Clinical Digital Resource Collaborative

Designed and developed in the North East and North Cumbria by local GPs

National Health Service
You are here: Home / Resources / SystmOne Resource Centre / SystmOne Specialties / MSK Referral Management

MSK Referral Management

County Durham and Darlington MSK 

To make a referral to the CDD Integrated Musculoskeletal Service 

  1. Open the MSK Referral Pathways CDD template (see note below) 

The information on the right of the template is the information which will be pulled into the referral letter. 

  1. Click on:  
  1. Complete the referral information 
County Durham and Darlington NHS FT Integrated MSK Referral Consider urgent referral for acute injuries, military veterans or carers urgency Routine O urgent O Reason for referral Interventions tried so far: Z] Physio Self-management Z] Orlhotics Z] Analgesia C] Weight loss activity Z] Other Patient expectations of referral: Z] Diagnosis Z] Advice/Self management Z] Active treatment Z] An operation Z] Other Has a relevantXray been done? Yes O O Has a relevant USS/MRI been done? Yes O O

If you wish to copy the recent journal entry, go to the journal , click on the entry, press Ctrl-C, then click in box 2 above and press Ctrl-V 

If the referral is for back pain additional information is needed – see notes below 

  1. Click 
  1. Click Yes (this is important) 
Question This will lock this questionnaire and prevent any future changing of answers by any user Do you want to continue? Les
  1. Tell the patient the MSK service will contact them directly to arrange their appointment after triage. 
  1. At some point, the referral proforma needs to be created by clicking: 

….then ….. 

This could be done by the referring clinician or admin team. 

  1. At some point an ERS referral needs to be created.  A notional appointment is booked (e.g. 1am Sunday morning).  Ignore the fact that this is based at Bishop Auckland.  To find it navigate to Physiotherapy > Musculoskeletal 

This can be done by admin staff.  The patient does not need a printout. 

  1. A New Task button is on the template to allow clinicians to notify admin staff to create the referral and link the proforma to the referral. 

Back Pain 

If the referral is for back pain, ensure the BackSTarT score and risk level has been recorded.  Click 

Then click  

And you will be guided through the screening questions – the score and risk level will then be automatically recorded. 

Close the Back Pain template to go back to the MSK Referral template 

Pagel _@hronic Back Pain Red Flags Back Pain NICE Back Pain Pathway Has record of CANCER History No record of diabetes No clear record of HIV infection Record suggests this patient is IMMUNOSUPPRESSED NO clear record of IVDU DCS Back Screening Red Flags view has no data for patient 08M 08M Sack Pain Screening - Red Flags Calculate Sack STarT score and risk sackSTarT score Low back pan [E] BackSTarT PIL BackCare Exercises for Back Pain ay 201 g ay 201 g STarT (Subgroups for Targeted 6 STarT Back Screening Tool high risk (Xac47) If medium or high risk consider physio referral Sack pain Sciatica Action

Opening the MSK Referral Template 

There are numerous options to access the MSK Referral template which will depend on local preference. 

  • The MSK referral template could be added to a local master template 
  • Since this template is likely to be used extremely frequently, it would be sensible to add a shortcut to it.  Press F12, type MSK Referral into the search box then click Search, then drag the option highlighted below (not the one with the tick) to your chosen letter.  This will then allow you to create an MSK referral by pressing F12, M (in the case below) 
Launcher Favourites Breast- Non Cancer Surgery Fever in Children MSK Referral 46 RTI Subfeäility UTI Ionising Radiation PIL (duplex) @ Show templates Show protocols Show auto consutations Show questionnaires Name Extracorporeal Shockwave for MSK MSK Integrated Referral COD 201 g Referral MSK Referral Adult COO MSK Referral Pathways COO MSK Resources 2 MSK service Tier 2 MSK g ROM Close
  • An alternative option is to open the Musculoskeletal template. 
Musculoskeletal Musculoskeletal CSI Information NICE Suspected Sarcoma MSX Referral Carpal Tunnel Syndrome De Quervain's Dupuytren's Contracture Ganglia Trigger Finger Biceps Tendinopathy Calcific Tendontis Frozen Shoulder OA Shoulder Rotator Cuff Tear Shoulder Impingement Shoulder Instability Tennis Elbow Ulnar Nerve Injury Sack Pain MSX Resources (incl PILsZ OA Hip Other hip pain Acute knee injury OA Knee Achilles Tendinopathy Ankle Pain 1st MTP OA Flat Feet Ganglia Hallux Valgus Hammer Toe Metatarsalgia Plantar Fascitis Hypermobilty Inflammatory Adhrtis Musculoskeletal Tumours Osteoporosis Paget's Disease Knee Affroscopy Autologous Cartilage Transplant Sone Morphogenic Proteins Exogen Utrasound Sone Healing Cervical Spinal Disc Prosthesis

Or to navigate to this template from the CDRC Index in the Clinical Tree. Instructions on how to set this up can be seen here CDRC Index 

OCS Index Common Templates core Fit Notes Hx and Follow Patient Characteristics New Ethnicit Commu Clinical Specialties Breast Fever 9 Employ ENT Cardiol Fractur Cancer Muscul F anuly Dermat Neurolo Sepsis Military Gastro 46 Respirm Gynae Urology Haemat Vascular Paediatrics and Women's Health Paediat„ Fever Safegu Vaccination Contra Urinaly Religion dl Diabete Ophthal Mir ena s TC Ma Mar tal Elderly Plastics Breast Senefts Info for Carer (n Pysch Cervicm„ acclm Rotavir Influem Pneum Shingle Prevention NHS He Referrals Management Advi 8 Medicines Management Medicirm„ Transf„ LESDES INR LES Minor S NSAlDs care Administration Data S Dcs Re IFR [Mex Psycho Dr ugs un fund Advice