- 1. Orthopaedic Referrals ViaMulti-Professional Triage Teams and
Polyclinics Mr Benedict Rogers MA MSc MRCGP FRCS(orth) The Fred
Heatley Meeting 27 Feb 2008, Brighton
2. The days of the district general hospital seeking to provide
all services to a high enough standard are over. Sir Ara Darzi,
Health Minister, The Guardian, 11 July 2007 3. Polyclinics - the
next big thing? Nick Triggle ,BBC News, 7th Oct 2007
- Department of Health. 2000; The NHS Plan: a plan for
investment, a plan for reform
- Department of Health. 2002; Improvement, expansion and reform -
the next 3 years: priorities and planning framework 2003-2006
- The NHS Plan 1 , formalised concept of extended roles
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- - Reduce OPA load by 1 million by 2006 2
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- - Improve quality of referrals
- Musculoskeletal : GPwSI & physiotherapists
- Multi-Professional Triage Teams or Polyclinics
4.
MPTT and Polyclinics
- No substantive evidence base
- No published studies regarding
5. Aim Evaluate consecutive referrals to a DGHlower limb
orthopaedic clinic Direct from GP Via MPTT/Polyclinic 6. Methods
7.
- 9 month prospective study
- Survey 277 consecutive patients reviewed in DGH lower limb
orthopaedic clinic
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- Patients perception of MPTT professional
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- Diagnosis made, assessed by senior author
8. Comparative statistical analysis of the temporal differences
between the two groups was performed using an ANOVA (SPSS 11.5)
Patient Demographics Date GP Referred to MPTT clinic Date @ MPTT
clinic Date @ Hospital Orthopaedic Clinic Reviewed @ MPTT by whom?
GP/physio Patients perception of MPTT professionalconsultant/junior
doctor/ GP/physio/nurse MPTTClinic Diagnosis None
made/Correct/Incorrect? 9. Results 10. 277 PatientsReferred for
lower limb orthopaedic opinion 132 patients Via MPTT clinic 145
patients Direct from GP 76 patients Seen by GPwSI 56 patients Seen
by physiotherapist 277 new patient referrals Hospital orthopaedic
clinic 11. MPTT patients wait 62.4 days longer (p