Musculoskeletal Service Commissioning

Guidance & Competences for the Provision of Services using General Practitioners with Special Interests (GPwSIs) in Musculoskeletal Medicine

GPs with an interest in Musculoskeletal Medicine have identified the subject as one of the priority areas with significant access problems to which GPwSIs can contribute. This specific framework published by BIMM is now available to guide commissioners in the recruitment of GPwSIs in musculoskeletal services. It refers to the 2 other guideline documents from BIMM namely, ‘Competencies for good Musculoskeletal Medicine Practise’ and ‘The Good Musculoskeletal Doctor’ which serve to highlight the steadily increasing need for a comprehensive strategy to formalise Musculoskeletal services to improve the ‘health of the nation’.

The Competencies for Musculoskeletal Medicine Practise

These were developed by the BIMM team carrying out a credentialing pilot project with the General Medical Council at the behest of the Department of Health. The document has had the advantage of GMC scrutiny and advice, and after consultation has been approved by the Standing Committee for Musculoskeletal Medicine. It is formatted as a curriculum document but has been titled "Competencies" as it is intended to be a source adaptable to the curricula for Musculoskeletal Medicine training within a variety of specialties.

The Good Musculoskeletal Doctor

This has been produced by the same BIMM team as the "Competencies" document and is in use as a guide for practice and for appraisal and re-validation purposes. Should the DoH decide to implement credentialing of musculoskeletal medical doctors in post it has been designed to inform the content of the work-based assessments that would be used.

BIMM RoadShows Cost Effective Savings

There are significant savings to be made by Clinical Commissioning Groups by introducing Musculoskeletal GP training courses to up-skill GPs. The cost saving in the first year is a demonstrable (absolute minimum of) £14,500 and could be as much as £637,000. More importantly there are further benefits in improving the patient experience, expediting pain relief, prevention of chronicity, improving hospital efficiency and conversion rates, and improving patient (and GP) satisfaction.