Musculoskeletal physiotherapy (MSK)

Service overview

Our musculoskeletal physiotherapy teams see people who are registered with a GP, or residing in the borough of Barnet and Westminster. We work closely with GPs and hospital services to offer our patients a seamless pathway of care.


Our musculoskeletal physiotherapy teams are up to date with the latest research findings and can provide a thorough assessment and management programme tailored to each individual's needs. We also help our patients to understand their condition, prevent recurrences and learn how to actively manage it.


The aims of this service are to ensure patients with musculoskeletal conditions are seen by the right clinician at the right time to facilitate a timely recovery.
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Who is our musculoskeletal physiotherapy service for?

  

Our musculoskeletal physiotherapy teams see people who are registered with a GP, or residing in the borough of Barnet. We work closely with GPs and hospital services to offer our patients a seamless pathway of care.

Our musculoskeletal physiotherapy teams are up to date with the latest research findings and can provide a thorough assessment and management programme tailored to each individual's needs. We also help our patients to understand their condition, prevent recurrences and learn how to actively manage it.

The aims of this service are to ensure patients with musculoskeletal conditions are seen by the right clinician at the right time to facilitate a timely recovery.

Our physiotherapy teams assess, advise and  treat people with a range of musculoskeletal conditions including including shoulder and back pain, joint pain, stiffness of movement and physical disabilities.

The term "musculoskeletal" refers to joints, nerves, muscles, tendons, ligaments, cartilage, and spinal discs.

Patients can be referred by their GP, hospital consultant or other healthcare professional.

  

What does our musculoskeletal physiotherapy service do?

  

Our physiotherapy teams examine and assess their patients to identify issues before devising treatment and exercise plans with the patient.

Our teams can use a  variety of approaches to effectively help people treat and overcome problems.

In addition to offering standard physiotherapy and osteopathy our service also includes:

  • Injection clinics
  • Specialist orthopaedic triage service
  • Pain management programme (with psychology)
  • Women's health physiotherapy
  • Hand therapy
  • Paediatric musculoskeletall physiotherapy
  • Condition specific exercise class
  • Group education sessions
  

Barnet musculoskeletal service

  

Our physiotherapy teams see people who are registered with a GP, or residing, in the borough of Barnet. We work closely with GPs and hospital services to offer our patients a seamless pathway of care.

Our Barnet team consists of:

  • Extended scope physiotherapists
  • Consultant physiotherapist
  • Hand therapist
  • Women's health specialist
  • Musculoskeletal specialists
  • Biomechanics

Our musculoskeletal physiotherapy teams are up to date with the latest research findings and can provide a thorough assessment and management programme tailored to each individual's needs. We also help our patients to understand their condition, prevent recurrences and learn how to actively manage it.

Our integrated community musculoskeletal service is a combined orthopaedic and rheumatology service using a see, treat and discharge model. This highly responsive service is run by specialist physiotherapists and can offer:

  • Enhanced MSK assessment
  • Injection clinics: joint and soft tissue
  • Access to diagnostics MRI, x-ray, phlebotomy, ultrasound scans and guided injections including hydro-dilatation for frozen shoulder
  • Screening of orthopaedic and rheumatology MSK patients for  secondary care suitability and onward referral

The aims of this service are:

  • To ensure patients with musculoskeletal conditions are seen by the right clinician at the right time to facilitate a timely recovery.

You can contact our central bookings centre by telephone on 0208 349 7509.  Opening hours are between 8.00am - 15.30pm Monday to Friday.

  

Useful links

     

Feedback and improvement

  
We always welcome feedback on your experience of using our services. If you do have feedback please use our online form.

Example:
You said: "As a full time worker I would like more out of hour appointments."
We extended our hours from 8am to 8pm.

If you would like to read other examples of how we respond to feedback, please read our 'You said, we did' section.
  

Service opening times

  

Edgware Community Hospital
Burnt Oak Broadway
Edgware, HA8 OAD

Open:
Monday-Tuesday 8am-8pm
Wednesday-Thursday 8am-5:30pm
Friday 8am-4.30pm
Every 2nd and 4th Saturday of the month 9am-1pm

Finchley Memorial Hospital
Granville Road
London, N12 0JE

Open:
Monday-Wednesday 8am-8pm
Thursday 8am-5.30pm
Friday 8am-4.30pm
Every 1st and 3rd Saturday of the month 9am-1pm

 

  
 

Referrers

This information is for GPs and other healthcare professionals who refer patients to our physiotherapy (MSK) teams.

