valuable information but also resonate with and cater to the diverse needs of the community they serve. 

The team worked on the videos with local designer Katie Merrien, Founder of CommuniKate Design, who breaks down complex information into digestible, visual narratives.  

 

Katie said: 

“Sussex MSK Partnership Central is one of the best organisations I’ve worked with. They are proactive and thoughtful about representation of and ensuring access for all demographic groups, and passionate about co-designing messaging with their service users to make sure it meets people’s needs.  

Creating the animations with the team was a really enjoyable, straightforward and informative process for me, and I know that residents will experience a lot of benefits as a result of our work together.” 

Photo of a woman with long, light coloured hair, smiling whilst sat at a desk holding a pen

The service has also produced offline assets, including posters and leaflets, to ensure those who don’t have digital access can still benefit from the content of the video.

Furthermore, with incorporation of British Sign Language (BSL) this adds an invaluable layer of accessibility for deaf or hard of hearing individuals, ensuring that no one is left behind in understanding their healthcare journey.

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

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Fern Bolwell’s reflections on the Sussex Health Equity Fellowship https://hereweare.org.uk/blog/sussex-health-equity-fellowship/ https://hereweare.org.uk/blog/sussex-health-equity-fellowship/#respond Thu, 29 Aug 2024 10:12:29 +0000 https://hereweare.org.uk/?p=14588 The Health Equity Fellowship is a nine-month programme delivered by NHS Sussex and Health Innovation Kent Surrey Sussex, which equips participants with the skills and knowledge to become key change agents within their organisations, promoting a focus on equity and reducing health inequalities.

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Fern Bolwell’s reflections on the Sussex Health Equity Fellowship

Image features people sitting on chairs in a sports hall reading information about the community appointment day they are attending.

Our work at Here focusses on bringing together service improvement, lived experience and data.

Last June we joined the Sussex Health Equity Fellowship, a brand new programme created by Sussex Health and Care and partnered with Kent Surrey Sussex Academic Health Science Network.

We were extremely keen to be involved and were thrilled that of the eight places offered two of our team were accepted onto the programme.

Fern Bolwell, Learning Lead and Tom Golden, Business Intelligence Analyst at Here both took part in the programme. We felt that having people from both an operational and data and a analytics perspective would of huge benefit due to how equity learning could be used by these different skills areas.

In this blog, Fern shares her more about the Fellowship and reflects on what both she personally and us as an organisation have learned from the experience.

Tom Golden
Fern Bolwell

What is the Health Equity Fellowship? 

The Health Equity Fellowship is a nine-month programme delivered by NHS Sussex and Health Innovation Kent Surrey Sussex. The programme aims to equip participants with the skills and knowledge to become key change agents within their organisations, promoting a focus on equity and reducing health inequalities. 

The Fellowship is delivered through a mixture of lectures, webinars, action learning sets, mentoring and connection to each other’s knowledge and experience. Alongside this, Fellows complete a work-based project with a goal of improving health equity.

Sussex Health and Care Health Innovation Kent Surrey Sussex Health Equity Fellowship

‘We know that our society is not fair and equitable, and many people face

 
 
 

systematised and institutional discrimination and cannot thrive in the conditions in which they live. We recognise the structural and cultural inequalities that are embedded in our wider society, and that this impacts our work in health and care. We recognise the inequities in the healthcare system and we want to work to address those.’ 

I have always been passionate about justice and fairness in society and ensuring everyone’s voices are heard and acted on. My professional goal is to realise this mission through the work that I am doing with Sussex MSK Partnership and ensure that health equity is always considered in each decision for the patients who need it most.  

For me the opportunity to be a part of the Fellowship came at a key moment of change for the Sussex MSK Partnership as we looked to the future and worked on how to deliver healthcare differently.

Equality and equity

What skills did we bring?

Sussex MSK Partnership had already set aside dedicated project groups to focus on health equity. This work has been divided into 3 workstreams – Data, Staff Support and Community.

I work across each project group and was able to see where each intersected and supported the other. We first focused on an evidence-based approach through both community outreach and data gathering to ensure the changes we make, make a difference where it is most needed.

The way we work at Here meant we were able to be agile and encouraged to be innovative and forward thinking in approaches to delivering healthcare. 

What have been the results? 

The Health Equity Fellowship gave me the opportunity to grow my capability in population health, innovation and evaluation. My understanding increased in applying an equity lens to change initiatives. As well as expanding my network and connecting me to experts in a wide range of relevant areas.

