The purpose of this community-based service development was primarily to trial a new way to support people with their MSK conditions and beyond . To support people to take an active role in their care, leaning into holistic support for issues wider than MSK through access to a range of community services including prevention and health promotion elements.
Discussions took place with key stakeholders to ensure a co-creative solution. , Four Community Appointment Days (CAD) were planned over a 12 month period. People on a routine waiting list for MSK rehabilitation services were invited to attend a local community centre for an appointment. On arrival, attendees had a ‘What Matters To You?’ conversation to determine what they felt they needed in their care and discuss their options. In partnership with a staff member, people determined their plan to support them with the option to access a range of offers including: a one-to-one assessment, advice and guidance, exercise rehabilitation, health checks and a community hub of local services, including Wellbeing services, social prescribers, weight management, talking therapies,and carers support.. Feedback was collected from people using Collaborate a three item questionnaire (scores between 0 – 12) with higher scores indicating greater satisfaction and feelings of person-centred care. Attendees and staff were asked to feedback on their experience of the day.
Over the four separate days, a total of 1034 people accepted and attended their appointment. Collaborate scores were 11.1 ± 1.8 (range 3 – 12) indicating increased satisfaction with their experience. Common themes patients reported were that they valued having everything they needed in the same place and having different people and options together with staff that listened to what they needed. Half of the people over the four days (50.7 %) were discharged with the option of a follow-up within a year. Staff reported that working with others as a team to support people and stepping out of their normal work setting was a positive experience.
This innovative MSK service development allowed people to have access to multiple services and help them determine what they needed. Having everything in one place rather than separate appointments allowed for 50% of those people to be discharged on the day.
Future MSK services need to look at different models of care that support people beyond their MSK condition and result in better person-centred care and satisfaction.
personalised
community
