Other Priority 2 from the Early Hip and Knee Osteoarthritis PSP

UNCERTAINTY: What standardised non-surgical integrated pathways for early OA improve patient outcomes and experience?  (JLA PSP Other Priority 2)
Overall ranking amongst other questions 2
JLA question ID 0041/22
Extra explanatory note Currently no clear pathways or agreed treatment interventions. Diagnosis and treatments vary by Clinical Commissioning Groups from one service (e.g. physiotherapy) through to many services which may or may not be based in a single site/ multidisciplinary team.
Type of research; Health care services research/ delivery, Quality of care, Integrated services, Qualitative research
Outcomes; PROMS / PIOMS, Qualitative patient experiences and outcomes
Evidence None identified
Health Research Classification System category Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples Why is accessing medical help for Osteo and Rheumatoid Arthritis so difficult?  ~  When will gp's refer patients rather than just writing prescriptions for pain killers?  ~  I am a pensioner with very little money otherwise I would look at going private. I was fobbed off with my knees saying that I was too young for the surgery. Will I now have to wait until I am too old and infirm to have my hip sorted?
Submitted by 18 patient/carers, 3 clinicians and 1 carer/clinician
PSP information
PSP unique ID 0041
PSP name Early Hip and Knee Osteoarthritis
Total number of uncertainties identified by this PSP. 52  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 26 February 2016