Each patient received Cognitive Reassurance appropriate for and proportionate to his/her capacity through evidence informed explanation/education to enhance effective self-care and realistic self-management. Changes to back and neck pain commissioning by our CCG required GPs not to refer to manual therapy until six weeks and upgrade GP care beyond that previous. 100 consecutive patients requesting GP appointment reporting back/neck pain were directed to a pragmatic service provided by an experienced manual therapy practitioner. Cognitive Reassurance reflecting evidenced informed biopsychosocial and salutogenic thinking was given at initial consultation/assessment. Patients were contacted at 10 and 20 days to ascertain their status. One sub-group suggested an opportunity for long-term follow-up.
Providing Cognitive Reassurance for achieving greater levels of patient engagement with self-management Demonstrate full clinical triage by primary care providers is effective/practical Demonstrate a need for appropriate contracting models ————————–
OSummary
Background and pathway
Wait time
2d
Inappropriate self-referral directed to GPs
25%
DNAs
7%
Referral for medication –
28%
Prescribed AQP manual therapy
35%
Treatments averaged Patients deciding no treatment needed beyond initial consultation Patients requesting further consultation during the 12 months following:
