Telford Musculoskeletal Services (TeMS)
Who are we?
Telford Musculoskeletal Service (TeMS) is for people with musculoskeletal conditions affecting joints, bones and muscles. Our team includes health professionals covering all musculoskeletal specialist areas who can provide a comprehensive assessment and a range of treatment plans in a community or hospital setting. TeMS believes in high quality patient experience of care across all providers. Patient experience is not only measured by accessibility, but through the use of shared decision making and self-management support and encouragement. Shared-decision making involving the patient at each step in the assessment process; this means “no decision about me, without me”.
High value care is delivered through evidenced based care pathways with defined clinical outcomes, minimising duplication, variation and waste.
We offer assessment and treatment of a range of musculoskeletal conditions as well as advice and guidance on managing these contiditions. We offer a range of appointments with different healthcare professionals providing treatment and diagnostics as listed below.
- General Practitioner with specialist interest in Musculoskeletal Medicine
- Extended Scope Practitioner
- Occupational Therapist
- Pain Management Specialist
- Bone density scanning
- Diagnostic ultrasound
- Nerve conduction studies
- CT Scan
- Joint injection under ultrasound
- Occupational Therapy
- Pain Management
- Referral onward to secondary care services
This Service is a Telford and Wrekin service
The people we see
We see patients who require further management for musculoskeletal conditions provided they do not require hospital treatment. Some of the conditions seen within the service are:
- Achilles tendonitis
- Ankle joint pain
- Ankylosing spondylitis
- Cervical radiculopathy
- Carpal tunnel syndrome
- Golfer's elbow
- Hip joint pain
- Knee joint pain
- Morton's neuroma
- Plantar fasciitis
- Prolpased intervertebral disc
- Rotator cuff pathology
- Tennis elbow
- Thoracic and lumbar back pain
- Trigger finger
- Trochanteric bursitis
New patients can be referred into the service by their General Practitioner via referral through TRAQS. We only accept referrals for adults aged 18 and over.
What happens to my referral?
All patients referred into TEMS will be subject to clinical triage to determine the best pathway for the patient to be sent onto. At this point it will be decided which healthcare professional is best placed to see and treat the patient.
What to expect
At your first appointment you will be asked questions about your symptoms, activities, work, etc. Your treatment plan may include a variety of specialist treatments which will be discussed with you and delivered in a clinic or group setting to help you to return to your usual activities. Your treatment plan will also include advice and specific exercises to help you to self-manage your condition.
Existing patients or patients previously seen within the service can be referred back into the service is the same way as new patients unless within 3 months of discharge then the patient can self refer for the same condition. The same age restrictions apply to existing patients as those that apply to new patients.
What you should bring with you
During your assessment you might be required to carry out a number of movements. Therefore we recommend you wear suitable loose fitting clothing, such as t-shirt, shorts, jogging bottoms and under-wear that you are comfortable being assessed in. Please bring a detailed list of current medication.
Frequently asked questions
- What happens if I do not attend my appointment?
Attending your appointment or informing us in good time if you need to cancel keeps waiting times low for yourself and other patients, this helps to reduce costs to the NHS. If you need to change your appointment or no longer want an assessment, please call the service at least 48 hours prior to your appointment so it can be offered to someone else.
If this does not happen you may be discharged and referred back to your GP.
- What happens if I am late for my appointment?
If you are late for your appointment it may be rescheduled for another time and if you do not attend your appointment without notifying us you may be discharged from this service.
- What will happen at my first appointment?
The clinician will show you into an individual room and will introduce themselves. They will ask you a variety of specific questions and then examine you to find out exactly what is wrong. They will explain what the problem you have is and how it is best treated, giving you advice on treatment and exercises to do at home. If you need another appointment, this will be arranged before you leave. This appointment may be with one of the other specialists e.g. Doctor, Physiotherapist or podiatrist depending on the nature of your condition.
The clinician may refer you on for diagnostic tests such as x-ray or scanning or may refer you to our hospital colleagues if this is necessary
- What are General Practitioners with special interests?
They are General practitioners (GPs) who supplements their core generalist role in a doctors surgery by delivering an additional high-quality service to meet the needs of patients. They must:
- Demonstrate appropriate levels of skill and competence to fulfil the role they are specialist in (for example a postgraduate diploma in the relevant field).
- Demonstrate a clear understanding of the key role the GPwSI is being asked to fulfil; this is done through a vigorous process and accreditation with a local panel of professionals
- Understand the appropriate clinical pathway.
- Understand and participate in the clinical network in relation to the clinical pathway.
- Set out commitment to ongoing training, updates and education through appropriate appraisal and a personal development plan.
- Make appropriate indemnity arrangements.
- Make appropriate peer review and mentoring arrangements.
- Demonstrate how the role fits the existing portfolio.
- Provide evidence of professional registration and recognition on a PCT performers list.
Special Educational Needs and Disability (SEND) and our "Local Offer"
What is the Local Offer?
The local offer provides information for children and young people with special educational needs (SEND) and their parents or carers in a single place. You can find out more about information about this on our SEND reforms and Local Offers page.
Telford Musculoskeletal Service offers specialist care to a variety of patients that require further care for some MSK conditions. Patients will be seen by either Consultants, specialist health care professionals or GPs with a special interest in each field.
Who can use our service? Age? Disability?
We see patients who are 18 years and over.
How to access our service (inc. referral routes)
New patients can be referred into the service by GPs via referral through TRAQS.
When and where is our service available?
Please see our "Where are we?" section (right-hand column) for the active list of clinic locations.
How can families contact the service?
Please see our "Contact us" section on this page (right-hand column).
For external agencies: is the service free or charged?
Is the service accredited? If so, by whom?
Care Quality Commission