Introduction: Every poster is different. You may wish to modify elements of the design to suit your needs. Keep the colour

scheme and logos to be consistent with the current WCBPS branding /identity. Keep the word count light.

Methods: Here

Results: Here

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Acknowledgements:

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Conclusion: Here

A Value Based Healthcare approach

for Knee Osteoarthritis (OA)

BackgroundSwansea Bay University Health Board, Clinical and Value Based Healthcare teams collaboratively worked with the National Exercise Referral Scheme to PILOT a 90 patient Exercise & Lifestyle Programme (ELP), in line with

NICE guidelines for the management of Knee Osteoarthritis (OA).

InterventionPatients were given two options to choose from:

12 weeks of Full intervention: weekly group exercise and diet sessions

12 weeks of Self-management: Arthritis UK education booklets on Osteoarthritis with exercise and diet information

On-going Clinical Support was offered to all patients

Conclusion:Full ELP intervention showed a Significant Improvement in all outcomes measured

Self Management Showed a Mild Improvement in all outcomes.

Next Steps:• Aligning outcomes with national PROMS

• Integrate ELP clinics into CMAT service to improve patient compliance and cost efficiency

• Promoting ELP to Primary and Secondary Care services

• Expanding ELP to other OA joint conditions

• Business case approved to offer ELP to 1000 patients across Swansea Bay UHB in 2021

CHRISTIAN LAMBERT - ADVANCED

PHYSIOTHERAPY PRACTITIONER CMAT, SWANSEA BAY UHB

Primary Care

Physiotherapy

Dietician

NERS

MCAS/CMAT/Diagnostic

X-ray +

Injection

Analgesics

+ Advice/DC

SecondaryCare

Swansea Bay Current Patient Pathway For Non Surgical Management of OA Knee: Methods

90 patients seen by the Clinical Musculoskeletal Assessment & Treatment Service were referred onto the programme. 61 patients attended ELP. 51 patients completed it.

Value is realised when we achieve the best possible health care outcomes for our population with the resources that we have. Outcomes are important milestones in the lives of patients that matter

to them and so we should measure them!In Wales, Value Based Healthcare has been nationally recognised as a practical method to measurably

improve services based on the Principles of Prudent Healthcare, and is also starting to be seen as a leader internationally in our VBHC approaches.

National VBHC 3 Year Action Plan:

Estimated Primary care cost reduction

(GP/Physio/Diet/Scans)

£123,216 **

Reduction in T&O appointments at £69

Est annual saving

£26,910**

19% less Knees Referred

to T&O from CMAT

123 less operations a

Year *Based on 65% conversion to TKR in SBUHB

10 ELP patients sampled 6/12 post program who

reduced analgesia

use by 50%

Benefits:

** based on projected 1000

patients seen in ELP per

year

NERS

Exercise

NERS

Diet Programme “Food Wise”

Education /Self Mx/Outcomes

Follow Up & On going Clinical Support

ELP

Primary Care

Referral

CMAT

ELP Pathway:

“by asking people healthcare becomes personalised, people feel more involved in decisions about their own care. When this happens, people often choose more conservative treatment options because they feel that this is right for them. We should be doing less that don’t help and re-invest in the things that do. This is what we mean by Value Based Healthcare” Professor Chris Jones, Deputy Chief Medical Officer; VBHC National 3 Year Action Plan 2019-2022

3.9

1.2

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

Full ELP Self Management

Kg

Weight Loss

6.8

1.3

0

1

2

3

4

5

6

7

8

Full ELP Self Management

CM

Waist Loss

9.1

5.7

2.8

1.26

3.3

6.7

0

1

2

3

4

5

6

7

8

9

10

Oxford Knee Score Chair Test EQ-5D-5L BMI Global Rating ofChange

Oxford APQ

Ch

ange

in S

core

ELP Pilot Outcomes

Full ELP Intervention Self Management ELP

NAVJOT KALRA - HEAD OF VALUE

BASED HEALTHCARE, SWANSEA BAY UHB

Dr ROBERT PALMER - CEDAR, CARDIFF & VALE UHB

ANDREW HAXTON - ADVANCED INFORMATION ANALYST, VALUE BASED HEALTHCARE, SWANSEA BAY UHB

PAUL HARRY- PRINCIPLE FINANCE MANAGER, SWANSEA BAY UHB

KERITH JONES - VALUE BASED HEALTHCARE, SWANSEA BAY UHB