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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

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


With other Long Term Conditions

Call to action1

Call to action

Improve community/specialist knowledge of local services to signpost

Rapid & Equal access to prompt specialist/MDT for flares

Individual Care


Ongoing Care


Self Management


Call to action2

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


Scope with clinicians

Patient needs in pathway design

Other on going work streams
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
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