Following the fellowship, I presented at Sussex Partnership Foundation Trust and Sussex Medical School’s Anti Racism event to showcase our work at Sussex MSK Partnership. 

I felt truly inspired by the dedication of the team leading the Fellowship and emboldened by their hope, even when honestly discussing the real challenge and shocking impact of inequity and prejudice.  

During the 9 months of the Fellowship I was able to work on: 

  • Improving our data capture and reporting to be able to see, at a glance, differences between access, experience and journey of different groups of patients.
  • Used our data to inform where we should be supporting our community, through this evidence, we connected with Crawley Asian networks. 
  • Shared the learning from the fellowship and delivered training for all Here colleagues on health equity. 
  • Simplified the interpreter booking process to address inequity.
  • Created a new process to ensure patients with adjustments were flagged on our systems so that we can proactively support their needs.
Our self referral leaflet, translated into Tamil.

What is our learning and what are we taking forward from this? 

The Fellowship experience has extended my confidence, competency and language to challenge and advocate for health equity in projects, process, the workplace and the wider world. 

I actively seek out to surface where there are challenges for patients and colleagues based on protected characteristics.  focused on fixing, improving and most importantly sharing the learning and awareness for future prevention of inequity.

I am grateful to those who speak up and teach me. It has shifted my vision to a world where I am no longer blind to inequity. 

The fellowship really opened my eyes to the impact that bias, exclusion and discrimination has on the healthcare of certain demographics.

Coming from a background of data, the fellowship taught me the importance of collaboration and co-design. I learnt that data is useful in identifying trends that might suggest inequity but it is only when you go and meet members of the community that you understand the factors that may be causing an inequity in their healthcare.

Tom Golden
Business Intelligence Analyst at Here

Earlier this month Sussex Health and Care Fellowship held a webinar to share more information about the programme, Fern was invited to talk and share her experience – you can watch it in full below.

 

How can you get involved?  

The Sussex Health Equity Fellowship is now recruiting for a new cohort of Fellows – details on how to apply are below. 

 

  1. Health Innovation KSS website: https://healthinnovation-kss.com/news/sussex-health-equity-fellowship-opens-for-applications/ 
  2. LinkedIn: https://www.linkedin.com/feed/update/urn:li:activity:7224325761082552320
  3. Twitter: https://x.com/HealthInnov_KSS/status/1818563477654417445
  4. Applications close on 2nd September 2024, 11:59pm

Fern Bolwell, Learning Lead at Here

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

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Long term conditions NHS eLearning programme features CAD https://hereweare.org.uk/blog/long-term-conditions-elearning-cad/ https://hereweare.org.uk/blog/long-term-conditions-elearning-cad/#respond Thu, 18 Jul 2024 14:00:38 +0000 https://hereweare.org.uk/?p=14152 The post Long term conditions NHS eLearning programme features CAD appeared first on Here.

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Long term conditions NHS eLearning programme features CAD

Image features people sitting on chairs in a sports hall reading information about the community appointment day they are attending.

PRosPer – Long Term Conditions eLearning course has just launched, featuring a case study highlighting the impact of Community Appointment Days.

 

Sophie Wickins, Clinical Project Manager at NHS South, Central and West (SCW) approached Georgi Daluiso-King, from Sussex MSK Partnership to contribute to the programme upon discovering Georgi’s exceptional work in Personalised Care and her involvement in Community Appointment Days (CADs).

Georgi Daluiso-King, from Sussex MSK Partnership sat at a desk in a doctors office.

SCW’s Cancer and Long Term Conditions Team have developed the new PRosPer (Prehabilitation, Rehabilitation and Personalised Care) for Long Term Conditions eLearning for Health module on behalf of NHS England.

This collaborative piece of work was developed using the clinical and service redesign skills from within the SCW team and front-line clinicians doing amazing work in the field.

The case study is included in the Strategic Level module, which follows on from the 2 earlier modules (Foundation and Intermediate).

 

The case study states:

Sussex MSK Partnership Central is a joint venture delivered by Here (a not-for-profit social enterprise) and Sussex Community NHS Foundation Trust. 

 

They have truly embraced the PRosPer principles for improving services for people with LTCs. They have addressed every element of the House of Care through the development of their services.

House of care

Combining these insights and in-depth understanding of transforming clinical services, the module aims to provide practical examples and opportunities for clinicians, clinical leads, commissioners and people with strategic decision-making powers in developing the knowledge required to deliver quality improvements in their services and influence system change.    

