GPs advised to offer digital treatments to patients with non-specific low back pain

People aged 16 years and over with non-specific low back pain could be offered apps to help them manage their condition in a bid to provide the NHS with extra capacity and get those effected off waiting lists.

NICE has recommended seven digital web-based applications and digital platforms in new draft guidance which can be used by patients following an initial consultation with a GP.

However, some apps provide initial triage and assessment making it possible for people with symptoms of low back pain to self-refer to the platforms as an additional support to non-pharmacological treatment.

Musculoskeletal conditions account for one third of GP appointments

More than two million people suffer from low back pain each year, and it is the biggest cause of disability, according to the NHS Long Term Plan.

This condition therefore adds considerable pressure to NHS services, with musculoskeletal conditions accounting for roughly one third (30%) of GP consultations annually.

As well as reducing pressure on the NHS, the draft recommendation of the digital platforms aims to reduce inequalities in accessing musculoskeletal services across the country.

Other benefits include reducing GP and physiotherapy workload, the use of medication and the potential need for surgery.

Apps include guided exercise demos and access to back pain specialists

In total, seven technologies were recommended by NICE, and different apps will be available to individuals based on their condition.

For example, those with new back pain will be recommended a different app to those who have had the issue for three months or more.

Features of the apps include:

• Guided exercise advice with video demonstrations, and video tutorials on managing pain
• Psychological treatment, including access to pain specialists and psychologists and mindfulness sessions
• Access to a multi-disciplinary team to answer questions and give advice
• Nudge functions to encourage and remind people to complete tasks.

Over the next three years, further evidence will be generated to evaluate their clinical and cost-effectiveness, including the length of time people use the apps for before they feel better to return to normal activities.

The technologies will be available to use once they have appropriate regulatory approval and meet the standards within NHS England’s Digital Technology Assessment Criteria.

Consultation open until 25^th October

Health Minister Will Quince said: “These apps are yet another example of how technology can be used help patients get the care they need, when they need it.

“They offer a range of services which will allow patients to manage lower back pain from the comfort of their homes by improving access to musculoskeletal services – which will form a key part of our Major Conditions Strategy.

“This will help to reduce pressures on the NHS and can help to cut waiting lists – one of the government’s top priorities – and will help people to live happier, healthier lives.”

A consultation on the recommendations is now open until Wednesday 25 October 2023.