Triage referrals. Orthopaedic specialists direct patients to Physiotherapist-led back clinic after paper triage only
Data tracked. Educational tools Developed home program templates, back booklet, exercise sheets
Integration and communication of pathways with other services
Outcomes Keele STarT Back, VAS
Target population: High needs communities, throughout Hawkes Bay
Reduced speicialist appointment/investigations:
119 fewer MRIs
88 fewer spinal injections
average interventions 3.4
Average wait time 41.6 days.
542 people offered assessment in first year
Avoidable hospital admissions:
trending down ( HRT data 2016)
Client satisfaction high:
79% rate 10/10
at discharge 81% self managing well, minimal or no symptoms,
7% referred on to community support groups,
12% referred to FSA/specialist service
Patient reported average Outcomes:
Pain scores improved 23.9%,
self management improved 33.8%
Sustainability: Further 0.5 equivalent advanced pracitioner employed mid 2016. data consistent over 18 months
Enhancement of client services: more clinics opening in outlying community settings.
Message for others: Expert Physiotherapists work with hospital specialists, staff, referrers, and community to ensure clients receive accessible appropriate expert care and back up. This service saves money, reduces diagnostic interventions, Orthopaedic Specialist time, while producing excellent outcomes.
Treatment emphasising self-care, lifestyle change, supported by excellent educational tools, works for all stakeholders.