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North West Rheumatic & Musculoskeletal Disorders Commissioning Network (NWRCN) Friday 18 th November Chancellor’s Hotel, Manchester This meeting has been sponsored and supported financially by Janssen-Cilag Ltd & Biogen (UK) Ltd

North West Rheumatic & Musculoskeletal Disorders

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Page 1: North West Rheumatic & Musculoskeletal Disorders

North West Rheumatic & Musculoskeletal

Disorders Commissioning Network (NWRCN)

Friday 18th November

Chancellor’s Hotel, Manchester

This meeting has been sponsored and supported financially by

Janssen-Cilag Ltd & Biogen (UK) Ltd

Page 2: North West Rheumatic & Musculoskeletal Disorders

Housekeeping

Mr Paul Midgley

Director of NHS Insight, NHiS Ltd;

Chair Patient Cabinet and Vice chair Rushcliffe Active,

NHS Rushcliffe CCG;

Patient and Public Senate member,

East Midlands Academic Health Science Network

@NHiSLTD #NWRCN

Page 3: North West Rheumatic & Musculoskeletal Disorders

AGENDAChair: Dr Peter Lanyon - President, BSR; Consultant Rheumatologist, Nottingham University Hospitals NHS Trust12.00 Registration and buffet lunch13.00 Welcome and introduction: Mr Paul Midgley – Director of NHS Insight, NHiS13.05 Aims and objectives: Dr Peter Lanyon13.15 Peer review process: Dr Rachel Gorodkin – Consultant Rheumatologist, Central Manchester University

Hospitals NHS Foundation TrustSESSION ONE: Commissioning for Rheumatic and MSK (Chronic Care) Disorder Services13.25 What the patient wants: Ms Zoe Ide - Trustee, National Rheumatoid Arthritis Society13.45 Review and key messages from the North West and Mersey Inflammatory Arthritis audit data: Dr Rikki

Abernethy - BSR Regional Chair, Mersey; Consultant Rheumatologist, St Helens and Knowsley Teaching Hospitals NHS Foundation Trust and Dr Neil Snowden - Chair of BSR/HQIP IA Audit Committee; Consultant Rheumatologist, Pennine MSK, Oldham

14.05 Facilitated table discussion14.35 Feedback/Panel Q&A: Speakers 14.55 BreakSESSION TWO: Best practice examples for commissioning Rheumatic & MSK disorders services 15.15 BSR Best Practice Award winner - Treating to target to optimise Inflammatory Arthritis care: Dr Cristina

Estrach – Clinical Director Rheumatology, Aintree University Hospital NHS Foundation Trust 15.30 Developing an integrated care model for Rheumatology & MSK services for Tameside and Glossop: Dr

Alison Lea – GP and Clinical Lead, Tameside and Glossop Planned Care15.40 BSR Best Practice Award winner - Virtual biologics clinic: Dr Ben Parker - Consultant Rheumatologist,

Manchester Royal Infirmary; GMMMG lead for Biologics 15.55 Facilitated table discussion16.25 Feedback/Panel Q&A: Speakers 16.50 Summary and key learning points: Dr Peter Lanyon17.00 Close

@NHiSLTD #NWRCN

Page 4: North West Rheumatic & Musculoskeletal Disorders

Welcome and Introduction

- aims and objectives

Dr Peter Lanyon

BSR President

Consultant Rheumatologist

Nottingham University Hospitals NHS Trust

@NHiSLTD #NWRCN

Page 5: North West Rheumatic & Musculoskeletal Disorders

BSR – a clinical vanguarda new model of clinical society representing clinicians along the

whole patient pathway and for the whole life cycle

British Society for Rheumatology

BHPR at BSR AHPs and Nurses in

rheumatology

BSPAR at BSRPaediatrics and

Adolescent health

Page 6: North West Rheumatic & Musculoskeletal Disorders
Page 7: North West Rheumatic & Musculoskeletal Disorders

Complex care Life long care Acute care

Rare diseases mortality rates worse than cancer

Life long conditions -aim is to keep in “remission” with drug therapy and reduce comorbidities

Care plan with health professionalsGaps e.g. gout and OA

Link to MSK servicespoints of entry to services – then different pathways

Page 8: North West Rheumatic & Musculoskeletal Disorders

Aims

• To facilitate effective communication between organisations and the

leadership at regional level:

Patients, providers, commissioners, charities, industry, local authority, AHSNs

and other stakeholders

• To bring decision makers together in order to:

Have a clearer appreciation of the key issues

Be better informed

Enable solutions through collaborative working

Develop a forum for communication between individuals and organisations

Share ideas and experiences

Share patient experiences, innovation, data, clinical and technological advances

Page 9: North West Rheumatic & Musculoskeletal Disorders

Outcomes

• Each of us leaves today with more knowledge and

information than we arrived with

• A sustainable and relevant model for effective

communication within and outside the locality

• We will provide a write up of the event, particularly the

agreed/identified actions

Page 10: North West Rheumatic & Musculoskeletal Disorders

“Peer review process”

