National Clinical Programme for Rheumatology

Rheumatology

Aim

To adopt a chronic disease model of care, to facilitate “the right person, right place, first time” approach to the patient with rheumatic disease

Quality

  • To reduce mortality associated with rheumatic diseases
  • To improve both short-term and long-term outcome measures (e.g. Disease activity scores) in patients with rheumatic diseases
  • To reduce physical/mental/vocational disability related to rheumatic diseases

Access

Primary care team:

  • Full national roll out of primary care teams and appropriate clinical infrastructure.
  • To reduce overall the numbers of patients referred to rheumatology OPDs by encouraging management in primary care as appropriate

 Secondary Care:

  • To reduce waiting lists for all rheumatology referrals to < 6 months within 1 year
  • To reduce waiting lists for all rheumatology referrals to < 3 months within 2 years
  • Allow fast tracking of early inflammatory arthritis and systemic disease  in order to reduce waiting times for such urgent referrals to < 2 weeks within 1 year.

Interface between Primary care and Secondary Care:

  • Develop interface clinics/consultations between primary and secondary care services.
  • To develop/agree/implement national referral guidelines for all patients with MSK disease within 1 year

Cost

  • To identify potential efficiencies and savings within the system
  • To reduce MSK-related work disability
  • By ensuring timely access to services, to reduce the impact of rheumatic disease-related joint damage (e.g. reduced requirement for joint replacement surgery)
  • By identifying and treating patients at risk for osteoporosis, to significantly reduce low-trauma fracture occurrence and consequent morbidity and mortality

Poster Presentation: Rheumatology

Objectives/Key Solution areas

  • To reduce overall the numbers of patients referred to rheumatology OPDs by encouraging management in primary care as appropriate
  • To standardise referral  practices and guidelines
  • To increase consultant rheumatology time by 40% within 1 year
  • To reduce the waiting periods for patients referred to rheumatology OPD
  • To fast track early inflammatory arthritis and systemic disease
  • To provide access to biologic therapies to patients as indicated but in a cost-effective manner
  • To identify potential efficiencies and savings within the system

NCPR National Working Group Members

Prof David Kane National Clinical Lead & Consultant Rheumatologist
Mr Gary Kileen National Programme Manager
Dr Maurice Barry Consultant Rheumatologist
Dr Paul O'Connell Consultant Rheumatologist
Ms Jennifer Ashton Physiotherapy Lead
Ms Aisling Brennan Physiotherapy Lead
Ms Edel McCabe Patient Representative - Arthritis Ireland
Ms Shona Lee Nurse Lead
Ms Patricia McQuillan Professional development coordinator for Practice Nurses
Mr Nigel Roberts Podiatry, NUI Galway
Ms Aoife Synnott Occupational Therapy Lead