Buckinghamshire Musculoskeletal Integrated Care Service
Buckinghamshire Musculoskeletal Integrated Care Service (MuSIC)

Putting patients first at Buckinghamshire MusIC

At Care UK we believe in providing community-based care wherever it is clinically safe and achievable, and that patients should be seen by the right person, in the right place at the right time. 

We provide flexible MSK services tailored to the needs of local people across Buckinghamshire and Lincolnshire.

Creating quality through innovation

We use innovative approaches to cut waiting times for patients and reduce costs for commissioners, all while improving the quality of our service. Below are a few examples of how we’re doing this in our MSK services across England:

  • For all MSK conditions we use an electronic referral process and a standard referral template that captures all the patient’s information in one place. All referral documents are scanned and uploaded to a central system to support clinical triage.
  • We have developed a physiotherapy app for smartphone and iPad, called Pocket Physio, which provides patients with helpful pre-and post-surgical exercises to promote their recovery.
  • Predictive triage guidelines, as well as support from designated consultant leads, enable us to accurately schedule patients for clinics when the appropriate staff, facilities and/or diagnostics are available, saving them repeat visits.

Adding value to patients and commissioners

  • Our ‘one stop’ approach reduces follow-ups, reducing the average cost of the pathway by 20%
  • At our ‘single point of access’ Buckinghamshire MSK service:
    • The secondary care conversion rates have been improved from 30% to 75%, so there are fewer unnecessary first appointments
    • Similarly, 70% of those patients where the GP had indicated the patient should be assessed in secondary care were managed and discharged successfully from the community service; just 30%  were subsequently referred on as per the original request
    • This has achieved a huge reduction in waiting lists, from 16 weeks to under  4
  • Commissioners in Lincolnshire have reported that our MSK service there has been successful in:
  • Deflecting 80% of patients away from orthopaedics and secondary care, reducing pressures on wait times at the United Lincolnshire Hospitals NHS Trust.
  • Highlighting the need for patients requiring a course of physiotherapy within this CCG – 44%
  • Discharging 24% of patients back to the GPs with no need for any further intervention

For more information about how our Buckinghamshire MusIC service has helped to cut waiting times for NHS patients, read our case study.

What's new at Buckinghamshire Musculoskeletal Integrated Care Service (MuSIC)

Our news

Research shows 1 in 5 awaiting a hip replacement are in ‘extreme pain or discomfort’

Research shows 1 in 5 awaiting a hip replacement are in ‘extreme pain or discomfort’

September 11 2019

New research from the University of Edinburgh has disproved the perception that pain from hip and knee arthritis is only mildly discomforting and that surgery i

Read more >

Congratulations to Warwickshire registrar on her second motivational book release

Congratulations to Warwickshire registrar on her second motivational book release

July 5 2019

 Dr Afiniki Akanet, one of Care UK’s registrars for Warwickshire, has done it again with the upcoming release of her second motivational book, Taking CSA T

Read more >

What is Indoor Bowls?

What is Indoor Bowls?

June 14 2019

 The benefit of Indoor Bowling is that it can be played at any time, no matter the weather.

Read more >

Health news

 Take time to check your pee – it could save your life

Take time to check your pee – it could save your life

September 18 2019

September is National Urology Awareness Month and a Bristol-based expert is encouraging people to check their pee to potentially save their lives.Ade Adeniyi, c

Read more >