Information for GPs & AHPs
Healthshare Hull is your MSK single point of access service for Hull GP registered patients with muscle and joint pain. Integrated with a Level 2 Advanced MSK Physiotherapist service including efficient one stop shop model working with diagnostic pathways, point of care MSK sonography and landmark and image guided cortisone injections.
Established over nine years is our Orthopaedic, Neurosurgical and Rheumatology (medically well managed with clear MSK component) single point of access service for expert secondary care triage and pathwaying with consistently high surgical conversion rates.
All Orthopaedic referrals (red flags excluded) should be directed through Healthshare Hull for onward surgical or in house conservative care. Can we de-escalate the case and manage conservatively without surgical risk? Does your patient really need surgery? Send via ERS for a rapid opinion.
Self-referral available via our digital front door online, or via the phone for those aged 18 and over. GP referrals for those aged 13 and over. Physiotherapists, MSK Sonographers and Sports and Exercise Therapists make up the clinical team.
Inclusion Criteria MSK Service
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Patients aged over 18 for telephone and digital self-referrals and over 13 for GP referrals.
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All musculoskeletal conditions.
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Available investigation does not clearly indicate surgery but advice needed on management.
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Orthopaedic referrals for scrutiny of all common Orthopaedic surgeries for surgical de/escalation ensuring patients meet surgical thresholds and have care truly personalised (Healthshare are the ICB commissioned Orthopaedic triage service).
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Patients who require conservative management to reduce the need for Orthopaedic surgery.
Exclusion Criteria MSK Service
Red flag symptoms e.g. suspected cancer, cauda equina, fracture, infection (consider local ED).
Acute traumas (consider MIU/UTC or virtual fracture clinic).
Widespread neurology with or without upper motor neurone signs and those requiring neurological Physiotherapy.
Service users with post-operative or post-traumatic complications (Consider direct referral to Orthopaedics).
Post Orthopaedic/Neurosurgical surgical rehabilitation (consider referral to HUTHT NHS Trust Orthopaedic/Neurosurgical Physiotherapy).
Lumps and bumps without previous investigations (consider imaging via HUTHT radiology).
Injection only patients (consider referral to the GP led injection service).
Housebound patients or domiciliary visits (consider CHCP Community Rehabilitation Service).
Chronic pain management (Consider CHCP Community Pain Service).
Under 13 (Consider HUTHT NHS Trust Paediatric Physiotherapy Team).
Orthopaedic conditions pathwayed on or managed conservatively under the HealthshareHull single point of access service:
Total Knee Replacement
Medial Unicompartmental Arthroplasty
Bone saving procedures for osteoarthritis/High tibial osteotomy
Arthroscopy +/- procedure
Patellofemoral ligament reconstruction
Tear off pads
Need more tear off pads to easily signpost patients to self-refer to us?
Please contact us for resupply.