Barnet musculoskeletal service

  

Waiting times

Usual waiting times for this service are between 2 and 4 weeks depending on demand.

Core hours

Monday: 08.00 to 20.00
Tuesday: 08.00 to 20.00
Wednesday: 08.00 to 20.00
Thursday: 08.00 to 17.30
Friday: 08.00 to 16.30
Saturday: 09.00 to 13.00 (acute injury clinic only - 2 week wait)
Sunday: Closed

Travel information

Click here

Discharge criteria

Patients can be discharged if they complete their package of care, fail to attend an appointment, or fail to contact the service within an agreed period, (usually 30 days).

Service management contacts

Central Bookings Office: 02083497509

Referrers can contact our borough based service managers with any queries they have about our musculoskeletal physiotherapy services.

Christine Bilsborough
Consultant Physiotherapist
Barnet
P: 0208 349 7509
M: 079 7631668
E: christinebilsborough@nhs.net

Referral criteria

Our teams see patients over 3 years of age who have a musculoskeletal problem (i.e. a dysfunction of muscles, bones and/or nerves) and are living in, or registered to a GP, in the borough of Barnet.

Download information guidance for Barnet referrers.

Our Integrated Community Musculoskeletal Service is for patients who are 18 and over and registered with a Barnet GP. Please do not refer urgent red flag pathology such as cauda equina and suspected malignancy, recent fractures, any conditions requiring emergency care. The service is accessed through the Referral Management System (RMS). Referrals are triaged by specialist clinicians and directed to the most appropriate service.

A guide to common conditions you can refer: 

  • Spine - mechanical spine pain, sciatica or arm pain
  • Knee - anterior knee pain, knee joint pain, simple meniscal tears on MRI, ligament and muscle sprains and strains, mild osteoarthritis
  • Shoulder - signs of rotator cuff tendinopathy/impingement, frozen shoulder, ACJ
  • Wrist/hand/elbow - tennis/golfer's elbow, De Quervain's Tenosynovitis, trigger finger, hand tendinopathies, osteoarthritis, carpal tunnel syndrome.
  • Foot/ankle - achilles tenderness, ankle pain, hallux valgus (bunions), heel pain, flat feet, tibialis posterior insufficiency, ligament injury/sprain, plantar fasciitis.
  • Hip - mild osteoarthritis, trochanteric bursitis, groin pain/strains

What referral information do we need?

Our musculoskeletal teams require the following information to triage a patient referral:

Patient details

  • patient name
  • patient address
  • patient contact details
  • patient date of birth
  • patient NHS number

Medical details

  • reason for referral
  • active problems
  • significant past problems
  • current medication
  • relevant past medication
  • known allergies
  • whether the referral is urgent, non urgent, or routine

Referrer details

  • referrer name
  • referrer organisation
  • referrer address
  • referrer contact details
  

Waiting times

  

Referrers have told us that an indication of waiting times for each service is something that is important to them as it helps them manage expectations - many patients ask how long they will have to wait before they undergo initial assessment and /or treatment.

Urgent waiting time:

Routine waiting time:

  

Site information

  

 Edgware Community Hospital

Access to Therapies Department
Therapies Department
Ground Floor
(Opposite outpatients A)
Enter via Main Reception or Deansbrook Road entrance.

Parking :  Pay & Display at meter
Mon-Sun          24 hours
£2.00     /     2 hours
£2.50     /     4 hours
£4.50     /     6 hours
£6.00     /     8 hours
Free     /     disabled
     
  Travel
Nearest Underground Tube station: Burnt Oak (Northern Line)
-10 minute walk to the hospital.
Bus routes: 32, 142, 204, 251, 292, 605, 606, N5, N16

 

Finchley Memorial Hospital

Access to Therapies Department
Therapies Department
Ground Floor
Enter via Main Reception

Parking:
On-site Parking - free (up to 3 hours with a valid ticket which is free from the ticket machine)
There is free parking available on Granville Road and Bow Lane.

