North West London Musculoskeletal service review

The challenge

The five CCGs of inner North West London (CWHHE) independently commission their community MSK provision resulting in a range of different services for orthopaedics, rheumatology and chronic pain management. A common QIPP goal of all the CCGs was to reduce referrals into acute orthopaedic services but unfortunately the impact from the existing community based MSK services had been lower than expected. We were commissioned by CWHHE to: develop a common set of diagnostic and referral criteria, agreed by all the stakeholders across the collaborative; evaluate the relative performance and provide recommendations for the commissioning of the MSK service(s) in 2014/15; explore options to further improve the MSK services after 2014/15.