Commission on Excellence and Innovation in Health

Optimal system of care for low back pain

We are enhancing care pathways for low back pain by improving treatment timeliness and appropriateness. Using data, evidence, and stakeholder input, we analyse clinical and system factors to identify opportunities for implementing the proposed model.

The oppor­tu­ni­ty

Low back pain is a com­mon, cost­ly, and com­plex con­di­tion. It is often not well sup­port­ed by tra­di­tion­al health­care mod­els and there is no one-size-fits-all solu­tion. Many indi­vid­u­als with low back pain rely on hos­pi­tals for treat­ment, but evi­dence shows that most peo­ple can be appro­pri­ate­ly man­aged in the com­mu­ni­ty if they have access to ser­vices which fol­low best-prac­tice clin­i­cal guidelines. 

The opti­mal sys­tem of care for low back pain intends to reimag­ine the way we deliv­er care for low back pain to improve out­comes for peo­ple liv­ing with this con­di­tion, and their fam­i­lies, car­ers, and employers.

This ini­tia­tive aligns with the nation­al Low Back Pain Clin­i­cal Care Standard.

Our approach

The Chron­ic Pain Statewide Clin­i­cal Net­work (SCN) is lead­ing a project to pro­mote more appro­pri­ate and con­sis­tent care for peo­ple with low back pain, enhanc­ing com­mu­ni­ty sup­port and reliev­ing pres­sure on hospitals. 

We have devel­oped a flex­i­ble blue­print for a com­mu­ni­ty-based sys­tem aimed at opti­mis­ing low back pain care in South Australia.

A broad con­sul­ta­tion process was a key step in artic­u­lat­ing the opti­mal sys­tem need­ed to sup­port peo­ple expe­ri­enc­ing this condition.

The Chron­ic Pain SCN is active­ly col­lab­o­rat­ing with stake­hold­ers to iden­ti­fy oppor­tu­ni­ties for imple­ment­ing this mod­el, includ­ing in rur­al and region­al areas and via vir­tu­al care options.

Part­ners

  • Imple­men­ta­tion part­ner: SA Health Urgent Care Hub — Sefton Park and Woodville

Out­comes

The frame­work for the opti­mal sys­tem of care for low back pain in South Aus­tralia was finalised in May 2024 after exten­sive com­mu­ni­ty consultation. 

Our next steps involve work­ing with stake­hold­ers to tri­al the model’s fea­si­bil­i­ty, with a view to it being com­mis­sioned broad­ly across South Australia.

Doc­u­ments and resources 

  • Your­SAy con­sul­ta­tion page (note the con­sul­ta­tion is now con­clud­ed but you can still vis­it the page to read about the process and watch the explana­to­ry video).

Have a question? 

Please email CEIH.​ChronicPain@​sa.​gov.​au