Best evidence for a better back (BE FABB) - A triage, assessment and education service for patients with low back pain with or without sciatica
WHERE THIS HAPPENED: Hillingdon Hospitals NHS Foundation Trust
Following the NICE Guidelines for Low back pain and sciatica in over 16s (NG59) we reviewed our pathway to ensure compliance with both NG59 and the NICE Quality Standard (QS155) in collaboration with our community partner Central and North West London (CNWL) NHS Foundation Trust.
The aim was to implement the recommendations and ensure our service used current evidence and validated outcome measures. Using a group setting allowed us to see patients quicker, triage effectively and promote optimal management. Audit data has shown a decrease in waiting times and high patient satisfaction.
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Improving the patient booking service to reduce the number of missed appointments at East London NHS Foundation Trust Community Musculoskeletal Physiotherapy Service
WHERE THIS HAPPENED - Royal London Hospital, London, East London NHS Foundation Trust
In the East London National Health Service (NHS) Foundation Trust (ELFT) Community Musculoskeletal (MSK) Physiotherapy Service, a large proportion of appointments were recorded to have not been attended by patients. The service offers approximately 21 000 appointments per year, thus averaging 400 patients per week, with each appointment lasting 30min. Baseline data identified that 23.76% of newly referred patients did not attend their first appointment and 23.74% of current patients failed to attend their follow-up appointment. The National Schedule of Reference Costs1 reports the cost of non-specialist MSK rehabilitation at £187/patient. Therefore, an average of 96 patients (~24%) per week not attending their appointment equates to a financial loss of approximately £18 000/week for this service.
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