Summary
Long waiting lists full of people with complex conditions. Consultations by rote. Signposting that wasn’t leading anywhere. The problems faced by a Sussex NHS physio practice were familiar ones.
That was until the team decided to change things. They booked out a local leisure centre and invited their entire waiting list for a Community Appointment Day (CAD), full of conversations, not consultations.
Content
This review highlights the tangible impact CADs are having on musculo-skeletal (MSK) care delivery and reveals key insights that will help us build on this progress.
One of the standout successes of the initiative has been the rise in Patient-Initiated Follow-Up (PIFU) rates. More than 50% of CAD attendees opted for this approach, a significant increase compared to the 12% seen in other services. Although national evidence on PIFU’s effectiveness is still emerging, these figures suggest that CADs are making a real difference in promoting long-term self-management.
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