Implementation of the NIHR Moving Forward (MF) Themed Review- Leading transformational change across Staffordshire


To translate the evidence within the NIHR’s Themed Review: Moving Forward - Physiotherapy for Musculoskeletal Health and Wellbeing into practice


Key musculoskeletal clinical leaders, commissioners and researchers were identified within the boundaries of Staffordshire. Alongside patients’ representatives, they were invited to form a Community of Practice, i.e. a group of like- minded individuals with a common interest. A series of innovative meetings were planned with project support from the Impact Accelerator Unit Keele University. Concurrently, Lay members of the LINK Group (Lay members in Knowledge mobilisation) worked to refine the MF document into an easy to read format. The first meeting required the CoP to use a ‘Prioritisation Framework’ to rank the * studies contained with the MF review, considering if studies were a clinical, commissioning or patient priority. In addition, they considered if the studies were quoted in NICE guidance, if return on investment data was available and if there was an accompanying implementation plan. CoP meetings were held in a neutral venue. Project plans were devised following each meeting, summary notes were taken as well as vlogs to capture participants experience of the process.


Results: The CoP was established and included key stakeholders and four patient representatives. Using the Prioritisation Framework, STarT Back, IMPACT Back, ESCAPE Pain, BEST and SWAP were selected for implementation in Staffordshire. Over a series of five meetings the CoP:

· Project planned and regularly reviewed implementation activity for the five key studies

· Devised pathways (Low Back Pain and Osteoarthritis) incorporating MF evidence

· Captured baseline clinical practice in relation to the 5 studies

· Developed a website to share processes, impact and learning

· Created an easy to read version of the MF document

· Made strategic links to Trust Boards, Commissioning Groups, Primary Care Networks to ensure ongoing uptake

· Fostered an innovative co-creation culture

· Developed a social media presence around MF

Conclusion(s): The CoP methodology engages the workforce in a co-creation culture alongside other key stakeholders. Together, given time and support, the CoP members gained confidence and became increasingly engaged in the implementation process. Creative facilitation techniques were used to create an atmosphere of equity, respect and value. Patient representatives request additional meetings to ensure their understanding to allow them to contribute as fully as possible.

Cost and savings

No data to report at present


The broader workforce can be engaged in co- creating solutions alongside broader stakeholders including patients. Here we used the example of Implementing the evidence from the MF Review to test the model. We suggested that with appropriate leadership, facilitation and support, this method can be utilised to co create solution across healthcare, education and research settings

Top three learning points

No further data 

Funding acknowledgements

The Chartered Society of Physiotherap