Jacky is 57 years of age. Her GP referred her via ERS to physio on 6 October and she completed a PhysioNow® assessment the same day. The outcome was Urgent NHS 111 due to an inability to empty bowels fully as it felt she didn’t have the power to push.
- The Connect Health clinician called the patient on 7 October to check symptoms.
- Patient confirmed intermittent saddle numbness and intermittent reduced power on trying to empty her bowels which had improved and actually had been normal for last 5 days.
- Symptoms had started 2 weeks previously with back and leg pain after decorating and lifting her grandson.
- She had previously had breast cancer in 2012 and 2018 and did report weight loss of 2 stone but she had been intentionally dieting.
- The clinician arranged an urgent lumbar MRI.
- On 16 October Jacky was imaged and this showed spinal metastases and her care was handed over by a triage clinician to her GP.
Jacky was sadly diagnosed with spinal metastases 12 days after she accessed PhysioNow. In a standard physiotherapy pathway, she may not have had a consultation within that timeframe. At the time of speaking to the clinician she had no symptoms that met NHS England’s guidance on urgent or emergency presentation of suspected spinal metastases symptoms, so community imaging had been an appropriate pathway for her.
Download Jacky’s full story here