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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

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