100% AP/FCP and Physiotherapy virtual consultations, including telephone triage and video consultations. With the joint development of rapid face to face clinics with Ortho Consultants for potential serious pathology.

Thanks for putting this on this platform Brian.

Working with you on this, has really helped us to see how patients who are 'in the system' on waiting lists for different types of care and input, could be better supported by better triage processes.

We sat together to re-triage several cases of people who had been on our AP and physio lists. When we shared our thinking on the cases we found that patients could have been directed to resources from the time they were were referred. They may have been directed back to the GP for better information or guided to pain services as the case complexity suggested they needed multidisciplinary input.

We have both learned that we can support our triaging team to start the stratification early. We think that this could be a type of mentoring to support our colleagues because we can discuss the clinical reasoning behind their decisions. We can also use the growing bank of resources to share with patients.

We could also fast track patients to imaging which we will look at in the future as we predict delays in the system and so this can help the patient journey from the get go.

Working with Brian has been great, as we got to share our thinking, develop what we think will be better processes, highlighting specific learning needs of our colleagues and we are very excited about how we hope the changes will lead to better care.

I think our learning to share would be to look at processes you have in your system with a more critical eye, take the time to do this well, share you thinking, work together and good things can happen.