We are pleased to confirm that this session is now live on the NHS Learning hub:    

Session link: https://learninghub.nhs.uk/catalogue/PRosPer-long-term-conditions?nodeId=7616 

Programme/catalogue link: https://learninghub.nhs.uk/Catalogue/PRosPer-long-term-conditions 

Have an idea or a project you think we could work together on? We’d love to collaborate with you!

Get in touch at: collab@hereweare.org.uk

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

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Sussex MSK Partnership Central members attend IFOMPT 2024 world conference https://hereweare.org.uk/blog/sussex-msk-partnership-ifompt/ https://hereweare.org.uk/blog/sussex-msk-partnership-ifompt/#respond Fri, 05 Jul 2024 13:58:33 +0000 https://hereweare.org.uk/?p=13999 The post Sussex MSK Partnership Central members attend IFOMPT 2024 world conference appeared first on Here.

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Sussex MSK Partnership Central members attend IFOMPT 2024 world conference

Jamie Tulley

Laura Finucane, our Clinical Director at Sussex MSK Partnership Central, is also President of The International Federation of Orthopaedic Manipulative Therapists (IFOMPT).

This year the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) – the world conference of musculoskeletal and manual physical therapy, celebrates its 50th year as a global leader in Orthopaedic Manual Physical Therapy (OMPT) excellence. The event welcomes experts from all over the world to its conference in Switzerland to explore:

  1. Innovative models of care in musculoskeletal and manual physical therapy
  2. Physical therapy futures – emerging areas
  3. Expertise in musculoskeletal and manual physical therapy

“Sharing ideas and initiatives among colleagues and experts is crucial for developing excellence and helps pave the way for reducing musculoskeletal disorders globally – and enables people to bring new ideas into their local services.

 

This is my fourth and final year as president, and the 50th anniversary of IFOMPT, and I am excited about the discussion and debates and learning about the initiatives taking place around the world and turning those ideas into practice.” ~ Laura Finucane president of IFOMPT and Clinical Director for Sussex MSK Partnership.

Laura has been involved with IFOMPT for the last 18 years, serving on the executive committee for the last 12 years and president from 2020-2024.

Also attending from Sussex MSK Partnership Central are Andrew Kemp and Stephanie Hemmings.

Andrew is an Advanced Practitioner and Stephanie is a research and Audit Lead, Senior MSK Physiotherapist and Lecturer in Physiotherapy at University of Brighton.

They will be presenting a poster titled “Equity factors in trials of physiotherapy for meniscus tear: A systematic review”​  and Stephanie will also be presenting on our nationally celebrated Community Appointment Days (CADs).

Photograph: Jenny Handy

The International Federation of Orthopaedic Manipulative Physical Therapists Incorporated represents groups of Manipulative and Manual Physical Therapists around the world who have completed stringent post-registration/post-graduation specialisation programmes in the field of neuro-musculoskeletal disorders.

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

The post Sussex MSK Partnership Central members attend IFOMPT 2024 world conference appeared first on Here.

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CAD success in Brighton https://hereweare.org.uk/blog/cad-success/ https://hereweare.org.uk/blog/cad-success/#respond Thu, 04 Jul 2024 15:25:26 +0000 https://hereweare.org.uk/?p=13965 The post CAD success in Brighton appeared first on Here.

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CAD success in Brighton

A group of about 30 people stood in a sports hall all facing the camera and smiling

Last Monday, colleagues from Sussex MSK Partnership Central supported University Hospital Sussex to see 240 people at their own Community Appointment Day (CAD).

Held at the Sports Centre at University Of Sussex in Falmer, the CAD supported people from Brighton through strengths- based What Matters to You conversations, and tailored advice, guidance, and rehabilitation depending on their individual needs.

Community providers were also on hand to offer additional support and to connect people on a wider basis with their health and wellbeing. Including SCFT Living Well Programme, Freedom Leisure, Aging Well, MIND, Together Co Social Prescribing, Brighton and Hove City Council and Sussex Integrated Care Board.

The feedback from those who attended was hugely positive and it was great to support people in the community.

“It was so wonderful to be listened to. Everyone was so kind. Please thank everyone as I now understand more about my condition and can be proactive in my recovery.” – Feedback from attendee

Look out for further CAD updates over the coming months.

