It is up to local services to determine what their referral pathways will be according to local context. In the majority of cases, patients are triaged into the ESCAPE-pain programme, either directly by the MSK triage service, or via the GP, physiotherapy provider, or an Orthopaedic Surgeon. We also strongly encourage self-referral to the programme and can supply resources and recommend ways to generate public awareness for commissioners who wish to engage the public in this way.
As part of your referral pathway, consider what local services and facilities are available to help sustain behaviour changes after participants complete the 6-week programme. Often, providers signpost participants to the local gym or leisure centre, or other self-management, on discharge or programme completion.