The Team

Dr Jack Parker, University of Derby

Dr Jack Ashby, Nottingham Trent University

Dr Yoon Irons, University of Derby

Partners: Mehwish Niaz, Sherwood Forest NHS Trust

Project Summary

Musculoskeletal (MSK) injuries, such as sprains and fractures, account for 30% of UK GP consultations and disproportionately affect underserved East Midlands communities. Limited access to hospital-based scans (X-rays £140–£200, MRIs) causes delays, unnecessary referrals, and widens health inequalities. This RehabTech project addresses the unmet need for affordable, portable diagnostics in primary care by piloting thermal imaging, a non-invasive tool (FLIR T650-EST) in a deprived urban GP practice. Up to 50 adults with acute MSK injuries will receive thermal imaging during consultations, alongside pain, strength, and motion assessments. MATLAB analysis will detect thermal asymmetries (≥0.5°C) to support triage. Feasibility will be assessed through patient/clinician feedback, recruitment metrics, and cost comparisons with usual care.

By potentially reducing referrals by 20–30%, the project could generate £10,000–£20,000 annual savings per practice, while improving efficiency and equity. Impact pathway: feasibility data will inform a larger randomized controlled trial (RCT) by 2027, contribute to NICE/NHS guidance, and enable national rollout by 2030. Through PPIE co-design and stakeholder workshops, the project will enhance patient engagement, upskill clinicians, and accelerate NHS adoption, ultimately improving outcomes and reducing disparities.

Contact: j.parker@derby.ac.uk