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Activity for Carol McCrum

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Horizon 2

Screening strategy- questioning for suspected inflammatory arthritis embedded into primary care MSK spine pathway

We have incorporated screening questions for signs, symptoms and risk factors for axSpA into the local digital Msk assessment templates to support earlier recognition of suspected AxSpA and referral to rheumatology. We also are in the process of sending out screening questionnaires for axSpA to people on the Msk AP spinal triage waiting list to those with persistent back pain under age of 45 years. With the current climate these people are currently on a 'routine' waiting list to be...

by Carol McCrum
11 months ago

Horizon 2

Embedded digital strategies for Msk screening questioning for suspected inflammatory arthritis

This initiative has been a particularly important for improving screening for suspected axial and peripheral spondyloarthritis which needs questioning on extra-articular features and checking for signs, symptoms and risk factors that raise suspicion in addition to prolonged morning stiffness. Normal blood tests do not rule out these conditions. The aim is to reduce common delays in diagnosis that can be 8-9 years for many people. We have used NICE guidance [NG65 & NG100] referral...

by Carol McCrum
11 months ago

Hi Helen
Just wondering if this combined virtual clinic strategy is still being undertaken with tertiary service/s with the challenges of covid circumstances persisting and can it be an ongoing strategy

Hi Helen- this opportunity is very exciting and am sure the benefits for patient outcomes will show- wondering on your thoughts on implications that need supporting/consideration going forward other than the ongoing technology - funding, tariffs, commissioning or if it is all in place already- thx!

Hi Mel
Thank you -A really helpful outline of the use of technology to support remote monitoring and prompting - any thoughts for other services seeking to implement this strategy - a 'how to set up' guide or who needs to be involved, resources or additional investment? Thx

Hi Ruth - thank you - Table 4 -really valuable

HI Sarah
Thank you - really valuable to hear about your experiences of the changes that have had to be introduced and sharing your thoughts thank you

Thank you for sharing this strategy - are you able to share any thoughts on the pros and cons from a patient experience perspective on the assessment format options going forward and for investing in retaining virtual consultations in the format options ?- thank you

Hi Sam
This is a really helpful post to hear about moves to group delivery of care- and learning about the level of engagement and feedback from users will be really helpful to learn from also - thank you - thought- any tips for other services to implement this approach and do participants opt-in ? Any thoughts about weekly group video delivered exercise sessions versus individual home prog? - Thank you!

The idea has been progressed to the next milestone.

Supports the themes of virtual consultations and technology - reflects the wider national use of teleclinics that occured and with a range of formats - but operational challenges with video clinics described

Hi Ruth- thank you for your really helpful post and valuable evaluation data - could you provide a brief outline of top tips for others going forward with virtual clinics from your experiences?- thank you

Carol McCrum

Eastbourne, United Kingdom

Joined this community on May 12, 2020

Bio Carol McCrum is a Consultant Physiotherapist working in Orthopaedic, Rheumatology and Musculoskeletal Physiotherapy services, Carol is also active in research, clinical education and keen to support innovation and advances in practice across these specialties. @carol_mccrum

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East Sussex Healthcare NHS Trust

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Carol's profile

Activity for Carol McCrum

Screening strategy- questioning for suspected inflammatory arthritis embedded into primary care MSK spine pathway

Embedded digital strategies for Msk screening questioning for suspected inflammatory arthritis

Use of video conferencing to facilitate joint specialty consultation

Use of video conferencing to facilitate joint specialty consultation

Using 2-way SMS communication for blood test reminders

Rapid implementation of virtual clinics: a quality improvement initiative

Patient Experience

Ascenti Physio App/Telehealth

Virtual Hip and Knee Joint Pain Education Group (JPEG)

Rapid implementation of virtual clinics: a quality improvement initiative

Accurx - a digital tool for patient care which writes back to the medical record

Adopting a Tele-First MSK Physiotherapy Service Model

Rapid implementation of virtual clinics: a quality improvement initiative

Carol McCrum

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