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The future of MSK elective pathways in Lincolnshire

Lincolnshire’s health system has a clear vision for the future delivery of patient-centred musculoskeletal (MSK) care.

Working together, clinicians are re-designing the hip and knee joint replacement elective pathway to support a single MSK service working as a multi-disciplinary team across primary care, community acute and social care.

Improved and personalised care for people is at the heart of this, promoting shared decision-making and self-management through early health promotion and prevention.

Ultimately, the ambition is to build an outstanding seamless pathway and get the right people, with the right skills, in the right place when people need them.

In February 2022 the MSK programme began focussing on developing an improved clinical pathway hip and knee replacement and the design and development of a supporting standardised MSK digital platform.

Two Task and Finish Groups – one for Primary Care Network (PCN) early adopter sites and another for prehabilitation and rehabilitation – have been leading the pathway design and plans to test out the proposed pathways from June 2022.

There will be lots of opportunities for both patients and clinicians to be involved in the development of these proposed pathways moving forward through our engagement work. Lincolnshire’s MSK improvement programme will be learning and evolving through this vital feedback, supporting one of our key principles of encouraging a culture of continuous improvements across MSK services.

If you would like to be involved or have any questions about this work, please contact Alison Stringfellow at