If English is not your first language and you need help, please contact the Interpretation and Translation Service Jeśli angielski nie jest twoim pierwszym językiem i potrzebujesz pomocy, skontaktuj się z działem tłumaczeń ustnych i pisemnych

تمدخ ہمجرت روا ینامجرت مرک هارب ، وت ےہ ترورض یک ددم وک پآ روا ےہ ںیہن نابز یلہپ یک پآ یزیرگنا رگاںیرک ہطبار ےس

Dacă engleza nu este prima ta limbă și ai nevoie de ajutor, te rugăm să contactezi Serviciul de interpretare și traducere ইংরাজী যিদ আপনার .থম ভাষা না হয় এবং আপনার সাহােয9র .েয়াজন হয় তেব অন=ুহ কের ?দাভাষী এবং অনবুাদ পিরেষবা@েত ?যাগােযাগ কBন

ةیریرحتلاو ةیوفشلا ةمجرتلا ةمدخب لاصتالا ىجریف ، ةدعاسم ىلإ جاتحتو ىلوألا كتغل يھ ةیزیلجنإلا نكت مل اذإ

: 0161 627 8770

: interpretation@pat.nhs.uk To improve our care environment for Patients, Visitors and Staff, Northern Care Alliance NHS Group is Smoke Free including buildings, grounds & car parks. For advice on stopping smoking contact the Specialist Stop Smoking Service on 01706 517 522 For general enquiries please contact the Patient Advice and Liaison Service (PALS) on 0161 604 5897 For enquiries regarding clinic appointments, clinical care and treatment please contact 0161 624 0420 and the Switchboard Operator will put you through to the correct department / service The Northern Care Alliance NHS Group (NCA) is one of the largest NHS organisations in the country bringing together two NHS Trusts, Salford Royal NHS Foundation Trust and The Pennine Acute Hospitals NHS Trust. The NCA employs over 19,000 staff and provides a range of hospital and community healthcare services to more than 1 million people across Salford, Oldham, Bury, Rochdale, North Manchester and surrounding areas. Our Care Organisations are responsible for delivering safe, high quality and reliable care to the local communities they serve.

The Northern Care Alliance NHS Group (NCA) is one of the largest NHS organisations in the country, employing 17,000 staff and providing a range of hospital and community healthcare services to around 1 million people across Salford, Oldham, Bury, Rochdale and surrounding areas. Our Care Organisations are responsible for providing our services, delivering safe, high quality and reliable care to the local communities they serve.

The NCA brings together Salford Royal NHS Foundation Trust and the hospitals and community services of The Royal Oldham Hospital, Fairfield General Hospital in Bury, and Rochdale Infirmary (currently part of The Pennine Acute Hospitals NHS Trust).

www.pat.nhs.ukwww.northerncarealliance.nhs.uk

www.facebook.com/NorthernCareAllianceNHSGroup

www.linkedin.com/company/northern-care-alliance-nhs-group

Northern Care Alliance NHS Group (NCA) @NCAlliance_NHS

Physio Direct - Self-referral FormAn information guide

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Physio Direct - Self-referral Form

What is self-referral?

Self-referral is a direct route to physiotherapy. It allows patients toaccess physiotherapy treatment without seeing a GP first.

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Can I self-refer?

You must be 16 years of age or over and have musculoskeletalproblems such as back pain, neck pain, painful joints and/or generalsoft-tissue sprains and strains. This includes sports injuries, workrelated injuries and postural problems.

How will I benefit?

Patient satisfaction surveys have shown that patients benefit fromself-referral in the following ways:

• It is a direct route to advice and intervention when it is mostneeded

• Early intervention can speed up healing and recovery• It supports the individual in developing skills in self-care and

self-management

When should I not self-refer?

You should not self-refer but see your GP urgently if you have hadany of the following symptoms since the onset of the problem:

• If you have back pain and feel this is causing bladder or bowelproblems (difficulty passing water)

• If you have suddenly lost any weight without trying• If you have dizziness (with loss of hearing on one or both sides)

blackouts or falls• If you have a previous history of cancer or are currently

undergoing treatment for cancer

Self-referral is not an option if:

• You are under 16 years of age• You have neurological, breathing or continence problems

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Making a referral

Complete the attached referral form and return in the post to therelevant address over the page.

