Trafford Integrated Community MSK Service

The Community MSK Clinical Assessment, Triage and Treatment Service will treat patients with a range of MSK conditions including their feet; serving as an alternative to hospital treatment for the majority of patients. Patients will be referred to secondary care only when there is a need for such services.

Aims of the service: • Provide a comprehensive service offering patient choice, improvement in quality of life and individual client centred treatment • Flexible and responsive service • Maximise integration delivering excellent patient experience, avoid duplication and achieve good clinical outcomes • Reduce waiting times • Increase access • Provide value for money • Reduce GP referrals to outpatients in orthopaedics, rheumatology and pain management

Key objectives:

• Ensure that patients: o can be managed within the capacity and capability of one integrated service o are supported to self-manage o receive access to high quality interventions

• Stakeholders are satisfied with the service and kept well informed and involved in their care • Increase conversion rates from outpatient attendances to surgery • Achieve reduction of orthopaedic, rheumatology and pain management referrals to acute hospital • Enable GPs to use the service as alternative to Secondary Care • Work with GPs to increase their knowledge and confidence of diagnosis and management of MSK conditions and improve outcomes for patients

Key stages of the MSK service: • Seamless care pathways • Shared Decision Making • Prevention, support for self-care and advice to patients, carers and professionals • Physioline • Clinical assessment including screening for serious conditions and pathology indicators • Treatment including medicines management • Shared management with the patient’s GP • Management and prevention of complex/chronic pain • Onward referral as appropriate for surgical interventions

The contract has a set of health outcomes and improvements built in as deliverables, including: • Increase the percentage of patients, completing treatment, reporting high levels of patient satisfaction • High number of patients reporting they feel confident to self-manage their condition • Provision of patient, carer and referrer education • Reduce waiting times for patients with MSK conditions • Transfer activity from an acute setting to the community • Improve the clinical pathway by developing joint working between primary and secondary care providers • Increase the management of patients in primary care without the need for referral • Reduce health inequalities by improving access • Seek and act on the views of patients in planning change to the service • Minimise the number of patients presenting at GP Practices with MSK Chronic Pain • Provide services convenient to the needs of patients • Improve patient experience • Demonstrate increasing conversion rates for surgery (for referrals from the service to secondary care)

Additional information: The service will be delivered within the boundaries of Trafford.

To express an interest please email [email protected] by 5pm on 14/10/15. Within your email please include your contact details and the details of the organisation on behalf of which you are expressing an interest.

This will be a restricted tender, and it is anticipated that a contract notice and PQQ documentation will be issued during early November 2015. Please note that all information contained within this notice is indicative at this stage. The Trafford CCG reserves the right to amend or clarify any of the details contained within this notice as part of the tender documentation to be issued at a future date.

Please note that the CCG is currently seeking to alert the market place to this upcoming tender, and to gauge the level of interest in providing these services. An expression of interest in delivering these services is not a tender response. An expression of interest is no indication of a commitment to participate in the tender process nor does it infer any special status on those providers who do submit an interest. Potential providers who do not express an interest at this stage will still be able to apply in the future. All responses will be treated in confidence. This Expression of Interest does not commit Trafford CCG to undertake the procurement of these services.