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4.3 MSK practitioner, Deepings Practice, Lincolnshire

Up to 4. Develop the team
November 15. 2018
Robert Varnam

This practice found that 22% of GP workload related to musculoskeletal problems. With funding from the CCG, they employed a musculoskeletal practitioner, with patients able to go straight to them with MSK problems rather than a GP.

The MSK practitioner provides assessments and gives therapy, including physical therapy and injections.

The impacts have been:

  • patients have faster access to MSK care
  • referrals to secondary care and imaging have reduced
  • there has been a 42% transfer of MSK consultations from GPs to the MSK practitioner
  • there is greater use of non-medical treatments, resulting in a 26.4% reduction in prescribing costs
  • this innovation has saved 16.3% of MSK-related practice costs.


November 19. 2018
Jayne Beasley

Brilliant! It is great to see more Practices testing this Model of delivering MSK services and seeing the benefits for the Patient, Practice and whole Health Economy.

In Shropshire and Staffordshire, we ran a similar pilot last year two Practices in Staffordshire have since employed there own Physiotherapists and part of their Practice team.

This is just the tip of the iceberg in terms of benefits, think of prevention and self-management possibilities of connecting this with social prescribing and community groups.

It seems so obvious when compared to single point access models where all referrals are sent to one MSK service, these are disconnected from General Practice creating cost and inefficiency.

It took quite a while for it to be accepted that Diabetes care generally belongs in General Practice, MSK care should be viewed the same way in my view.

Jayne Beasley

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