Table 2 List of recommendations

1. A consistent and coordinated approach to low back pain directives should be used to address the siloed approaches of directive development and reduce potential overlap and gaps

2. The development of more Models of Care would move policy directives beyond clinical guidance towards whole of systems requirements for improved consumer journeys within the health system

3. Low back pain directives should meet minimum standards of data documentation, including date of development, due date for revision or expiry, intended audience, relationships to other policy documents and intended audience and use

4. Patient information sheets should be evaluated for their evidence-based nature and quality, prior to release

5. Investment in dissemination and awareness strategies of policy directives could reduce instances of ad hoc directives being developed to fill perceived gaps