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Call to action. Rapid & Equal access to specialist/MDT. Access to Information education. Public Health messages. First point of contact with the NHS. Knowledge that something can be done. Knowledge of early referral benefits to improve outcomes. Parity With other Long Term Conditions.
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Call to action Rapid & Equal access to specialist/MDT Access to Information education Public Health messages First point of contact with the NHS Knowledge that something can be done Knowledge of early referral benefits to improve outcomes Parity With other Long Term Conditions
Call to action Improve community/specialist knowledge of local services to signpost Rapid & Equal access to prompt specialist/MDT for flares Individual Care Plans Ongoing Care Build Self Management Principles
Call to action Teams to identify innovative management approaches Access to Information education Self management Rapid & Equal access to specialist/MDT Specialist intervention Recognise systems change Implement Care Pathways that reflect patient need Identify outcomes/ data that reflects true activity costs Commissioners Scope with clinicians Patient needs in pathway design
Other on-going work streams • National Audit Office Review of RA care • NICE RA Guidelines • Patient organisations • enhance self management programmes for example in collaboration with Expert Patient Programme & other organisations • RCN Nurse and BHPR allied healthcare professional survey of competencies & productivity.
Next steps • Professional and patient organisations • cascade this report • Seek implementation of recommendations • Public health messages • Improve knowledge of all healthcare professionals • Individualised care plans • Early diagnosis – team access • Rapid access for flares – nurses, MDT, doctors. • Rheumatology Futures Group • Developing an inflammatory arthritis commissioning pathway • Commissioning toolkits • Endorsement to be sought from the Department of Health • Explore coding/activity data to reflect true costs of RA