Dr Rachel Gorodkin

Consultant Rheumatologist

Central Manchester University Hospitals

NHS Foundation Trust

@NHiSLTD #NWRCN

Page 11: North West Rheumatic & Musculoskeletal Disorders

SESSION ONE:

Commissioning for Rheumatic and MSK

(Chronic Care) Disorder Services

“What the patient wants”

Ms Zoe Ide

Trustee

National Rheumatoid Arthritis Society

@NHiSLTD #NWRCN

Page 12: North West Rheumatic & Musculoskeletal Disorders

SESSION ONE:

Commissioning for Rheumatic and MSK

(Chronic Care) Disorder Services

“Review and key messages from the North West and Mersey

Inflammatory Arthritis audit data”

Dr Rikki Abernethy

BSR Regional Chair, Mersey; Consultant Rheumatologist,

St Helens and Knowsley Teaching Hospitals NHS Foundation Trust

Dr Neil Snowden

Chair of BSR/HQIP IA Audit Committee

Consultant Rheumatologist, Pennine MSK, Oldham

@NHiSLTD #NWRCN

Page 13: North West Rheumatic & Musculoskeletal Disorders

Facilitated table discussion

How do we provide a quality service for people with

inflammatory arthritis in light of the HQIP reports?

Introduce yourselves around the table

30 minutes facilitated discussions

Feedback from tables & panel response at 2.40 pm

@NHiSLTD #NWRCN

Page 14: North West Rheumatic & Musculoskeletal Disorders

Table feedback, discussion

and panel Q&A

• Dr Peter Lanyon

• Dr Rachel Gorodkin

• Ms Zoe Ide

• Dr Rikki Abernethy

• Dr Neil Snowden

@NHiSLTD #NWRCN

Page 15: North West Rheumatic & Musculoskeletal Disorders

Tea break and networking

- back at 3.20 pm please

@NHiSLTD #NWRCN

Page 16: North West Rheumatic & Musculoskeletal Disorders

SESSION TWO:

Best practice examples for commissioning

rheumatic & musculoskeletal disorders services

“BSR Best Practice Award winner -

Treating to target to optimise Inflammatory

Arthritis care”

Dr Cristina Estrach

Clinical Director Rheumatology

Aintree University Hospital

NHS Foundation Trust

@NHiSLTD #NWRCN

Page 17: North West Rheumatic & Musculoskeletal Disorders

SESSION TWO:

Best practice examples for commissioning

rheumatic & musculoskeletal disorders services

“BSR Best Practice Award winner -

Virtual biologics clinic”

Dr Ben Parker

Consultant Rheumatologist,

Manchester Royal Infirmary

GMMMG lead for Biologics

@NHiSLTD #NWRCN

Page 18: North West Rheumatic & Musculoskeletal Disorders

SESSION TWO:

Best practice examples for commissioning

rheumatic & musculoskeletal disorders services

“Developing an integrated care model for

Rheumatology & MSK services for

Tameside and Glossop”

Dr Alison Lea

GP and Clinical Lead,

Tameside and Glossop Planned Care

@NHiSLTD #NWRCN

Page 19: North West Rheumatic & Musculoskeletal Disorders

Facilitated table discussion

Which examples of improved outcomes and value

are best suited to meet our local STP challenges

and how can they be implemented?

30 minutes facilitated discussions

Feedback from Tables & Panel response at 4.25 pm

@NHiSLTD #NWRCN

Page 20: North West Rheumatic & Musculoskeletal Disorders

Table feedback, discussion

and panel Q&A

• Dr Peter Lanyon

• Dr Cristina Estrach

• Dr Alison Lea

• Dr Ben Parker

@NHiSLTD #NWRCN

Page 21: North West Rheumatic & Musculoskeletal Disorders

Evaluation,

Reflections and key points

• What are the main points you have learnt today?

• What do you intend to feed back to your local

clinical or commissioning team?

• What do you want to change locally as a result?

@NHiSLTD #NWRCN

Page 22: North West Rheumatic & Musculoskeletal Disorders

Feedback please on:

1. Faculty volunteers and agenda ideas....

2. Who else would you invite to the NWRCN?

Are you registered for the RCN website?

The link will be emailed to you –

all you have to do is click and follow instructions!

Please give your feedback on the forms provided

Your input will help shape the NWRCN’s future activities

@NHiSLTD #NWRCN

Page 23: North West Rheumatic & Musculoskeletal Disorders

Slides, handouts & group work will be published on the

website:

https://www.networks.nhs.uk/nhs-networks/regional-

rheumatology-commissioning-networks

Please see website for latest updates

Follow your network on twitter @NHISLtd #NWRCN

Thank you for attending the NWRCN

@NHiSLTD #NWRCN