{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T13:56:58Z","timestamp":1781359018566,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T00:00:00Z","timestamp":1444262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The present service evaluation aimed to assess patients\u2019 experience of the musculoskeletal interface (MSKI) team, evaluate the outcomes of referrals to secondary care and determine if patients returned to secondary musculoskeletal (MSK) care following discharge from the MSKI team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Excel spreadsheets were designed for data capture. The survey was undertaken in June 2012. Patients were invited to complete and return the questionnaire. Data were collated and reported. Clinicians were given a list of patient identification numbers for those they had referred to secondary care. Using the patient electronic record system, they checked the outcome as recorded and entered data onto the spreadsheet. Patients who had been discharged between December 2011 and November 2012 were identified, their cases were reviewed and data were entered onto the spreadsheet. The information was then collated and reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In June 2012, 415 patients attended clinics, of whom 231 (56%) responded to the patient experience survey. On average, 206 (89%) patients agreed that they were satisfied or highly satisfied with their clinic experience. A total of 2,362 (89%) discharges were reviewed; 1,565 patients (61%) were discharged to their general practitioner (GP) and not referred back to a secondary care surgical or medical service, of these 21% were referred to secondary care by the MSKI team. By 2014, a total of 286 patients had been referred to secondary care by their GP following discharge but only 54 (2%) of whom returned for secondary care assessment for the same condition. Between December 2011 and November 2012, 620 (26%) patients seen in clinic were referred to secondary care; 462 (75%) were referred to orthopaedic surgeons, 66 (11%) to the orthopaedic physician, 44 (8%) to the pain clinic and 48 (1%) to \u2018other\u2018, including neurology, rheumatology, etc.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Physiotherapy\u2010led multi\u2010professional teams provide effective management of MSK conditions, and the majority of patients are satisfied with their care. A year to 18 months year following discharge, only 2% of patients returned for secondary care assessment for the same condition. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1122","type":"journal-article","created":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T11:45:32Z","timestamp":1444304732000},"page":"185-191","source":"Crossref","is-referenced-by-count":6,"title":["Review of the Effectiveness of a Consultant Physiotherapy\u2010Led Musculoskeletal Interface Team: A Welsh Experience"],"prefix":"10.1002","volume":"14","author":[{"given":"Elizabeth","family":"Candy","sequence":"first","affiliation":[{"name":"Aneurin Bevan University Health Board  Ystrad Mynach UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Haworth\u2010Booth","sequence":"additional","affiliation":[{"name":"St Cadocs Hospital  Caerleon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Knight\u2010Davis","sequence":"additional","affiliation":[{"name":"St Woolos Hospital  Newport UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17571472.2011.11493323"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/CGIJ-12-2013-0041"},{"key":"e_1_2_8_4_1","unstructured":"CandyE JonesM PatelS(2007).A consultant physiotherapy led multi\u2010professional triage and treatment team. Conference Proceedings WCPT Vancouver."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.10.643"},{"key":"e_1_2_8_6_1","unstructured":"Department of Health(2006).Musculoskeletal Services Framework. Available athttp:\/\/webarchive.nationalarchives.gov.uk\/20130107105354\/http:\/\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/@dh\/@en\/documents\/digitalasset\/dh_4138412.pdf[Accessed 28 March 2015]."},{"key":"e_1_2_8_7_1","unstructured":"EdwardsB(2003).Review of orthopaedic services in Gwent. Available athttps:\/\/www.wales.nhs.uk\/documents\/OrthopaedicPlan\u2010SourceDocument.pdf[Accessed 30th March 2015]."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjhc.2014.20.10.483"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5688\/aj720243"},{"key":"e_1_2_8_10_1","unstructured":"NHS Institute for Innovation and Improvement(2008).Tools for Improvement. Available athttp:\/\/www.institute.nhs.uk\/quality_and_service_improvement_tools\/quality_and_service_improvement_tools\/reliable_design.html[Accessed 29 October 2014]."},{"key":"e_1_2_8_11_1","unstructured":"NHS Institute Delivering Quality and Value(2009).Delivering quality and value. Focus on: musculoskeletal interface services. Available athttp:\/\/www.institute.nhs.uk\/news\/quality_and_value\/focus_on%3a_musculoskeletal_interface_services_launched_.html[Accessed 29 March 2015]."},{"key":"e_1_2_8_12_1","unstructured":"NHS Wales(2009).http:\/\/www.wales.nhs.uk\/nhswalesaboutus\/structure[Accessed 10 April 2015]."},{"key":"e_1_2_8_13_1","unstructured":"NHS Quality Innovation Productivity and Prevention (QIPP) Right Care(2011).Commissioning for value. Available athttp:\/\/www.rightcare.nhs.uk\/downloads\/Right_Care_2011_Commissioning_for_Value_Feb_2011.pdf[Accessed 30 March 2015]."},{"key":"e_1_2_8_14_1","unstructured":"Physiotherapy Frontline(2014).A physiotherapy\u2010led community service in Lancashire could be expanded after an independent review found it was saving nearly \u00a3250 000 a year by reducing orthopaedic outpatient first attendances. Available athttp:\/\/www.csp.org.uk\/news\/2014\/02\/21\/reviewfinds\u2010physio\u2010led\u2010community\u2010service\u2010lancashire\u2010savesnearly\u2010250000\u2010year\u2010outper[Accessed 30 March 2015]."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/10.4.311"},{"key":"e_1_2_8_16_1","unstructured":"WanlessD(2003).Review of health and social care in Wales. 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