Musculoskeletal (MSK) describes a range of conditions affecting the bones and joints.

After mental health and cardiac health, MSK uses more resources than other diseases treated by the NHS. Around 20% of all GP consultations are MSK related, and it accounts for around 25% of all surgical interventions.

The most common MSK condition is osteoarthritis, also known as chronic joint pain. Knee, hip and back pain are the most common problems experienced by people with this condition. We’re focusing on supporting people with osteoarthritis through early intervention, using types of treatments with a proven track record which focus on prevention and self-care.


MSK Improvement and Innovation Forum

Staff Health and Wellbeing & Supporting Projects

Joint Pain Advice – A New Model of Care for Chronic Joint Pain

ESCAPE-pain programme – Promote and Support the Spread

The Team

Andrea Carter

Programme Director, Musculoskeletal

Andrea has worked in NHS management in London for 20 years, including General Management posts at Chelsea and Westminster and Queen Elizabeth Hospitals; and Programme Management roles including reorganisation of South East London Stroke Services. Andrea joined the Health Innovation Network soon after it was formed.

Isabel Rodrigues de Abreu

Project Manager, Musculoskeletal

Isabel joined the team in December 2017 as Project Manager for the ESCAPE-pain project. Isabel’s most recent post was that of Service Manager for the Simulation services across Guy’s and St Thomas’ hospitals. Isabel comes from a background of Medical Education, and Events Management at the University of London’s Senate House.

Andrew Walker

Deputy Clinical Director, Musculoskeletal

Andrew is a physiotherapist and deputy clinical director for MSK. He is currently studying for a PhD in implementation science at St George’s, University of London. Andrew edits the UK Implementation Society’s quarterly publication 'Implementation Knowledge and News' and the biannual professional journal 'Balance Focus'.

Ambra Caruso

National Programme Manager, Musculoskeletal

Ambra is the National Programme Manager for ESCAPE-pain and is leading on the spread and implementation of the programme across all 15 AHSNs. Before joining the HIN in July 2016, Ambra worked for 10 years in the voluntary sector in various management roles, including managing a local Healthwatch and a health inclusion project for refugees.

Helen Sheldon

Project Evaluation Officer, Musculoskeletal

Helen joined the team in May 2018 to evaluate the Sport England/ARUK funded rollout of ESCAPE-pain to leisure and community settings. She has over twenty years’ experience of evaluating interventions to improve patient and public wellbeing.

Zoe Zambelli

Project Manager, Musculoskeletal

Zoe is a Project Support Officer for the MSK Programme, she is currently working within the ESCAPE-pain project team to implement the programme across the U.K. Zoe previously worked in events management and recruitment before moving into the NHS. She is nearing the end of her Master’s degree in Psychology later this year.

Margaret Connolly

Project Manager, Musculoskeletal

Margaret joined the team in Jan 2018 to project manage the Sport England/ARUK funded rollout of ESCAPE-pain to community settings. She has over twenty years’ experience working in Public Health across Lambeth, Southwark, Lewisham and Greenwich, with a specific focus on health improvement.

Fay Sibley

Deputy Clinical Director, Musculoskeletal

Fay Sibley is a Deputy Clinical Director for the MSK team. Her work focuses primarily on helping people with Musculoskeletal conditions self-manage their condition, through programmes such as ESCAPE-pain and Joint Pain Advice. Fay oversees the national training programme for ESCAPE-pain, she joined the team permanently in Sept 2016 after completing a secondment as a Darzi Fellow in 2015/2016 and completing a MSc in Healthcare Leadership at King's College London.

Sally Irwin

Project Manager, Musculoskeletal

Sally joined the team in November 2018 as a Project Manager for the MSK Programme and is currently working on a project to implement Joint Pain Advice into the workplace. Before joining the HIN she was as a project manager for the NHS Health Check Team in Kent and has a back ground in health improvement, focusing on healthy weight, physical activity and nutrition interventions.

Mike Hurley

Clinical Director, Musculoskeletal

Mike’s research career started in 1988 at University College London. In 1990 he moved to the Physiotherapy Department, King’s College London, completed a PhD in 1992. He was there as Lecturer, Reader and Professor in Physiotherapy until he moved to the School of Rehabilitation Sciences at St George’s University of London in October 2010.

Francesca Thompson

Project Support Officer, Musculoskeletal

Hannah Burke

Project Support Officer, Musculoskeletal

Hannah graduated from the University of Exeter with a BSc in Biological Sciences with specialism in Microbiology and Infectious Diseases, and last year completed an MSc in Global Health & Development from UCL. Hannah worked for an education charity in Hong Kong, as well as volunteering for various public health programmes in the UK and abroad.

News, blogs and events

February 28, 2020

A tale of my grandfathers and the revolution in cardiovascular di…

October 24, 2019

ESCAPE-pain trains 1000 trainers

October 11, 2019

BBC news broadcasts special feature on ESCAPE-pain programme

August 13, 2019

ESCAPE-pain programme reaches 200 sites

October 23, 2018

ESCAPE-pain developer, Professor Mike Hurley nominated for Outsta…

August 10, 2018

Award-winning ESCAPE-pain programme now online

July 5, 2018

Community health trainers are tackling high cost of chronic joint…

September 21, 2017

ESCAPE-pain conference: Learning from each other