Do Demographic and Clinical Characteristics Predict Utilisation of a Community Based Musculoskeletal Triage Service? A Retrospective Cohort Study

Abstract

Introduction: In the United Kingdom, 20 million people are affected by musculoskeletal (MSK) conditions. To reduce the burden on GP surgeries, there are now MSK triage services where patients are diagnosed and managed by allied health professionals. There is limited research exploring the sociodemographic characteristics and reasons for attendance of those using the MSK triage service. Aim: To explore the clinical and sociodemographic characteristics of adult patients accessing an MSK triage service within Northwest England. Method: This is a retrospective cohort study using secondary data collected between 1st January 2022 and 31st December 2024. Data were extracted from an NHS electronic patient record system, including sociographic data as well as the number of consultations and diagnosis. Results: The sample included data on 6398 patients, of which 2826 (44%) were male and 3571 female (66%). The mean age was 56.9 years, the majority (83.1%) identified as White British and 28.4% of the sample resided in areas of low deprivation. Compared with lower body diagnoses, individuals with spine‐related diagnoses had 28.7% fewer consultations and those with upper‐body diagnoses had 19.2% fewer consultations. Both differences were highly significant (p < 0.001). Conclusions: These findings suggest that establishing more clearly defined clinical pathways may enhance the efficiency of service utilisation. Improving the accessibility of the MSK triage service has the potential to enhance access for both patients and referring clinicians, thereby optimising the timeliness of care delivery. This study adds to the evolving understanding of how MSK triage services can be enhanced in the NHS primary care setting.