NHS England released a document outlining some emergency and urgent referrals that might attend a Musculoskeletal clinic. Jack March and Andrew Cuff discuss this document, its implications and how to proceed if you are suspicious of sinister pathology. This discussion contains practical tips on managing the patient, the situation and ensuring you practice at the highest level in these very difficult circumstances.

Learning Objectives

  1. What are emergency referrals in MSK Practice 
  2. What are urgent referrals in MSK Practice 
  3. Practical tips for proceeding if there is suspicious pathology 
  4. Clinical reasoning process
  5. Application in different clinical circumstances 

Course Curriculum

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Authors: Jack March & Andrew Cuff

Jack is currently the Rheumatology Clinical Lead for Chews Health and an ALP for Nuffield Health.Jack also provides CPD courses online and in person from his website https://Rheumatology.physio  

Taking up a large portion of time is involvement in the ‘Physio Matters Podcast’. Being part of the team creating this free educational resource for therapists affords Jack access to many top clinicians and cutting-edge information regarding patient management.  

Andrew works as a Consultant Physiotherapist. The youngest ever bestowed with this title in the UK. This role involves a clinical caseload in both the Wakefield Musculoskeletal (MSK) Service and the North Kirklees Integrated MSK and Pain Service for Connect Health alongside providing leadership to nine MSK, Pain and Rheumatology services within the North of England. 

Alongside this clinical role, Andrew is an active researcher studying for a PhD at Keele University and has published numerous articles in the Musculoskeletal domain and is a proud author for the Cochrane Bone, Joint and Muscle Trauma Group. 

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