Tom Brake – 2016 Parliamentary Question to the Department of Health
The below Parliamentary question was asked by Tom Brake on 2016-02-22.
To ask the Secretary of State for Health, if he will take steps to ensure that the Government meets its commitment that all patients throughout England with musculoskeletal conditions have the support they need to live healthily and independently, with better control over the care they receive, notwithstanding reductions in public health budgets.
Jane Ellison
Since 1 April 2013, the Government has set out high level strategic ambitions for the National Health Service through the Mandate. For patients with long term conditions (LTCs), including musculoskeletal (MSK) conditions, we have asked the NHS to improve the care and support of patients, helping them to live healthily and independently, with much better control over the care they receive.
In response, NHS England has set out a range of actions designed to deliver this, central to which was implementation of the House of Care model, which is designed to support the delivery of person-centred, coordinated care. The House of Care enables individuals to make informed decisions about their treatment and empowers them to self-manage their LTCs in partnership with health and care professionals. NHS England has provided data, tools and guidance to support local services in identifying those most likely to benefit from a care planning approach. Specifically on MSK conditions, the National Clinical Director for MSK, Peter Kay, has been working in partnership with the Arthritis and Musculoskeletal Alliance, to develop new MSK clinical networks across England to build consensus on the way forward for models of care.
In terms of assessment, the first annual report of the National Clinical Audit of Rheumatoid and Early Inflammatory Arthritis, commissioned on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP), was published on 22 January 2016. This report, which includes data from 1 February 2014 to 30 April 2015, assesses the quality of care by specialist rheumatology services using criteria derived from sources such as the Rheumatoid Arthritis Quality Standard, published by the National Institute for Clinical Excellence in June 2013. The report identifies that although most services offer prompt educational support and agree targets for treatment with their patients, performance against criteria for referral and assessment could be improved. Since the audit, HQIP has reported that a number of trusts have successfully reconfigured their services in order to improve patient care. More information can be found at the following link:
www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory
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