31 March 2015
The growing quality improvement agenda requires validated patient centred tools that capture the quality of services provided, enabling services to demonstrate that their services are safe, effective and provide a better experience for the patient. Commissioning challenges in musculoskeletal (MSK) health include: increasing demand, shifts from episodic care to longer term care; measuring ‘quality’ of services for patients with long term conditions; and an ability to benchmark services.
There is a plethora of Patient Reported Outcome Measure (PROMS) available nationally, but few simple clinical tools that are easy to interpret have been validated and can be used for monitoring patient progress.
The Keele MSK PROM was developed and validated to provide a multi-dimensional musculoskeletal patient reported outcome measure suitable for:
The MSK PROM was developed with patient and clinical engagement, and validated in use in daily physiotherapy practice. Published in 2015, the MSK PROM was reported by patients and clinicians as acceptable, quick and easy to use and added value to the consultation.
The MSK PROM is a reliable tool which is sensitive to change and is acceptable and feasible for use in routine practice.
In primary care, 20% of adults will consult their GP each year with a musculoskeletal problem, accounting for one in six GP consultations, 8.8 million physiotherapy consultations and over 3.5 million calls per year to emergency services. Musculoskeletal problems represent the single largest group of chronic conditions for which patients consult their GPs.
The MSK PROM is a validated tool that provides patient feedback on the quality of service provided, aligning closely to the updated NHS Outcome Framework for 2015/16: ensuring quality of life for people with long term conditions (domain 2) – specifically ensuring people feel supported to manage their condition (2.1); helping people to recover from episodes of ill health or following injury (domain 3); ensuring people have a positive experience of care (domain 4) and : improving people’s experience of outpatient care (4.1).
Rhian Hughes and Helen Duffy
t: 01782 733976