Admissions

● Physiotherapy is most effective when patients are seen in the acute stage of a condition - as soon as possible after onset.
● Referrals will therefore be restricted to patients with acute symptoms (including those with an acute exacerbation of a more longstanding lesion).
● Information regarding X-rays and blood tests should be provided in the referral letter.
● Conditions: Acute spinal lesions of either soft tissue or articular origin. Acute soft tissue lesions including sprains and strains. Acute joint conditions.

Expert Patient Programme

For Arthritis

Name

Location

Tel

Referral Criteria

How to refer

Rosemary

held at various locations

01943 870072 or 07788416542

●people disabled by their arthritis

●GP or patient contacts Rosemanry

●applicants are put on a mailing list as due to their conditions they might not be able to make the first course.

GPwSI

Name	Location	Tel	Referral Criteria	How to refer
Dr Brooke	referral to eccleshill		●musculoskeletal service	●triage service
Dr. Adrian Dunbar			●musculoskeletal service
Dr Pennington	eccleshill		●specifically rheumatology	●letter

Specialised Outreach Clinics

Name	Location	Tel	Referral Criteria	How to refer
Chronic Pain Rehab Programme	Horton Park includes physio, psychology, self help		●chronic musculoskeletal pain	●referral form

Joint Injection/Minor Ops Clinics

Name	Location	Tel	Referral Criteria	How to refer
	Idle Medical Centre		●large joint injections ●carpal tunnel ●trigger finger ●De Quervain's
	Westcliffe Medical Centre
Dr Chadwick Dr Passant	Windhill Medical Centre

Consultants

Name	Location	Tel	Referral Criteria	How to refer
Mr Shilders			shoulders	All referrals for orthopaedics and rheumatology to go through triage do a generic referral letter to the Orthopaedic Surgery "Team" where appropriate
Mr. Taggart			hips n knees
Mr. Boome			hands
Mr. Shankar			foot
Mr. Kluge			primary and revision knee replacement, minimally invasive hip replacement and complex hip revision surgery
Mr GS Radcliffe			Arthroscopic and reconstructive knee surgery incl TKR
Mr de Jager			Hand Surgery
Mr Mann			Foot and ankle surgery
Mr Grogan			Lower limb joint replacements

Notes:

Need to distinguish between rheumatology and orthopaedics

Musculo-skeletal Triage Service (MST)
All orthopaedic, MST and Rheumatology referrals should be sent to the MST. There is a 10% ceiling for referrals direct to a consultant to fall within the marker. The target is to be review shortly and maybe increased if practices persistently fail to keep under the target.

MST referral forms should be used if possible but referral letters can be used if text space is needed.

New Zealand Scoring system

Click here for a copy of it
Use for all major joint referrals.
<40 refer to physio / manage in Practice
40 - 69 Refer to MST, use MST joint form
>70 Send a referral letter + N.Z. scoring sheet to PCT. Patient maybe sent to private sector by PCT.