RightPath: a model of community-based musculoskeletal care for children

Nicola Smith; Victoria Mercer; Jill Firth; Sharmila Jandial; Katharine Kinsey; Helen Light; Alan Nye; Tim Rapley; Helen E Foster

doi:10.1093/rap/rkaa057

RightPath: a model of community-based musculoskeletal care for children

Nicola Smith^*, Victoria Mercer, Jill Firth, Sharmila Jandial, Katharine Kinsey, Helen Light, Alan Nye, Tim Rapley, Helen E Foster

^*Corresponding author for this work

Social Work, Education & Community Wellbeing

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Abstract

Musculoskeletal (MSK) presentations are common (reported prevalence of one in eight children) and a frequent cause of consultations (6% of 7-year-olds in a cohort study from the UK). Many causes are self-limiting or raised as concerns about normal development (so-called normal variants). We aimed to describe a new model of care to identify children who might be managed in the community by paediatric physiotherapists and/or podiatrists rather than referral to hospital specialist services. Using mixed methods, we tested the feasibility, acceptability and transferability of the model in two UK sites. Evaluation included patient flow, referral times, diagnosis and feedback (using questionnaires, focus groups and interviews). All general practitioner referrals for MSK presentations (in individuals

Original language	English
Pages (from-to)	rkaa057
Journal	Rheumatology Advances in Practice
Volume	4
Issue number	2
Early online date	16 Oct 2020
DOIs	https://doi.org/10.1093/rap/rkaa057
Publication status	E-pub ahead of print - 16 Oct 2020

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10.1093/rap/rkaa057Licence: CC BY

rkaa057Final published version, 178 KBLicence: CC BY

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AU - Nye, Alan

AU - Rapley, Tim

AU - Foster, Helen E

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RightPath: a model of community-based musculoskeletal care for children

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