A group of about 30 people stood in a sports hall all facing the camera and smiling

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Working Here: Enam’s story https://hereweare.org.uk/blog/working-here-enams-story/ https://hereweare.org.uk/blog/working-here-enams-story/#respond Wed, 10 Apr 2024 12:00:56 +0000 https://hereweare.org.uk/?p=9810 Seeing a project completed and being implemented into the service has its sense of pride knowing the team put a lot of effort and time in to it.

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Working Here: Enam’s story

Jamie Tulley

We’re really proud of our colleagues and the amazing work they do for our communities and healthcare.  These stories are from the people that work at Here, who work so hard everyday to provide exceptional care, for everyone.

This week we’re spotlighting Enam, our SMSKP Project Coordinator. Enam has been working for Here since March 2022.

Why did you choose to work in MSK?

I was working in the Vax team, and I was approached by a colleague to apply for the role. The role interested me as the work seemed interesting and exciting. Considering the skills I learned from being in the vax team I was intrigued to see if I could rise to the challenge of MSK.

Describe what you do in 100 words.

A project is initially discussed within MSK Leads. Our Manager, Andy Henderson, then meets us to discuss and allocate an agreed project. Projects have the definition of being strategically important to the MSK service such as where we can improve / create a patient service or system and for Here itself such as improving the office space for staff (but these projects are rare).

Once a project is allocated it is up to the project coordinator to drive, implement and deliver the project within its set deadline. We also handle the aftermath of the project, such as reviews and reporting.

What do you enjoy most about your role?

The variety, no two projects are the same. I am a keen learner and always looking to improve my knowledge of MSK and project management. The team around me is great, our project team is actually split on to two with Development and Improvement, working alongside them is great.

Seeing a project completed and being implemented into the service has its sense of pride knowing the team put a lot of effort and time in to it.

What would you say to someone thinking about a career in MSK?

Do not be afraid of not knowing. The organisation is great and provides training and learnings. You can always ask for support. MSK is a huge service. From an admin / operations perspective there are plenty of opportunities to develop.

How would you describe the MSK in one word?

Dynamic

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What if we made community powered health, for everyone https://hereweare.org.uk/blog/community-powered-health-for-everyone/ https://hereweare.org.uk/blog/community-powered-health-for-everyone/#respond Thu, 28 Mar 2024 13:38:18 +0000 https://hereweare.org.uk/?p=8465 Today over 270 people were on the call, with the wonderful Natalie Blunt and Laura Finucane talking about how they got the CAD up and running, and what impact it had.

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What if we made community powered health, for everyone

Jamie Tulley

As a social enterprise our purpose is to create exceptional care, for everyone.

We are incredibly proud of the services we deliver, and sharing our learning is an important part of our culture.

Many businesses talk about growth, for us, we measure that in terms of impact, as well as delivery.

That’s why we were so excited about our New Local webinar this morning, talking about our Community Appointment Day innovations in Sussex.

Today over 270 people were on the call, with the wonderful Natalie Blunt and Laura Finucane talking about how they got the CAD up and running, and what impact it had.

Whilst we are still tracking our data, and learning what works, what I’m left with this morning is the incredible news that across the country, CADs are popping up like mushrooms.

What started as a ‘what if’ conversation in our teams, is becoming an accepted idea – fuelled by a desire to experiment, to try something different, knowing that doing what we’ve always done will not solve the problems we face.

Its not just in MSK, and its not about waiting lists. Creating new ways to deliver truly personalised care is an idea our systems are ready for. Common sense innovation, that anyone can read about and think – how might we do that around here?

As a social enterprise, this is what we are about. Business for good. We’re excited to connect with others who are exploring this idea. We’re happy to share, and importantly we’ll learn from how this idea develops in other places.

Creating exceptional care for everyone is going to take change on a new scale. Strength based, community powered health.

 

Whether you’re daunted, deliberating or determined to try, we’d love to be connected.

Want to learn more about the Community Appointment Day model?

 

For more information please contact us: collab@hereweare.org.uk

Read about how it all started in our blog: Community Appointment Days – An idea that rapidly turned into an innovation

Dr Helen Curr, Chief Executive

My role is to hold ourselves true to our values. To make sure our commitment to putting people at the heart of their healthcare journey is embedded in every decision and action we take.

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

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Community Appointment Days: What makes them tick? https://hereweare.org.uk/blog/cads-what-makes-them-tick/ https://hereweare.org.uk/blog/cads-what-makes-them-tick/#respond Thu, 09 Nov 2023 18:31:37 +0000 https://hereweare.org.uk/?p=10049 Community Appointment Days (CADs) are a simple idea, built on a bedrock of partnership, personalised care and devolved decision making. With all eyes on the growing NHS waiting lists, anything that serves to get people quickly to the care they need is gathering attention.

