Musculoskeletal conditions present a significant and growing burden worldwide, often resulting in prolonged waiting times for orthopaedic assessment and care. To address this challenge, physiotherapists with advanced training are playing an increasing role in orthopaedic triage and management, both in New Zealand and abroad. This presentation will overview the varied roles for physiotherapists in the orthopaedic setting, and present in more detail the innovative approach taken in Christchurch to establish a physiotherapy-led shoulder triage role in 2014 which has now been running for 10 years.
The structure of the physio-led triage service within the orthopaedic service will be explored, highlighting its role in managing referrals, guiding patients towards appropriate treatment pathways and freeing up surgeon clinic time. Insights into the Non-Surgical Shoulder Service will be provided, including access, clinical governance, outcomes and succession planning considerations.
Central to the success of these initiatives has been the development of clear role descriptions and competency frameworks for physiotherapists in orthopaedic triage roles. This presentation will overview these and other existing frameworks, including the Entrustable Professional Activities framework developed in collaboration with other physiotherapists working in orthopaedic departments in triage roles.
Through a combination of collaboration with orthopaedic specialists, innovative service structures, and evolving competency frameworks, advanced physiotherapists are driving positive change in musculoskeletal care delivery. This presentation will provide insights into the transformative potential of physiotherapist-led initiatives in improving access to non-surgical treatment for people with non-ACC musculoskeletal conditions thereby contributing to enhanced orthopaedic access and care delivery models in New Zealand.