Hi, I absolutely agree mainstream MSK dysfunction should be addressed in a community based setting however, I have concern regarding litigation and the triage of individuals who have primary Ca which could have a secondary spread? Via a robust triage process these individuals are prioritised however my concern is if you make this model mainstream patients with joint/muskuloskeletal pain and a prior history of Ca could be at risk! this could be considered a litigious? but I assume you have measures in place to mitigate this! In York we currently have a 52 week wait for mainstream MSK patients so, your model would work well but my concern remains with those individuals who are an exception to the rule!
Kind regards
Lucy Meyers
Thank you for hosting this incredibly important lecture. Although I work in private health care in MSK this is such an important conversation. I think it is so important to get people to take responsibility for their own health in the widest context because as Adam said, the patient, is not a cardiovascular or a mental health or a MSK problem but a Client with all these needs. It is so rewarding not when I 'fix' someone but rather with my encouragement, when I see that patient at the Supermarket, and I find out that they have joined a drumming group or bell ringing group etc. Surely this has to be the way forward.