Rheumatology Rapid Access and Treatment Service−Improving Patient Care Holistically

Abstract

Objective: Various rheumatological conditions can present with different degrees of severity at any point in their course. It is extremely important for such patients to be monitored regularly and to feel reassured that they are able to access the specialist services for flare ups and concerns. The aim of this project was to evaluate the outcome of the Rapid Access and Treatment Service for Rheumatology patients in our institution, over a period of 1 month. Method: We studied the patient records for all patients who were seen in the Rapid Access and Treatment Service in the Rheumatology Department, in the month of January. The referral process and the management offered at the clinic were reviewed. Re-attendances were also recorded. Results: 51 patients were seen over 18 days in the month of January. 11 New patients with 40 follow up/ known rheumatological diagnosis patients were reviewed. 1 patient needed admission into the hospital, while 8 needed IM Depo injections. 3 needed IV Methyl prednisolone infusions and the remaining needed either their steroid dose reviewing or other procedures. Conclusion: The efficacy of this service was proven with patient satisfaction and reduction in hospital admission rates. This system works very well in our Department and establishing such a system throughout the NHS, might enhance patient care, reduce worsening of flare ups, thus reducing hospital admissions and allow patients to experience a personalised specialty service. Key messages: 1. Reduced hospital admission rates due to prompt treatment of acute rheumatological problems. 2. Improved patient satisfaction and reduction in worsening of flare ups. 3. Improved doctor – patient relationship with effective holistic care.