One Off Organisational Data for Each Unit to Be Collected Annually

Healthcareh Quality Improvement Partnership (HQIP)

National Clinical Audit of Rheumatoid and Early Inflammatory Arthritis

Organisational data for each Rheumatology unit
(to be collected annually via audit lead clinician)
1 / Date (day/month/year)
2 / Rheumatology Centre ID
3 / Is your main Rheumatology unit in a: (please tick one)
3.1 / ·  Teaching hospital
3.2 / ·  Non-teaching hospital/DGH
3.3 / ·  Community setting
4 / Catchment population figure:
5 / Please provide the following information for the Rheumatology unit:
5.1 / ·  Number of WTE NHS consultants
5.2 / ·  Number of WTE clinical specialist nurses (exclude hours dedicated to research if research nurse)
5.3 / ·  Number of WTE SAS doctors/GPSIs
5.4 / ·  Number of WTE trainees who are rheumatology specific, at Registrar level or above
5.5 / ·  Are patients able to access specialist physiotherapy services in the unit? (please tick one) / Yes / No
5.5.1 / o  If yes, number of WTE specialist physiotherapists
5.6 / ·  Are patients able to access specialist podiatry services in the unit? (please tick one) / Yes / No
5.6.1 / o  If yes, number of WTE specialist podiatrists
5.7 / ·  Are patients able to access specialist OT services in the unit? (please tick one) / Yes / No
5.7.1 / o  If yes, number of WTE specialist occupational therapists
5.8 / ·  Are MDT staff employed by the Trust? / Yes / No
6 / Information on clinics/service provision model
6.1 / Do you have a specific early inflammatory arthritis (EIA) clinic? (please tick one) / Yes / No
6.2 / Are the following available on the day of clinic attendance: (please tick one)
6.2.1 / ·  Ultrasound / Yes / No
6.2.2 / ·  X-ray / Yes / No
6.2.3 / ·  MRI / Yes / No
·  Phlebotomy / Yes / No
6.3 / Do you provide satellite clinics in the community? (Satellite clinics include those in GP surgeries, community settings, peripheral DGHs and community hospitals) (please tick one) / Yes / No
6.4 / If yes, how many? / Yes / No
6.4.1 / ·  Per week
6.4.2 / ·  Per month
6.5 / Do you have a shared care protocol in place with GP colleagues for DMARD monitoring of patients? (please tick one) / Yes / No
6.6 / What is your DAS threshold for commencing biologic treatment? (please tick one) / 5.1 (UK) / 3.2 (Europe)
6.7 / How many unsuccessful DMARDS courses are offered before a patient is placed on biologics? (please tick one) / 1 (Europe) / 2 (UK) / Other
(please specify)
6.8 / What DAS score do you use to consider a patient is in remission?
7 / Is the following available to patients with IA?
7.1 / A named member of the MDT who is responsible for co-ordinating their care (please tick one) / Yes / No
7.2 / A telephone helpline (please tick one) / Yes / No
7.3 / A structured patient education and self-management service that is offered to patients within 1 month of diagnosis(please tick one) / Yes / No
7.6 / Access to psychological interventions (please tick one) / Yes / No
7.7 / An annual review process co-ordinated by the Rheumatology unit (please tick one) / Yes / No
7.7.1 / ·  Is this available to: (please tick one) / All patients / Some patients
7.7.2 / ·  Does the unit have a process for requesting GPs to undertake aspects of the annual review, where appropriate? / Yes / No
7.7.2.1 / ·  Does the unit have a process for assessing that GPs have undertaken these agreed aspects? / Yes / No
8 / Rapid Access
8.1 / Do you provide a telephone advice service to patients with IA who have a flare of arthritis? (please tick one) / Yes / No
8.2 / Do you provide an emergency access clinic facility available to patients with IA who have a flare of arthritis within 1 working day of contacting the rheumatology service (if required)? (please tick one) / Yes / No

HQIP data collection form – organisational – V7 Page 1 of 2