About the Musculoskeletal Network
The Musculoskeletal Network aims to improve equity of access and individual outcomes for people who have a range of musculoskeletal conditions in NSW. A key initiative is to evaluate the tools and resources, including models of care and their implementation, in order to refine the interventions and ensure they meet the needs of communities across NSW.
Musculoskeletal conditions are a group of chronic diseases that include arthritis and osteoporosis. Morbidity from overall musculoskeletal disorders affect almost 30% of the Australian population. It is estimated that more than six million Australians suffer from a musculoskeletal condition – with three million people with back problems, 1.8 million with osteoarthritis, 0.8 million at least with osteoporosis, and 0.5 million with rheumatoid arthritis. These are self-report data and it is known that many people with musculoskeletal conditions are not reflected in these estimates due to now having been told that is the cause of their pain, reduced functional ability or fragility facture.
Back pain is often of a non-specific origin and, contrary to popular belief, in these cases is best treated with continuation of low-intensity activities and simple analgesia in the acute phase. Arthritis is characterised by joint inflammation and degeneration. This leads to pain, stiffness, disability and deformity of the affected joint. In osteoporosis, low bone density results in decreased bone strength and bone fractures from minimal trauma. This also leads to pain, deformity, disability and premature mortality.
Children can also be affected by arthritis and other related inflammatory conditions with an estimated 6,000 children affected by juvenile arthritis alone in Australia. These conditions in Australians under the age of 16 years lead to pain, disability, loss of school days and other restrictions that in turn impact on opportunities in adulthood.
Musculoskeletal conditions have been identified as one of the eight National Health Priority Areas in Australia which recognises the major health and economic burden these conditions place on our communities.
Matthew Jennings, Co-Chair
Director of Allied Health
South Western Sydney Local Health District
Chris Needs, Co-Chair
Royal Prince Alfred Hospital
Sydney Local Health District
Ian Harris, Co-Chair
South Western Sydney Local Health District
The ACI Musculoskeletal Network has more than 390 members, which includes doctors, nurses, allied health professionals, consumers, researchers, managers and policy makers.
The network works collaboratively with a wide range of organisations including the NSW Ministry of Health, Primary Health Networks, the Clinical Excellence Commission, Arthritis Australia, Osteoporosis Australia, Arthritis/Osteoporosis NSW, University of NSW, University of Sydney, Macquarie University, the Garvan Institute of Medical Research, the Kolling Institute and The George Institute for Global Health.
- To promote and support the implementation and ongoing evaluation of the NSW Model of Care for Osteoporotic Re-fracture Prevention.
- To disseminate the Evidence Review for the pre-, peri- and post-operative care of people needing elective hip and knee joint replacements.
- To implement and evaluate the statewide plan for early diagnosis and intervention for children and their families living with paediatric rheumatoid disease as described in the Model of Care for the NSW Paediatric Rheumatology Network.
- To continue to implement and evaluate the model of care for the conservative treatment of people with osteoarthritis, the Osteoarthritis Chronic Care Program (OACCP).
- To support the implementation and evaluation of the model of care for the Management of People with Acute Low Back Pain.
- To support the implementation and evaluation of the Musculoskeletal Primary Health Care Initiative in the three trial partnership sites.
- To finalise the observation chart for Neurovascular observations that is under development as at November 2016.
- The ACI’s Osteoporotic Refracture Prevention Model of Care has been evaluated for its effectiveness in a variety of sites across NSW. We know we can prevent up to 242,000 minimal trauma fractures over the next ten years with systematic implementation of the model of care.
- The ACI’s Model of care for the Osteoarthritis Chronic Care Program has undergone external evaluation and has been shown to improve options for care for people awaiting elective hip or knee joint replacement. At least 11% of people with knee arthritis can come off elective joint replacement surgery wait lists when they are supported to self-manage their arthritis and co-morbidities in an effective manner
- The ACI Model of Care for the NSW Paediatric Rheumatology Network was launched by Emeritus Professor Kim Oates in 2013 and is now being implemented through a collaboration between the Sydney Children’s Hospitals Network, Hunter Children’s Hospital, Arthritis NSW/Osteoporosis, and ACI Musculoskeletal and Transition Care Networks.
- The completion and launch of the model of care for the Management of People with Acute Low Back Pain.
- Engagement of four primary health networks and their partner local health districts to implement the musculoskeletal models of care in primary care settings.
- Development of a Graduate Certificate in Nursing (Musculoskeletal) in collaboration with the NSW Chief Nurse and the Australian College of Nursing.
The ACI Musculoskeletal Network was convened in early 2009 as the peak body advising the NSW Health system on the best way to improve services for the people of NSW with these musculoskeletal conditions.
The Network was created through amalgamation of the former NSW Chronic Care Program Musculoskeletal Clinical Expert Reference Group and the Greater Metropolitan Clinical Taskforce Orthopaedic Network.