{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:56:00Z","timestamp":1778129760974,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T00:00:00Z","timestamp":1667952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>An estimated 5.5\u00a0million people in England have high\u2010impact chronic pain, which is severe pain associated with significant disability. Current models of healthcare often fail to address their broad range of symptoms and address their complex non\u2010medical needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pilot project was designed with the aim of improving the quality of care and addressing unmet needs of patients high\u2010impact musculoskeletal (MSK) pain through providing a personalised approach to their pain and wider psychosocial needs. The model comprised a longer initial appointment with a general practitioner, a later follow\u2010appointment, and support of the multidisciplinary team (MDT) (informally and through a formal MDT meeting) with both primary care clinicians and specialists based in secondary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty six patients were seen using this model, with prominent themes of consultations including self\u2010management, social needs, mental health and understanding their diagnosis. Evaluation of the pilot demonstrated improvements in MSK and non\u2010MSK symptoms, together with improved patient confidence in self\u2010management and knowledge and understanding of their condition. Multidisciplinary working proved to be invaluable in addressing patients' wider needs but also upskilling and supporting primary care clinicians. Primary care staff also found it to be a satisfying way to care for patients, and developed increasing skills and confidence in supporting patients with chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This model of care appears to be an effective way to help primary care teams to provide more holistic personalised care to a group of patients who are highly complex and so often forgotten.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1708","type":"journal-article","created":{"date-parts":[[2022,11,9]],"date-time":"2022-11-09T09:15:05Z","timestamp":1667985305000},"page":"582-591","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Piloting a new model of personalised care for people with fibromyalgia in primary care with secondary care multidisciplinary support"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0372-0284","authenticated-orcid":false,"given":"Selena","family":"Stellman","sequence":"first","affiliation":[{"name":"NHS North West London Personalised Care Team North End Medical Centre  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Ellis","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Dawson","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes","family":"Kocsis","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jag","family":"Mundra","sequence":"additional","affiliation":[{"name":"National Association of Primary Care  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Hill","sequence":"additional","affiliation":[{"name":"NHS North West London Personalised Care Team  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalwant","family":"Sahota","sequence":"additional","affiliation":[{"name":"NHS North West London Personalised Care Team  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Douglas","sequence":"additional","affiliation":[{"name":"Holmwood Corner Surgery  New Malden UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000010"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102017\u2010007635"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/sarh.2002.33719"},{"key":"e_1_2_11_5_1","unstructured":"Deeny S. Thorlby R. &Steventon A.(2018).Briefing: Reducing emergency admissions: Unlocking the potential of people to better manage their long\u2010term conditions. Retrieved fromhttps:\/\/www.health.org.uk\/sites\/default\/files\/Reducing\u2010Emergency\u2010Admissions\u2010long\u2010term\u2010conditions\u2010briefing.pdf"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010012331"},{"key":"e_1_2_11_7_1","unstructured":"Insignia Health. (2022).Patient activation measure. Retrieved fromhttps:\/\/www.insigniahealth.com\/products\/pam"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.862976"},{"key":"e_1_2_11_9_1","unstructured":"Kay L. Lanyon P. &MacGregor A.(2021).Rheumatology getting it right first time programme national specialty report. 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