Amer Sheikh is the musculo-skeletal clinical lead for North West Surrey CCG and Surrey Heartlands STP. He also runs a musculo-skeletal and chronic pain course for Red Whale (of GP-Update fame). In this podcast he describes how, in North West Surrey, they were able to introduce a new model of musculo-skeletal care by putting more resources into the start of the patient journey and so reduce delays and the need for surgery.