LiMBiC
provide better information on back pain shown to benefit patients. Continuous for the LIMBIC Project. She said: “The
and provide different access routes to improvement is about understanding workshops were very successful,
help, such as referral to physiotherapy, how the bits fit together before you can with participants commenting on the
drawing on local knowledge to provide make changes.” usefulness of ‘role play’ and patients’
appropriate services. For example, a perspectives being incorporated into
practice in an area of low literacy chose In their reflections after the workshops, the day. Our approach to collaborative
to offer information in a more graphic way. participants described the benefits. learning was also received positively.”
These included the use of a team
(the improvement method) “allows the approach, patient involvement, Participants felt strongly that active
group to focus more productively and a structured approach, good patient involvement had helped in the
achieve greater results. It creates greater, communication and partnership, putting project. They found that looking at things
more effective communication between the patient at the centre, recognising from the patients’ perspective made a
team members” - A Practice Nurse skills of the team and the reflective difference to their way of thinking and
approach. Realisation that a lifestyle clinic gave them an understanding of what was
Dr Charles Campion-Smith is a GP and might be of benefit was also recognised. needed from the patient’s point of view.
Senior Adviser in Primary Care Education The patient contribution was appreciated
and Development and lead clinician for “Good ideas could be shared with all and valued and made the process
the LIMBIC Project. He said: “Back pain practices, good communication more relevant. Participants said they
is a condition where GPs feel particularly with patients in the practice and were now more conscious of patient’s
frustrated because clinical guidelines support where necessary” - A patient expectations and concerns. They found
and evidence don’t seem to fit with representative that patient stories were particularly
everyday practice and patient needs. powerful and that involving a patient
Until you have the whole team on board Dr Eloise Carr is Associate Dean in their team helped the practices get
you are unlikely to be able to provide (Postgraduate students) at Bournemouth meaningful input from the patients. They
a holistic approach, which has been University and co principal investigator welcomed the non-medical perspective
The Backcare Journal 17
backcare Winter 2009/10.indd 17 8/1/10 11:19:38
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