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Liverpool City Council has recently played a key role in supporting the Spinal Community Assessment Day (SCAD), an event designed specifically for residents of Liverpool who are currently waiting for spinal surgery. This initiative is part of a pilot program developed through a partnership involving The Walton Centre NHS Foundation Trust, the Spinal Clinical Network, Everton in the Community, and other local community services. The overarching goal is to enhance patient-centred care for individuals on the spinal surgery waiting list.
The SCAD took place at Everton in the Community, where more than 100 patients gained immediate access to a wide array of resources tailored to their specific health needs. These resources included comprehensive assessments, advice, health promotion activities, rehabilitation options, and support from both community and voluntary sectors. Additionally, services were offered to assist patients whose spinal conditions affected their ability to maintain employment.
Consultant Neurosurgeon M Martin Wilby from The Walton Centre highlighted the challenges faced by patients awaiting specialist spinal services. He noted, “Unfortunately, some patients with spinal conditions are facing longer waits to access specialist services than we would like. However, despite being on a surgical waiting list, when a full consultation is carried out, surgery is frequently not considered to be the long-term solution for many spinal conditions.” He further explained that SCAD aims to maintain patients’ wellbeing during the waiting period by promoting self-management of their condition and overall health, while fostering collaboration among various professionals to improve understanding and access to available services.
One of the key features of the day was the personalized approach to patient care, focusing on individual needs rather than applying a generic treatment model. Each patient’s appointment began with a ‘What matters to you’ conversation, ensuring that the advice and treatment aligned with their personal priorities and goals. Patients were also provided with a patient passport, a document that could be used by both patients and healthcare professionals to note treatment plans, advice, and contact information for ongoing support crucial to the spinal recovery process. Depending on their condition and objectives, patients accessed clinical assessments from specialists, physiotherapy, pain management, public health services, support for returning to work, and connections to local community resources
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