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Integrated Community Musculoskeletal and Pain Service The Service A combined Orthopaedic, Rheumatology and Chronic pain service using a see treat and discharge model. This highly responsive service is run by Specialist Physiotherapists Enhanced MSK assessment Injection clinics Access to diagnostics MRI, X-ray, Phlebotomy, ultrasound scans and guided injections including hydro-dilatation for frozen shoulder Screening of Orthopaedic and Rheumatology MSK patients for secondary care suitability and onward referral Advice provided to reduce need for physiotherapy Aims To ensure patients with musculoskeletal conditions are seen by the right clinician at the right time to facilitate a timely recovery. To reduce the number of secondary care referrals by a minimum of 40% Who can be referred? Patients who are 18 and over and registered with a Barnet GP A guide to common conditions you can refer: Spine Mechanical spine pain +/- sciatica or arm pain Knee Anterior knee pain, bursitis, meniscal/knee joint pain, ligament and muscle sprains and strains, osteoarthritis Shoulder Signs of rotator cuff tendinopathy/impingement, frozen shoulder, ACJ Wrist/hand/elbow Tennis/golfer’s elbow, De Quervain’s Tenosynovitis, ganglions, trigger finger, hand tendinopathies, osteoarthritis, carpal tunnel syndrome. Foot/ankle Achillies tenderness, ankle pain, hallux valgus (bunions), heel pain, flat feet, ganglions, ligament injury/sprain, morton’s neuroma, plantar fasciitis. Hip Osteoarthritis, trochanteric bursitis, groin pain/strains Please do not refer: Paediatrics <18 years. Urgent Red Flag pathology such as cauda equina and suspected malignancy, recent fractures, any conditions requiring emergency care. Provider Central London Community Healthcare NHS Trust (CLCH) The Lead for the Service is Christine Bilsborough Consultant Physiotherapist CLCH Barnet. [email protected] Extended Scope Physiotherapists are from teams from CLCH Barnet, Barnet Hospital and the Royal Free Consultant Supported Orthopaedics Mr Nimalan Maruthainair, Royal Free Mr Simon Mellor, Barnet Hospital Mr Dan Roussow, Barnet Hospital Mr Rajiv Bajekal, Barnet Hospital Mr Ahrens, Royal Free Rheumatology Mr Ong, Royal Free Locations Edgware Community Hospital Finchley Memorial Hospital Vale Drive Primary Care Centre How? The service is accessed through the Referral Management System (RMS). Referrals are triaged by specialist clinicians and directed to the most appropriate service. Current wait time 2-4 weeks