The National Musculoskeletal Audit and Research Database

Study Overview
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Brief Summary
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Developing and testing a musculoskeletal national audit in community/primary care

Detailed Description
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This project aims to develop, setup and test an MSK national audit which will use patient and clinician inputted data to measure the quality of care for patients presenting in community MSK services and general practice with common MSK conditions. Secondly this project aims to use the national MSK audit information to understand and improve the quality and consistency of care for MSK patients.

Official Title
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Developing and Testing a Musculoskeletal National Audit in Community/Primary Care

Conditions
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Musculoskeletal Diseases

Intervention / Treatment
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* Behavioral: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: (MSK Services) MSK service seeing adult (+18 years) set in community care MSK service with at least 10 WTE HCPs System in place for digital collection of PROM/PREM data (FCP Services) FCP service seeing adult (+18 years) in primary care FCP service with at least 1 WTE FCP seeing MSK patients Use of EMIS or SYSTMONE Able to implement Midlands FCP template System in place for digital collection of PROM/PREM data (For patients) +18 years Active phone number or verified email address to participate in the patient questionnaire Able to provide informed consent Exclusion Criteria: (MSK Services) * Secondary care MSK services (For patients) Has declined for data to be part of research as part of consent process Unable to complete surveys due to health issues including severe or terminal illness, severe learning difficulties or psychological disorders

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| First Contact Practitioner (FCP)<br>A continuous routine-data cohort study involving FCP primary care services aiming to recruit a minimum of 25patients per service from 10 FCP services, with complete data from at least 25 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources) Electronic health record (EHR) data (collected via a standardised FCP template and search within EHR systems) | Behavioral: Questionnaire<br>* Baseline and 3 month questionnaire<br>|
| MSK Community Services<br>A continuous routine-data cohort study involving MSK Community Services, aiming to recruit a minimum of 250 patients per service from a minimum of 10 MSK services, with complete data from at least 250 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources) | Behavioral: Questionnaire<br>* Baseline and 3 month questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To provide a secure national MSK research database for participating MSK providers to upload their routinely collected data. |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To develop a standard dashboard and reporting system that supports an ongoing automated process to analyse and present the data for quality improvement purposes. |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primary Care, Community, Benchmarking, Audit, Quality Improvement