Alternatively you can complete a referral online at:

www.penninecare.nhs.uk/physiodirect

Booking an appointment

Please contact the relevant service five working days after you sendthe form back, this will allow us time to process your referral.If youare registered with a Heywood, Middleton or Rochdale GP pleasecall 0161 716 5888 (Option 2)

Useful information and advice

The website link below contains information about thePhysiotherapy Service that we offer and advice which you may findhelpful to manage your problem.

www.penninecare.nhs.uk/mskphysio

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Contact us

If you are registered with a Heywood, Middleton or Rochdale GP,please post the completed form to:

Adult MSK Physiotherapy Service

HMR Single Point of Access,

3rd Floor ,

Brook House ,

Oldham Road ,

Middleton,

M24 1AY

Telephone: 0161 716 5888 (Option 2)

If English is not your first language and you need help, please contact the Interpretation and Translation Service Jeśli angielski nie jest twoim pierwszym językiem i potrzebujesz pomocy, skontaktuj się z działem tłumaczeń ustnych i pisemnych

تمدخ ہمجرت روا ینامجرت مرک هارب ، وت ےہ ترورض یک ددم وک پآ روا ےہ ںیہن نابز یلہپ یک پآ یزیرگنا رگاںیرک ہطبار ےس

Dacă engleza nu este prima ta limbă și ai nevoie de ajutor, te rugăm să contactezi Serviciul de interpretare și traducere ইংরাজী যিদ আপনার .থম ভাষা না হয় এবং আপনার সাহােয9র .েয়াজন হয় তেব অন=ুহ কের ?দাভাষী এবং অনবুাদ পিরেষবা@েত ?যাগােযাগ কBন

ةیریرحتلاو ةیوفشلا ةمجرتلا ةمدخب لاصتالا ىجریف ، ةدعاسم ىلإ جاتحتو ىلوألا كتغل يھ ةیزیلجنإلا نكت مل اذإ

: 0161 627 8770

: interpretation@pat.nhs.uk To improve our care environment for Patients, Visitors and Staff, Northern Care Alliance NHS Group is Smoke Free including buildings, grounds & car parks. For advice on stopping smoking contact the Specialist Stop Smoking Service on 01706 517 522 For general enquiries please contact the Patient Advice and Liaison Service (PALS) on 0161 604 5897 For enquiries regarding clinic appointments, clinical care and treatment please contact 0161 624 0420 and the Switchboard Operator will put you through to the correct department / service The Northern Care Alliance NHS Group (NCA) is one of the largest NHS organisations in the country bringing together two NHS Trusts, Salford Royal NHS Foundation Trust and The Pennine Acute Hospitals NHS Trust. The NCA employs over 19,000 staff and provides a range of hospital and community healthcare services to more than 1 million people across Salford, Oldham, Bury, Rochdale, North Manchester and surrounding areas. Our Care Organisations are responsible for delivering safe, high quality and reliable care to the local communities they serve.

The Northern Care Alliance NHS Group (NCA) is one of the largest NHS organisations in the country, employing 17,000 staff and providing a range of hospital and community healthcare services to around 1 million people across Salford, Oldham, Bury, Rochdale and surrounding areas. Our Care Organisations are responsible for providing our services, delivering safe, high quality and reliable care to the local communities they serve.

The NCA brings together Salford Royal NHS Foundation Trust and the hospitals and community services of The Royal Oldham Hospital, Fairfield General Hospital in Bury, and Rochdale Infirmary (currently part of The Pennine Acute Hospitals NHS Trust).

www.pat.nhs.ukwww.northerncarealliance.nhs.uk

www.facebook.com/NorthernCareAllianceNHSGroup

www.linkedin.com/company/northern-care-alliance-nhs-group

Northern Care Alliance NHS Group (NCA) @NCAlliance_NHS

Date of publication: February 2020Date of review: February 2020Date of next review: February 2022Ref: PI(DS)353© The Northern Care Alliance NHS Group