Musculoskeletal Service (MSK)

Nationally “The Musculoskeletal Services Framework” was published in 2006 and sets out evidence of best practice. 

Musculoskeletal (MSK) conditions are common, and are a major cause of ill health, pain and disability. There are over 200 musculoskeletal conditions affecting millions of people, adults and children, including all forms of arthritis, back pain and osteoporosis. Some, including those resulting from injuries, can result in long-term disability in terms of expenditure, MSK conditions are the fifth highest area of spend in the NHS. It is estimated that up to 30% of all GP consultations are about musculoskeletal complaints. The ageing population will further increase the demand for treatment of age-related disorders such as osteoarthritis and osteoporosis.

Locally, Newham has a young, diverse, mobile and rapidly growing population of 318,000.  This is set to rise to 340,000 by 2016 and 382,000 by 2021. It had an unusually young age profile, the highest birth-rate and high population churn. It is the third most deprived local authority in England.
Newham CCG aims to work in partnership with community and local health stakeholders to understand the local health needs to deliver high quality services which meet the needs of the local population.
Newham CCG inherited a system of physiotherapy and MSK service provision which involved a number of community and acute based providers. A review of activity flows, clinical quality and contractual frameworks underpinning agreements was conducted in 2011 and MSK was identified as an area where there was an opportunity to review and 
re-commission services as a consolidated service to improve patient access, experience and outcomes. 

The MSK project commenced in 2014 with a view to delivering an innovative redesign for MSK service across Acute and Community settings. NHS Newham CCG aims to commission across a single MSK pathway using an integrated clinical assessment and treatment service.