DEMAND MANAGEMENT

Kathryn Davies

Physiotherapy Team Lead

Welshpool Hospital

Cohort 8 CLP

“If you always do what you always did

You will always get what you always got”

Mark Twain

Historically - Musculoskeletal

Orthopaedic morning

Routine “knee” assessment clinic

Demand Management

Demand Management is about understanding demand

The process should focus on using planning and forecasting skills to ensure patients receive the most appropriate care in the right setting

What I decided to do?

Gather statisticsBroaden my knowledge of Demand

Management• Kathryn Davies, DOTH, Hywel dda Health Authority• Nichole Pickrell, Deputy Head of Physiotherapy, Neath &

Port Talbot

Liaise Colleagues• Jan Lawrence, Lead Therapist, Mid Powys• Gwyneth Jones, Senior Physiotherapist, Newtown

Gather Statistics

General MusculoskeletalElective OrthopaedicTrauma & Fractures

Neurological, Falls & RespiratoryWomen’s Health

General MusculoskeletalJanuary to June 2011

CERVICAL

CERV + B

RACHIALG

IA

THORACIC

LUM

BAR

LUM

BAR + S

CIATIC

A

SHOULDER

ELBOW

WRIS

T + H

ANDHIP

KNEE

ANKLE +

FOOT

SPLINT

GENERAL BODY

0

20

40

60

80

100

120

140

160

JUN

MAY

APR

MAR

FEB

JAN

Interesting trends after snow!

Wrist fractures

Shoulder traumas

Ankle fractures

Wrist fractures

Shoulder traumas

Ankle fractures

Referrals – large numbers

Musculoskeletal • Shoulders, knees, lumbar, lumbar & sciatica

Elective orthopaedic• Knees

Trauma & fractures• Wrists and ankles

Referrals – large numbers

Neurological• CVAs, MS, Parkinson’s

Falls & mobility

Women’s health• Antenatal back pain

Confirm YES

“Orthopaedic” morning

• Elective surgery – lower limb• Trauma & fractures – lower limb• Carpel tunnel referrals/wrist splints

Challenge ?

Routine knee assessment clinic

• ?better managed through telephone assessment & advice

Present developments

Musculoskeletal

• Telephone assessment & advice

January 2012 with Welshpool GPs.

Present developments

Neurological conditions• Upper limb group• Movement disorder’s group (Parkinson’s)

Falls & mobility• Balance & movement group (additional to

Falls Prevention Programme)

Present developments

Women’s health

• Antenatal back group

Future developments

Develop present groups• Consider shoulder class (linking with

upper limb group)

Increased networking with external agencies (NERS, EPP)

Link with local communities – what is out there?

Thank you for listening

Kathryn Davies,

Physiotherapy Team Lead

01938 558930

kathryn.davies2@wales.nhs.uk