The following key steps must be taken to establish an early intervention service:
Enabling cross-sectoral working
Co-ordinating resources or pooling budgets between different government departments, at national and regional level, can enable effective cross-sectoral working, which is essential for delivering an integrated early intervention service.
Identifying and engaging clinical champions
Clinical champions play a pivotal role in effecting change: systemic change, which is necessary to deliver a fully integrated early intervention service, requires a change in prevailing attitudes and existing mind-sets. This difficult task is made possible by the clinical expertise, leadership skills and passion of clinical champions.
Developing ‘models of care’
A model of care outlines evidence-based best practice care and services for an individual, population group or patient cohort as they progress through the stages of, in this case, an MSK condition. It aims to ensure people get the right care, at the right time, by the right team and in the right place.
Identifying, and overcoming, barriers
The successful implementation of new models of care in healthcare systems depends on identifying and overcoming both cultural and behavioural barriers at three different levels: system; clinic/provider; and individual. To do this, appropriate incentives should be used that help different stakeholders operating at these levels achieve their respective aims and goals.