First Contact MSK Physiotherapy FCP in Primary Care

First Contact MSK Physiotherapy (FCP) in Primary Care An Introduction for Primary Care Networks Together we make the difference

A Case for Change… Together we make the difference

‘Almost unanimously, the public agreed with the need to change and provide health and care services differently, with a much greater focus on joined up services in the community closer to people’s homes, with the person at the centre. ’ Together we make the difference

MSK FCP in Primary Care - Assess and diagnose (Including screening for serious pathology) What does this approach deliver? Potential interventions include: In one 20 min appointment the FCP will… Person presenting with MSK condition is booked in with FCP via care navigator in GP surgery Advice on self-care Encourage physical activity and health Request investigations Discuss fitness for work Undertake social prescribing Refer to physiotherapy or to OASIS as appropriate Administer joint/soft tissue injections (if qualified) Prescribing/ medication optimisation / (if qualified) …so fewer steps and the right path from the start Together we make the difference

https: //www. england. nhs. uk/wp-content/uploads/2019/05/elective-care-highimpact-interventions-first-contact-practitioner-msk-services-specification. pdf Together we make the difference

Why choose an FCP role? Excellent patient experience and outcome Release GP capacity More efficient use of resources Consider an FCP as an essential part of your PCN workforce Together we make the difference April 2020 and beyond

What we can offer you… Governance Structure In-house MSK expertise with pathway knowledge Records Intervention on EMIS Job Descriptions Capability Framework The Somerset FCP Model Supported integration of FCP including training for navigators Together we make the difference Employed by Somerset acute or community providers FCP is seconded into PCN working as part of primary care team

Current NHS FCP Provision in Somerset • Burnham and Berrow Medical Centre • Millbrook Surgery (Castle Cary) • Queen Camel Medical Centre • Yeovil Health Centre • Hamdon Medical Centre • Martock Surgery and South Petherton Medical Centre • French Weir Health Centre • Warwick House Medical Centre • Lister House Surgery • Creech Medical Centre • Ryalls Park Medical Centre • Buttercross Health Centre • Milborne Port Surgery • The Bruton Surgery • Crewkerne Health Centre Together we make the difference

Funding of the FCP role • NHSE model recommends 1 FTE FCP per PCN. • Eligible for 70% reimbursement from April 2020. • The Alliance is offering to fund the remaining 30% in commitment to a system approach to improve the MSK pathway. • By 2024 NHSE’s aim is to have access to 3 FCP’s per PCN. • Commitment to developing long-term FCP workforce. Together we make the difference

Any questions? Right person. Right place. First time. Together we make the difference