Psoriatic Arthritis, Spondylitis, Ankylosing
Conditions
Keywords
Nurse-Led Service, Enhanced Clinics
Brief summary
The 19.5 months project will pilot the introduction of a hospital-based, nurse-led ankylosing spondylitis (AS) and psoriatic arthritis (PsA) service for patients being initiated on biologic therapy in NHS Lothian Edinburgh Western General Hospital. It is anticipated that this new model of care will improve: 1. The time from referral for biologic therapy to initiation of treatment with a biological therapy due to the dedicated nurse to see patients 2. The management and monitoring of AS and PsA patients post commencement of treatment , in line with The National Institute for Health and Care Excellence (NICE) guidelines
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of AS or PsA * Referral for initiation of biological therapy by patients regular consultant * Age 18 years or older * Willing and able to give informed consent
Exclusion criteria
· Unable to comply with study procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Setup a nurse-led clinic | 3 months | Appointing a nurse and training in biologic and DMARD counselling, clinical measures and clinic administration. |
| Develop and setup a tool, an NHS Lothian Excel database | 19.5 months | Database enables trust to record data on the time taken to commence treatment with a biologic therapy from the point of initial referral to biologic therapy. |