Dr David Geddes, medical director of the Selby and York Primary Care Trust, insists that patients who do not score 70 on the scale will, where appropriate, be referred for intermediate-level medical care.
says, could involve a home assessment of their needs and a range of options including acupuncture, physiotherapy and occupational therapy.
The point is, he
insists, that patients can very well be treated appropriately in a range of ways that fall short of a knee or hip replacement, and that the primary care trust has a duty to use its money carefully."We recognise that there is a cohort of patients who actually we can manage with more conservative measures," he
There are a number of reasons for this, Dr Geddes
says part of the aim of the new system is to ensure that those who get surgery are those who really need it."Surgical procedures have to be focussed on those most at need," he
concedes that the financial problems faced by the primary care trust have "brought into focus" the need to get value for money."We want to provide a service that is responsive to people's needs, clinically effective and within the resources available to us," he