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Name What do they see How to refer


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MSk related services available to SGPCT GPs


Name

What do they see

How to refer

Tariff

Where

CATS

  • Non inflammatory, non traumatic MSk conditions

  • Mandatory for all orthopaedic referrals at present

  • Email Letter

  • Email-Referral form

Funded PCT

Operating from: Cossham, Yate and Thornbury

SATS

  • Email Letter

  • Email-Referral form

Funded PCT

Cossham

Orthopaedics

  • Non inflammatory, traumatic and non traumatic MSk conditions (requiring surgery)

  • This includes some spinal procedures (e.g. lumbar fusion, spondylolisthesis, scoliosis)

See CATS

1st appt: £167

F/U appt: £83

  • SMH

  • BRI

  • EGTC

  • Weston, RUH, Tetbury etc.

Fracture Clinic

Letter

Call or Fax



1st appt: £152

F/U appt: £75

  • Frenchay




Hand Service

  • Non inflammatory, traumatic and non traumatic MSk conditions of the hand and forearm (requiring surgery)

  • Hand conditions needing specialist rehabilitation

  • One stop CTS clinic with NCS on site (Frenchay)

letter

1st appt: £194

F/U appt: £123

  • Frenchay

  • BRI

Neurosurgeons

  • Non inflammatory, traumatic and non traumatic spinal conditions (requiring surgery)

  • “Neurosurgery Spine Service” run by Consultant Physiotherapist (sort of single point of entry service)

Via SATS

1st appt: 160

F/U appt: ?

  • Frenchay

  • BRI

Rheumatology

  • Inflammatory MSk conditions

  • Connective tissue diseases (e.g. SLE, systemic sclerosis, Sjogren’s syndrome, myositis or vasculitis)

  • Non surgical MSk conditions with unclear diagnosis (e.g. widespread pain with no diagnosis, presumed Fibromyalgia)

letter

1st appt: £256

F/U appt: £102

  • NBT (Cossham, Frenchay, SMH)

  • BRI

  • RNHRD

Physiotherapy

Referral form

PCT Block contract

  • Cossham

  • Frenchay

  • SMH

  • Thornbury

  • Yate

Rheumatology Physiotherapy

Physio referral form or letter.

PCT Block contract?

  • Southmead

Podiatry

Block contract

  • Kingswood HC

  • Cadbury Heath

  • Downend Clinic

  • Corniston Rd

  • Yate

  • Patchway

Podiatric Surgery

  • Surgical foot conditions

Via CATS

1st appt:

F/U appt:

  • SMH

Orthotics

(via “Avon Disablement Services”)



  • Providing orthotics for foot conditions

  • Splint, braces etc.

Via letter

Block contract?

  • SMH

Pain Clinic

  • Chronic pain conditions with diagnosis

  • E.g. Fibromyalgia

  • letter

1st appt: £231

F/U appt: £95

  • Frenchay

Pain Management workshop

  • Chronic pain conditions

Only available through Pain Clinic

?

  • Frenchay


MSk services not commissioned anymore:


  • Primary Care Rheumatology Service (PCRS) stopped 2008, merged with the Hip and Knee Service to form CATS

  • Pain management GPSI stopped 2007

  • Back Pain Service (run by neurosurgical dept NBT Physio led)

  • Joint Physio/ Podiatry clinics at Cossham


MSk services planned:


  • Single point of entry service for all spinal problems (orthopaedic or spinal) Physio led at Frenchay


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