As a leading healthcare provider we not only strive to deliver the best care possible to our patients but we are also committed to the advancement of healthcare and the improvement of standards nationally.
The Musculoskeletal Services Framework (Department of Health, 2006) sets a clear vision that people with MSK conditions should have access to high quality, effective services to ensure they ‘fulfil their optimum health potential’. Following a review of our MSK physiotherapy service in 2012, it was established that a robust framework was required which combined staff competency measures with outcomes for patients. Matthew Carr, then the MSK Clinical Quality Manager at Horder Healthcare, brought the two sets of measures together into one framework, aiming to support the staff in their professional development and to improve patients’ experiences and outcomes.
The framework includes all stages of clinical contact with patients, from their first interview and diagnosis, through prognosis and different treatment choices, to treatment itself and end results. This unique combination of measures allows the Horder Healthcare MSK team to review results every two months. Matthew says: “This is an approach that can be tailored for both junior and senior staff and we review results every two months, looking at the trends to inform our in-service training needs. It is accomplishing what we intended – improvements for staff and for patients. Linking the two measures is innovative; even though the physiotherapy team has grown rapidly, from a handful of therapists when I started to 32 now, we have seen staff skill levels increasing alongside an increase of significant improvements in patients’ conditions – that latter measure rising from 66% to over 90% at its peak.”