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#NHSChangeChallenge

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AP Physio Led MIU

Horizon 2

We moved the MIU away from the ED footprint (still on site within Orthopaedics) to reduce the volume of patients in ED.  Our advanced practice physio teams from ED/Orth and Spines staffed the unit 6am-midnight, Orth fracture clinic support staff and nurses provided treatments, meds etc to allow ED team to focus on majors.  Orth reg worked as part of the team seeing Orth cases only and complex Orth cases were discussed with a Consultant rather than junior.  Manipulations were done using penthrox and a c arm by an Orth consultant on the day within this environment.

What is needed to sustain the change?

Unfortunately this is not sustainable as when F2F elective activity resumes Orth support staff will be required here and the footprint will be used, AP physio staff will need to return to their divisions

What is your region?

North West

edited on Nov 10, 2020 by Kyle Beacham
Michelle Angus

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Alex Buckley 6 months ago

Did it take much time to shift the AP physio team about to make this happen? I do wonder if MIU will go to ACP/ENP led clinics soon. Have you had to draft SOP or inclusion / Exclusion for these clinics? This is a great format to share experience and see what is going on up and down the country.

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Michelle Angus 6 months ago

Hi Alex,
No they were all released to help once elective activity went down & the team are very flexible with rotas etc. Yes, I re wrote a SOP happy to share. We already run VFC with orth so referrals from the team are good. This model has allowed early senior orth input to prevent reattendance.

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Alex Buckley 6 months ago

Hi Michelle - We are seeing improved links with ortho at the min which is great. i know you guys have really good working relationships and I want to make our ED-Ortho links work as well going forward. Thanks for info. If you have any SOP's regarding clinics would be nice to compare. thanks

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Greta McLachlan 5 months ago

Status labels added: Collaboration, Collaboration Of T&O and MIU, Infrastructure, Integration Of Resources, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Upskilling Of Staff, Workforce, Horizon 2

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Eleanor Hurley 5 months ago

The idea has been progressed to the next milestone.

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Kyle Beacham 4 months ago

Status labels removed: Collaboration, Collaboration Of T&O and MIU, Infrastructure, Integration Of Resources, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Upskilling Of Staff, Workforce

Reply 0

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