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lack of progress made in improving rheumatoid arthritis (RA) services Options
jeanb
#1 Posted : Friday, August 17, 2012 3:53:25 PM Quote
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3 wasted years
A new report from Arthritis Care, that reveals the lack of progress made in improving rheumatoid arthritis (RA) services, was launched yesterday at a reception in parliament. Three wasted years is based on our survey of patients, clinicians and commissioners on the quality of RA services in their local area. It also makes 20 of policy recommendations aimed at improving outcomes for people with RA.
The findings of the survey reveal that more than half of people with RA have to visit their GP on more than three occasions before being referred to a specialist for assessment and treatment. In addition, 75% of the healthcare professionals felt that RA services are not being sufficiently prioritised by the NHS.
Not only are improved services vital for people with RA, it is important for the NHS too: the cost of musculoskeletal conditions are now the fourth highest area of NHS spend, and rising. Not getting treatment right first time for people is an expensive business.

If you go ino the Arthritis Care website, you can read the whole report. Is's fascinating.
dorat
#2 Posted : Friday, August 17, 2012 6:27:33 PM Quote
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Well the "service" at my hospital is rubbish.
Luckily I'm fairly stabilised on humira but I dread to think what it's like for the newly diagnosed (that's if they ever get seen there).
My experience of the orthopaedic department last year in the same health authority , both as in and out patient, far, far exceeded the experience with the rheumatology department!

Doreen xx
smith-j
#3 Posted : Friday, August 17, 2012 7:27:11 PM Quote
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We have a fabulous unit in Telford and Wrekin. They moved out of the hospital complex and across town to their own building with two consultants and one RA nurse. If you ring, you normally get to speak to the RA nurse on the same day and she will always see you in an emergency. Luckily for me the unit is three minutes around the corner for me from work. The spearhead of getting this unit up and running is one of our local GP's who suffers from RA herself. I think this speaks volumes. If all the decision makers in the NHS suffered from the diseases who are lacking in care, it would certainly be a different picture.

I so wish I could share our unit out to all of you. If the NHS can do it in one region, why can't they do the same in others?

Jackie
xx
suzanne_p
#4 Posted : Friday, August 17, 2012 7:37:15 PM Quote
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dreadful reading Jean,

i always remember when i was first diagnosed and went to an NRAS meeting at my hospital .. they said the care varies so much from area to area.

i seem to be on of the lucky one's ( although lucky shouldn't come into it )

we have a fantastic Rheumatology Team, i get to see the Consultant or one of her Registrar's every 3 - 4 months and have a direct line to the Rheumy Nurse and always get a call back with 48 hours.

also my GP referred me straight away after doing the initial blood tests.

yes it has taken a while to get me under control but i know the drugs take time .. but like Doreen i fear for the newly diagnosed.

3 wasted years make's me feel so sad!

thanks for posting Jean,

Suzanne x
Jane.
#5 Posted : Friday, August 17, 2012 8:52:21 PM Quote
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Location: where the sun always shines :o
Sad I think when the nhs was changed into primary care trusts (pcts) with local budgets etc, some areas of care not as important in some areas, leaving for example arthritis care coverlooked in turn people are not having the quick care/medications and left to wait.

My doctor was slow to take me serious I wasn't functioning with my body (stiffening up) after having my daughter. However, once bloods were done it was quick to get me in to gwh Swindon rheumy. They have been fantastic to me, listened to my concerns, put up with my tears, laughed along with my funny stories of my experiences of ra and me!

Got letter today for appointment to. See them next year.

Where I live, the consultant travels to Devizes and Marlborough hospitals, so traveling time is good for me.
Also, when I ring ra helpline they try to get me into one of the local hospitals for steriod injections.

Shame nhs doesn't give same high care to all - equally.
Aaaaahhhh so sad.

Jane
Xxx
sylviax
#6 Posted : Saturday, August 18, 2012 12:47:18 PM Quote
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I have to agree that my limited experence of RA is that there is no priority within primary care. It took me nearly 3 years and referrals to podiatry and knee surgeon before I was finally sent to the rheumy. Having said that the hospital is very good so far (well my const is good but the registrar I saw initially was useless and counter-productive and I've heard less than glowing reports about the second const)

Clearly it is a lottery with a lot of luck needed. That's all the more reason for the NRAS to campaign nationally - I've never been into politics but I find I'm now getting more and more fired up about this. When I was so ill the last thing I could cope with was doing battle with GPs, nurses and the whole NHS bureacracy, but I look back and realise that you only get good care if you do stand up and make a persistent fuss - that's so far from being good enough.
Be kinder than is necessary because everyone you meet is fighting some kind of battle
Naomi1
#7 Posted : Sunday, August 19, 2012 9:48:15 PM Quote
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My initial experience with GPs not listening to me was appalling. I complained of severe fatigue and joint pains for 3 whole years and kept being told there was nothing wrong with me or that it was a normal part of ageing. I KNEW they were wrong on the ageing thing (I was in my mid forties) because my peers were not in the same boat as me. I even said I thought I had RA after looking up my symptoms. It took a massive flare up with me being barely able to move at all before I was referred to the hospital. since then the care has been OK, although I don't really know what to compare it with. I do think the nurse helpline, open weekday afternoons is fantastic though. On most occasions I've got through immediately and on a few occasions within half an hour. Knowing that this is available, especially as I had such a frightening experience with the huge flare up last year, really puts my mind at rest. I think the physio could have been put in place more quickly (it took 9 months from diagnosis) and I'm still waiting for a podiatry appointment (1 year from diagnosis!) but my OT has been brilliant. A rather mixed bad from me then. I'm so glad that NRAS is fighting to bring these issues onto the agenda.
jeanb
#8 Posted : Monday, August 20, 2012 3:45:23 PM Quote
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Interesting thoughts and views. I feel so sad for those with less than good care. Like Jackie and Suzanne, I am fortunate to have a great Rheumatology team at Bolton. The team is superb: swift access to all disciplines: swiftly answered queries and staff who are positive, friendly and professional. I SO agree with you, Jackie-if we have access to such amazing care, why can't the whole country?
Lovely to catch upo with you, girls xxxxx

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