NHS Commissioners

It is no secret that the NHS needs to continue delivering high quality clinical care whilst making financial savings.
A better service for less money. Can this really be achieved?

Clinic 360 is a clinician led service and as such holds expertise in the management of MSK / physiotherapy and orthopaedic patients.

From extensive involvement in many different NHS working environments it has been possible to identify significant gaps in service provision and develop a clinical process that avoids these common mistakes.

With an appropriate clinical examination that includes sonography, the vast majority of MSK pathology is identified during the first visit. This enables appropriate treatment to be initiated without delay.

With a tissue-based diagnosis, supported by ultrasound images the client can often see the true nature of their problem. This level of visualisation, where the client observes in real time the movement and potential dysfunction of their own tissues, helps generate a clear understanding as to what is wrong.

Once a diagnosis has been made then many clients can follow online instruction to optimise their own home based self management rehabilitation programme. Please visit MSK360.co.uk , for an insight into how the prescribed programmes of rehabilitation provide essential follow up care that is freely accessible any time.

MSK 360 therefore provides a viable and cost free alternative to face to face appointments, telephone consultations and printed exercise sheets. ‘Instead of prescription medication, MSK 360 is prescriptive physical rehabilitation’.

It works because the clients have confidence in their diagnosis and the rehabilitation is accessible any time of the day.

It works for commissioning organisations because it is equitable, accessible, evidence based and provides a significant cost saving without compromising clinical care.

Clinic 360 recognises that not all mechanical abnormalities can be corrected with a modification of movement and therefore surgery needs to be considered. With ten years of close working partnerships with Orthopaedic Consultants, previous NHS work resulted in a 95% surgical conversion rate. More important for Commissioners is that only 8% of all referrals into MSK were referred into secondary care. The cost savings on eliminating inappropriate secondary care activity are significant.

By establishing a tissue based diagnosis or, as important, by the exclusion of tissue damage, Clinic 360 can accurately identify patients for whom their experience of pain is the main problem. For these individuals, best management needs to include Pain Management services.

Clinic 360 will assess, diagnose, and treat 80% of all MSK referrals in less than two visits. No additional expense, no time delays, short waiting lists and a clinical approach helps to construct a future health empowered population.

The remaining 20% of patients are accurately referred for either surgical intervention, rheumatology or Pain Management.

This winning formula has been proven in the NHS workplace. This is not wishful thinking, it is a demonstration of how the application of evidence based practice can and should be operating within National Health Service.