GP-led self care pilot halves waits for physiotherapy

Educating patients about how to manage musculoskeletal pain at home can slash waiting times for physiotherapy, a GP-led initiative has shown.

Physiotherapy: GP-led scheme reduced waiting times (photo: SPL)

A pilot project involving 53 practices in Wolverhampton cut the number of GP referrals to stretched physiotherapy services by a third and halved waiting times.

The pilot was launched after an audit found 17% of patients failed to attend their physiotherapist appointment because their symptoms had cleared up within four to six weeks.

Local physiotherapy services had seen an 'exponential' increase in referrals between 2010 and 2011. Waiting times rose to 15 weeks during this period.

In the pilot, GPs offered patients presenting with back, foot, knee, neck or shoulder pain, carpal tunnel syndrome or tennis elbow, one of seven educational pamphlets produced by NHS Wolverhampton City working with Arthritis Research UK.

These encouraged patients to follow four simple exercises as an alternative to being referred to a physiotherapist.

In response, physiotherapy waiting times fell from 15 to eight weeks. Referrals to physiotherapy fell from a peak of 362 per month in October 2011 to 240 per month in January 2012.

Patients welcomed the pamphlets as descriptive, helpful and succinct.

Wolverhampton GP Dr Kamran Ahmed, who led the project, said: 'We reviewed all of the patient information available and found that although there was a lot, it was not always accessible. It was frustrating as it's important to have access to effective and good quality educational information to help patients manage their condition themselves.

'The new pamphlets were easy for GPs to use and the concise information seemed to motivate patients,' he added.

Since the pilot ended, physiotherapy waiting times have continued to fall.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

BMA Scotland GP committee chair Dr Andrew Buist

'Disappointing' uplift falls short of 6% pay rise promised to GPs in Scotland

A 'disappointing' uplift to contract funding worth £60.4m in 2023/24 will not deliver...

Person selecting medicine in a dispensary

Dispensing GPs demand funding overhaul to ensure services remain viable

Dispensing doctors have demanded improved representation in GP contract negotiations,...

GP consultation room

GPs seeing cases of malnutrition and rickets as cost-of-living crisis hits patient health

Three quarters of GPs are seeing a rise in patients with problems linked to the cost-of-living...

Female GP listening to a patient

What GPs need to know about changes to Good Medical Practice

Dr Udvitha Nandasoma, the MDU’s head of advisory services, explains what GPs need...

Dr Caroline Fryar

Viewpoint: Doctors should be given protected time to digest Good Medical Practice

There's a lot for doctors to digest in the GMC's Good Medical Practice update before...

MIMS Learning Clinical Update podcast

MIMS Learning Clinical Update podcast explores the ‘defining issue of our age’

The latest episode of the MIMS Learning Clinical Update podcast features an interview...