10th July, MDGH Library, 10am until 2pm
The Barefoot Science team will be presenting their products on Thursday, 10 July on the 2nd floor of New Alderley House.
This is an internationally patented product showcasing “the only insoles in the World that have the ability to rebuild weak foot muscles and as a consequence, eliminate / reduce your physical aches and pains.”
Discount available for East Cheshire NHS Staff
More information available at https://barefoot-science.com/
Acknowledgements were made to Beverley Jones, Susan Knight, and Deborah Symmons (Macclesfield District General Hospital), in this publication.
UK Primary Sjögren’s Syndrome Registry
by Wan-Fai Ng
Musculoskeletal Research Group
Institute of Cellular Medicine
Introduction: Primary Sjögren’s syndrome (pSS) is a chronic multisystem disease affecting 0.3%–0.5% of the adult population.1, 2 Women are nine times more likely to be affected than men.1–4 The disease is characterized by oral and ocular dryness, fatigue, and musculoskeletal pain. PSS can affect other organ systems including the skin, nervous system, lungs, and kidneys.3, 4 Patients with pSS have a greater than 40-fold increased risk of developing B-cell mucosa-associated lymphoid tissue (MALT) lymphoma.4, 5 Patients with PSS have poor health-related quality of life and a significant proportion of PSS patients are unable to work due to their condition.2, 6–17 Both direct and indirect health care costs are higher in PSS than in the general population.17, 18 PSS is not, therefore a benign condition, but has a significant health and economic burden to patients and society.
The three newly-formed clinical commissioning groups (CCGs) in Leeds have launched an ambitious project to improve the quality of referrals by adding local pathways to the Map of Medicine. Leeds West CCG, Leeds North CCG, and Leeds South and East CCG, with a combined patient population of over 810,000 spread over 113 GP practices, aim to ensure all GPs use the care maps when making musculoskeletal referrals.
Having agreed the pathways for six musculoskeletal topics locally, the Leeds project team used Map Transform, a package of care maps and services, to establish their pathways on the Leeds ‘view’. This package supports clinically-led service improvement, and enables cross-service communication via easy online access to the agreed local pathways for all stakeholders. The topics Leeds chose were:
- Hip pain
- Hand/wrist pain
- Spinal pain
- Knee pain
- Foot and ankle pain
- Shoulder pain
The care maps display referral criteria at specific points within the pathways, with information that guides the user to the appropriate local referral form. The overarching aim of these care maps is to standardise and improve the quality of referrals from primary care to community MSK and secondary services. While a triage service for all MSK referrals was in place, and effective at ensuring good conversion rates for surgery following onward referral to secondary care, it was felt that GPs could perform some of the functions of triage, with the patient pathway being streamlined. The care maps are intended to expand GPs’ knowledge of MSK conditions, and also promote patient self- management.
read more via Map of Medicine | Leeds Clinical Commissioning groups launch MSK care maps.