Man with Arthritis in pain on chair

People with back, joint, and muscle issues living in areas with the worst waiting lists for musculoskeletal (MSK) conditions are set to be treated quicker and supported back into employment as pat of a £3.5million UK Government package.

As part of the Government’s drive to tackle economic inactivity – where someone is out of work and not looking for work – 17 Integrated Care Boards (ICBs) across England will share part of the package to improve MSK services.  

The funding will see each area receive up to £300,000 to treat one of the main drivers of economic inactivity, and is part of the Government’s Plan for Change which will put more money into people’s pockets and get the NHS back on its feet. 

The MSK Community Delivery Programme will be administered through NHS England’s Getting it Right First Time (GIRFT) programme, and will give ICBs the resources and leadership to develop more efficient ways of getting MSK patients treated, off waiting lists and back onto the path of employment. 

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Minister for Employment, Alison McGovern MP, said: “For too long people locked out of work with health issues have been forgotten about and denied the support they need to get well and get working.  

“It’s stifling our economy and preventing those eager to progress in life from unleashing their full potential.  

“This multi-million-pound funding boost means MSK patients across the country will get the help they need, as we give clinical leaders the resources to innovate, get people off waiting lists and get Britain working again.”  

There are 2.8million people economically inactive due to long-term health and MSK is the second largest reason given, behind mental health. Around 646,000 people – around one in four – said MSK was their primary condition.  

Waiting lists for MSK community services are the highest of all community waits in England, at 348,799 people in September 2024, with approximately 23.4 million working days in the UK being lost due to MSK conditions in 2022 alone.  

Minister for Public Health and Prevention, Andrew Gwynne, said:With prevention, early detection and treatment, we know that the 17 million people with musculoskeletal issues in England could better manage their conditions, improving their quality of life and enabling them to rejoin the workforce. 

“Through the Plan for Change, the government is taking decisive action to drive down waiting lists, improve treatment options and boost the economy.” 

Several of the 17 ICB locations spearheading the delivery of this programme also host NHS England’s Further Faster 20 programme and the Government’s recently announced WorkWell programme – meaning people with MSK conditions will benefit from an amalgamated approach of reduced waiting lists combined with intensive and bespoke employment support. 

Professor Tim Briggs, NHS England’s National Director of Clinical Improvement and Elective Recovery and Chair of the Getting it Right First Time programme, said: “The NHS has a proven record of spearheading improvements through the Getting it Right First Time Programme and this initiative could make a real difference to people with MSK conditions – providing them with the care they need and helping them to return to work.

“Local health systems will be able to assess their current services and share examples of best practice to roll out innovative ways of working, as well as improving data on how services are performing.”

The Government announced the launch of the Get Britain Working White Paper in November as part of the biggest reforms to employment support for a generation, bringing together skills and health to get more people into work and get on in work. 

The locations of the 17 ICBs taking part in the programme which also have some of the longest MSK 18 week waits are: Birmingham and Solihull ICB, Bristol, North Somerset & South Gloucestershire ICB, Cambridgeshire and Peterborough ICB, Cheshire (NHS Cheshire and Merseyside ICB) ICB, Cornwall ICB, Devon ICB, Dorset ICB, Greater Manchester ICB – Manchester / Oldham, Hampshire and Isle of Wight, Leicester,  Leicestershire & Rutland ICB, Norfolk and Waveney ICB, North Central London ICB, North East and North Cumbria ICB, North East London ICB, Northamptonshire ICB, Shropshire, Telford and Wrekin ICB and Sussex ICB.

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