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Community Appointment Days: What makes them tick?

Jamie Tulley

Common sense innovation is one of our by-words at Here – we believe in innovation, and doing things differently – we also believe in simple ideas that have great impact.

Community Appointment Days (CADs) are a simple idea, built on a bedrock of partnership, personalised care and devolved decision making. With all eyes on the growing NHS waiting lists, anything that serves to get people quickly to the care they need is gathering attention.

But what makes them work? Could this happen anywhere?  

These are my reflections on the story so far:

Partnership is key

As a social enterprise, we’ve been working hand in hand with our Sussex Community Foundation Trust (SCFT) colleagues for over ten years. At the CAD you can tell. Everyone introduces themselves as MSK Partnership staff. One team, not several. Everyone pulling together.

We draw on the agility and creativity of a small social enterprise and join forces with the expertise and credibility of the NHS. A perfect example of the whole becoming more than the sum of its parts.

Photograph: Jenny Handy

MSK practitioners at a Community Appointment Day (CAD)

Personalisation is the difference

As an organisation our calling card is exceptional care for everyone. We specialise in personalised care approaches to long term conditions. We constantly ask the question – is this care exceptional – both in terms of the standard of care, and our ability to make an exception to respond to a particular set of needs.

The MSK partnership has a mission too – putting patients at the centre of their healthcare journey. Why does this help? It means we focus only on understanding what really matters to someone, and this has been the beating heart of the CAD.

Making sure we understand, and quickly respond to the things that are going to make a difference, and not wasting any time offering or pursuing pathways that just don’t suit.

I liked the atmosphere and behaviour of staff. Everyone was lovely and anxious to help me. I liked both areas I was sent to, especially rehab because the lady there was extremely kind and went above and beyond with trying to help me.

Photograph: Jenny Handy

Devolved decision making

If you are going to really be person-centred, and allow for shared decision making with people, your clinical team will need the autonomy and independence to enact creative thinking every day. By baking in clear vision and values in every part of the system, you can trust teams to do what matters. 

As a clinician you know that so long as you are holding true to the values, you have a great deal you can offer. Good for managers, good to staff, good for people.

Simple rules let you work with complex problems – and when it comes to caring for people, each and everyone of us arrives with our own complexities to understand.  

I found each area really helpful, every member of staff I saw was sympathetic, understanding and amazing. I felt listened to and not judged.

A learning culture

You know the saying, ‘Culture eats strategy for breakfast?’ If we’d set out two years ago with a strategic plan to reduce our wait list, it’s unlikely we’d have come up with this. If we’d had board sign off from all our partners, this idea would still be sitting on a table waiting for final governance sign off or a pilot.

By creating a culture of working in teams to solve day to day problems together, guided by principle but supported by robust data and learning, we have teams who are unusually used to trying out new things.  This ability to quickly learn, try and fail, change tack means we are improving all the time.

The CAD days evolved from a clinical validation approach that wasn’t working well. Our approach to learning meant we identified the piece that was working – the what matters to you conversation – sowed the seed for a whole day focused around this one conversation.

Find out what people had to say after attending a Community Appointment Day here.

Download the Community Appointment Day Essential Ingredients.

Download the Community Appointment Day Information Sheet.

Photograph: Jenny Handy

About Sussex MSK Partnership Central

Sussex MSK Partnership Central is a joint venture between Here, & Sussex Community NHS Foundation Trust. This is a prime contracting model supporting musculoskeletal (MSK) health for a population of 650,000 covering physiotherapy, orthopaedics, rheumatology and chronic pain. The service operates across central Sussex; including Brighton & Hove, Horsham and mid Sussex and Crawley.

Website: www.sussexmskpartnershipcentral.co.uk

Interested in finding out more about the Community Appointment Days?

Email collab@hereweare.org.uk or use the form below.

Get in touch

Interested in learning more about our services, programmes and innovations?   Fill out the form and we’ll get in touch.

Also of interest

Why have this evaluation of our CADs?

Why have this evaluation of our CADs?

Earlier this year we commissioned an evaluation of our Community Appointment Days. Laura Finucane, Clinical Director at Sussex MSK Partnership Central shares her reflections on the evaluation.

read more

The post Community Appointment Days: What makes them tick? appeared first on Here.

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