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#NHSChangeChallenge

Spinal Conditions

10 Ideas
9 Votes
48 Comments
23 Subscribers

Please outline key changes in patient care in Spinal Conditions that have taken place so far during the Coronavirus pandemic and should be locked in to the NHS during the next phase and beyond.

We’re keen to hear about changes that may relate primarily to patients, staff, behaviours and the wider health system

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  1. Diarmaid Ferguson
    182 pts
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Horizon 3

XR clinics

Young patients with scoliosis often return to clinic to have an x-ray to see if their spinal deformity has got worse. They can often be in busy clinics for many hours. We are currently bringing these patients up to hospital for an x-ray and they then go home and have a planned telephone consultation with the spinal surgeon. This works well and means the x-ray clinics can be fully booked and the surgeon then has a telephone clinic of patients to phone. This reduces time spent in hospital and...

9 Points
3
Horizon 2

Telephone support for primary care

Secondary care providing telephone advice service for spinal conditions.  GP's and FCP/ANP are often unsure on the management of spinal conditions. But being able to get immediate advice, patients are directed according to NICE guidance and the national LBP Pathway. This has resulted in patients only attending secondary care of required and primary care reassured and educated re patient management. GP's working by telephone appointments, reported very high levels of satisfaction with the...

7.5 Points
4
Horizon 2

Remote meetings and CPD

Our MDTs and RSN meetings have moved to MS teams and are likely to remain virtual for some time.  This has allowed a far greater attendance and therefore opportunity for discussion and learning.

6.5 Points
6
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Horizon 4

Review of online patient information for spinal care- 'A Curate's Egg'

With the advent of more digitally based virtual clinics, we reviewed patient information available online to help facilitate sharing of information/links on line . NHS A-Z conditions, Patient info and other national and local sites available on line were reviewed. Some good information and advice is available but nearly all were tainted like the 'curates egg' with poor advice about posture and lifting, ineffective exercises, and scary language about slipped, ruptured discs. Some great...

4.5 Points
10
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Horizon 2

Service Review- Are we adhereing to NICE approved National Back pain pathway recommendations?

Reduced clinical commitments has allowed our team to review our current services and see if we are adhering to NICE approved and Nationally recommended guidance. The Spinal Services GIRFT Programme National Specialty Report first recommendation is for CCGs and trusts to agree local plans to implement and adhere to the National Back & Radicular Pain Pathway. We took time to review our services to see how we matched up. (Pathway, GIRFT report attached)  Locally, although we are...

6 Points
3

Microsoft Teams shared trauma meeting between Regional Hub and AQP

We are joining the daily trauma meeting at our spinal regional centre via Teams In order to take urgent cases that need spinal surgery to operate in our “clean” hospital. This reduces need for unnecessary patient transfer as patients seen in regional hospitals are virtually referred to the regional hub along with imaging for discussion in the trauma meeting. They can then be transferred to New Hall Hospital directly without going to the regional centre.  It frees up capacity in the regional...

4
Idea thumbnail
Horizon 2

Telehealth Group MSK health events to enhance consultations

The idea of patients collaboration q by facilitating them to develop and share self care ideas seems a useful social context to communicate health improvement. We have run sessions for Open Age and Athritis Action as well as AGNAP retired nurses on dealing with knee and shoulder pain. These as key joints that pain is effectively disability for many. We are exploring streaming patients into groups using body mapping. This process can also record their progress.   We are developing...

8 Points
3
Horizon 1

Evidence based, NHS endorsed patient information relating to LBP, posture and radicular pain

Currently developing sensible, easy to read digitial patient information on LBP, radicular pain and posture.  May formulate posters, handouts, website info and form a part of residential back pain programme. 

6 Points
9
Horizon 2

Increased use of telephone consultations

We have built on our previous Physio Direct service, which was used predominantly for first contact and triage purposes. The use of phone consultations for follow- up care has been beneficial in many cases. We need to be able to evaluate this more fully post COVID, but there is potential for us to manage some patients differently going forward based on their presentation and preference

7.5 Points
3
Horizon 2

Video consultations set up

It has enabled us to get "eyes on" those people we are concerned about but also has enabled people to see us. Feedback has been very positive across a range of age groups and conditions- both from staff and patients.    Formal evaluation and outcome tools not yet used to evaluate or compare to previous pathway

7.5 Points
3
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