Musculoskeletal JSNA

Summary

Strategic Issue 1

There is a high prevalence of modifiable risk factors and co-morbidities such as obesity, physical inactivity and poor mental health, particularly in areas of deprivation. These contribute to issues with work capability and employment gaps.

What needs to be done

Interventions to target modifiable risk factors (obesity, physical inactivity and poor mental health) for the prevention of future MSK conditions. They are modifiable through PH interventions such as community exercise programmes, healthy eating campaigns, smoking cessation support and mental health & wellbeing services.

Strategic Issue 2

High rate of hip fractures in over 65s in comparison to the region and country. Hip fractures are a key indicator of frailty and poor bone health.

What needs to be done

Interventions and prevention specifically targeted at the older population to prevent cases of MSK conditions, particularly hip fractures. Providing community rehabilitation and reablement through housing adaptation, assistive technology and integrated health and social care will aid in preventing MSK conditions in those over 65.

Strategic Issue 3

There is a need to address barriers to health and social care for early prevention of disability, falls and loss of independence.

What needs to be done

Address the barriers to accessing both health and social care for early prevention, falls prevention and independence. By providing services in at-risk areas using data driven strategy. By performing outreach in these areas barriers such as financial restraints, understanding available services and how to access them (health literacy) and the digital divide. Data can be used to determine where outreach should be initiated.