First 2 Physio Service The service is provided by Chapman - - PowerPoint PPT Presentation

First 2 Physio Service

The service is provided by Chapman Physiotherapy Limited from Devonshire House, South Parade, Doncaster, DN1 2DJ The service is a triage and advice service that aims to reduce pressure on GP appointments for patients with musculoskeletal conditions Patients will be assessed and given advice, a home exercise programme and where necessary requests for analgesia, onward referral or x-rays will be made via the patients registered GP practice This service is an initial assessment service only. Patients will be discharged back to their registered GP practice should any follow up appointments be required. Who is Eligible? Patients MUST:

• Be registered with a Doncaster GP practice
• Not have of any of the exclusion criteria
• Not have any red flags
• Must be over the age of 6 years old

First 2 Physio Service Inclusion and Exclusion Criteria

Inclusion Criteria Exclusion Criteria

Musculoskeletal (MSK) pain of less than six months duration Chronic (pain of more than six months) musculoskeletal (MSK) Work related disorders including repetitive strain disorder Infection Road traffic accident / whiplash related pain Children under the age of 6 years old Pain caused by repetitive action / sitting / standing for long periods of time Pain or discomfort during walking or running Post-operative musculoskeletal pain

• History of Cancer (particularly breast, kidney, lung, prostate, melanoma and gynae)
• Feels unwell i.e. has a fever, decreased appetite, weight loss, night sweats
• Pain wakes the patient at night
• Swelling in more than one joint
• Joint problems associated with a rash
• Upper back pain (thoracic pain)
• Joint is red and warm
• New joint deformity or there is a history of trauma – these patients should be advised to

attend the Emergency Department

• Reduced feeling in buttocks or genital area
• New onset of bladder or bowel problems (inability to pass urine and not controlling bowel

movements) since pain began

First 2 Physio Red Flags

If a patient has any of the following symptoms they are not eligible for the First 2 Physio Service and you must inform the duty GP / clinician immediately or book an urgent appointment

First 2 Physio Patient Pathway

Call to receptionist with MSK problem

• Patient contacts GP practice complaining of MSK problem.
• Receptionist informs patient of First 2 Physio Service
• Receptionist screens with inclusion/exclusion criteria and

red flags

• Receptionist books appointment with First 2 Physio

Attend for Assessment at Devonshire House

• Patient attends Devonshire House
• Patient has First 2 Physio Assessment

Assessment Outcome

• Patient is given self management strategies and a home

exercise programme

• If necessary onward referral for further investigations or to
• ther services is made via the registered GP practice

Evaluation

• Patient Questionnaire follow-up and outcome data

collection

• Analysis and Feedback
• Home exercises provided with the Physiotec application and printed for the

patient to retain

• FCMS support on the day prescribing for analgesia.
• Patients registered practice is tasked if any referral to other services or X-ray etc.

is required.

• Primary Care Doncaster Limited to facilitate training and support for Reception

Team

• Verbal consent from patient they are happy to share patient record and attend

First 2 Physio appointment

• Compilation of final report using joint resources.
• Close working between Chapman Physiotherapy, Primary Care Doncaster and

HealthWatch Doncaster to evaluate service

First 2 Physio Service in Doncaster A Summary for Care Navigator

The First 2 Physio Service is a triage and advice service that promotes an alternative to a GP appointment by offering an assessment with an accredited

• physiotherapist. This service is an initial assessment service only. Patients

will be discharged back to their registered GP practice should any follow up appointments be required The First 2 Physio Service is based on the ground floor, Devonshire House, South Parade, Doncaster, DN1 2DJ. Who is Eligible? Patients MUST:



Be registered with a Doncaster GP Practice



Not have meet any exclusion criteria



Not have any red flags



Be over the age of 6 years old If care navigators ask the nature of the call to practice they can inform the patient that they can see a physiotherapist if they fit the inclusion criteria. Under the First 2 Physio Service Patients Will Be Offered:



Free advice and printed information



A home exercise programme



Medication if appropriate What happens when a patient goes to the physiotherapist for the First 2 Physio Service All patients will be offered an assessment with a physiotherapist and given advice on how to manage their condition. This will include what to expect, i.e. what’s normal for the condition / usual duration of symptoms. The patient will also be given a home exercise programme. Any requests for analgesia, onward referral or x-rays will be made via the patient’s registered GP practice. The three possible outcomes for patients using the service are:

• 1. Advice only
• 2. Advice and home exercise programme
• 3. Signpost back to practice for non-urgent GP appointment (advice, printed

information may still be provided) What do I do if a patient doesn’t want / refuses to go to the Physiotherapist? The First 2 Physio Service is optional. Patients who do not wish to use the service can access medical care via the usual routes. Key Messages for Patients  All patients can get free advice and assessment from an accredited physiotherapist without needing to see a GP First 2 Physio Inclusion Criteria: Musculoskeletal pain of less than six months duration Work related disorders including repetitive strain disorder Road traffic accident / whiplash related pain Pain caused by repetitive action / sitting / standing for long periods Pain or discomfort during walking or running Post-operative musculoskeletal pain First 2 Physio DOES NOT Include: Musculoskeletal pain of more than six months duration Infection Unwell patients (i.e. has a fever, weight loss, decreased appetite) Swelling in joints (including red and warm joints) Pain with a rash Upper back pain (thoracic pain) New deformities or deformities following trauma Reduced feeling in buttocks or genital area Pain associated with new bladder or bowel problems