Call to action First point of contact with the NHS

Public Health messages

Access to Information education

Rapid & Equal access to specialist/MDT

Parity

With other Long Term Conditions

Knowledge that something can be done

Knowledge of early referral benefits to improve outcomes

Call to action Ongoing Care

Improve community/specialist knowledge of local services to signpost

Individual Care

Plans

Rapid & Equal access to prompt specialist/MDT for flares

Build

Self Management

Principles

Call to action Specialist intervention

Teams to identify innovative management approaches

Access to

Information education

Self management

Rapid & Equal access to specialist/MDT

Commissioners

Scope with clinicians

Patient needs in pathway design

Recognise systems change

Implement Care Pathways that reflect patient need

Identify outcomes/ data that reflects true activity costs

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