Travel
Nearest Underground Tube station: Finchley Central (Northern Line)
-15 minute walk to the hospital.

Buses that service the local area:  The 263 stops at High Road/Granville Road. The 82, 125 and 460 buses stop at Ballards Lane/Granville Road, which is a five minute walk away. The 134 and 221 stop at Tally Ho corner which is about a 10 minute walk.

 

East Barnet Healthcare Centre

Access to Therapies Department
Therapy room at the rear of the surgery enter via main entrance of surgery

Parking
No on-site parking (there is parking available on streets next to the surgery)

Travel
Nearest tube stations are Cockfosters or High Barnet (estimated 30-45 minute walk)
Bus routes  :383,326,184,384 and 307 all of which are near or around the Health Centre

  

Service management contacts

  

Referrers can contact our borough based service managers with any queries they have about our musculoskeletal physiotherapy services.

Beth Menger
Clinical Business Unit Manager (Specialist Therapies)
Tel: 0208 732 6429
Mobile: 079 315 99430
beth.menger@clch.nhs.uk

 

  
 

FAQ's

What are the current wait times for physiotherapy?
The Waiting times from acknowledgement of referral are:
Urgent Appointments
Routine Appointments:


What services are provided by the MSK/Physiotherapy team?
Our service provides MSK physiotherapy for adult (> age 16) and paediatric (> age 4) service users.  We also offer  hand therapy, Woman's health physiotherapy and Biomechanics as part of our specialist service. 

What sites do you provide services from?
Within Barnet  - services are available at Edgware Community Hospital, Finchley Memorial Hospital and East Barnet Healthcare Centre.

How can GP's make a referral?
Gp's can refer


Do you have self-referral?
Not at the moment.  We are working with CLCH IT services at present to develop a system to introduce self-referral in the near future.


What happens if I no longer want physiotherapy?
If you no longer require physiotherapy and have an outstanding appointment in the future, please contact the central bookings office to cancel this appointment.  You will then be discharged off the system and will need to return to your GP for assessment of referral back to physiotherapy if required in the future.


What happens if I am not getting better with physiotherapy?
It is important to discuss this with your treating physiotherapist, and they will provide you with the appropriate advice and management for your condition.  Should this need further review, they can refer you to our 'extended scope practitioners', or other specialities to support your pathway of care.

How can I make a complaint?
The CLCH customer service team (also known as PALs) is here to inform, support and signpost you through our services - and can assist you if you wish to raise a concern or complaint.


You can also contact our team should you wish to pass on your compliments to a member of our team or a service.
P: 0800 368 0412
E: clchpals@nhs.net


Or write to us:
Customer Service Team
Central London Community Healthcare NHS Trust
64 Victoria Street
London
SW1E 6QP

Alternatively, you can find this information on: /customerservice

How can I make a compliment?
You can also contact our team should you wish to pass on your compliments to a member of our team or a service.

Chronic pain

  

The aim of this video is to provide you with an introduction to our pain management service including psychology and pain programmes. It includes information on the programme structure, referral criteria, and expected patient outcomes.

  

Knee

  

This video covers subjective and objective assessment techniques to assist with the differential diagnosis of common musculoskeletal conditions of the knee, including screening for non-musculoskeletal pathology and advice on investigations.

  

Pain explained

  

This animated video provides a resource to help people understand pain better. It was produced by a team from Central London Community Healthcare NHS Trust.

  

Shoulder

  

This video outlines the differential diagnosis of common shoulder problems including the subjective and objective assessment techniques, advice on management and guidelines regarding investigations.

  

Spinal discogenic

  

This video outlines the clinical presentation of a patient with discogenic lumbar spine pain. It also covers basic clinical assessment techniques for the lumbar spine and advice on management and investigations.

  

Spinal stenosis

  

This video outlines the clinical presentation of a patient with stenotic low back pain. It also covers basic clinical assessment techniques for the lumbar spine and advice on management and investigations.

  

Low back pain

  

Low back pain is one of the most common reasons for people to visit a doctor. It is responsible for up to 40% of all missed work days.

  
 

Locations

 
 
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