Health Policy | ARMA

Right on Time campaign

Versus Arthritis is campaigning to ensure that everyone who needs a joint replacement gets timely access to treatment. Hundreds of thousands of joint replacement operations take place each year. More than 90% of people who have hip and knee replacements have osteoarthritis.

At the end of February, Versus Arthritis released figures revealing that, in one year alone, almost 30,000 people with arthritis in England waited more than the guaranteed 18-weeks to start treatment. This has been featured in the Telegraph, with more coverage to follow.…

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NRAS accessing advanced therapies

Accessing Advanced Therapies (biologics, biosimilars, oral JAK inhibitors)

For some time, NRAS has been concerned that some Clinical Commissioning Groups (CCGs) have been artificially restricting access to advanced therapies (biologics, biosimilars/JAK inhibitors) and undertook a Freedom of Information request to all CCGs about this. Following discussions with NHS England on behalf of RA patients about this practice, which was felt to be unethical, NRAS is delighted to share with you news of the attached recently published statement from the NHS Regional Medicines Optimisation Committee.…

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GP contract agreement England 2020/21

The final version of the GP Contract which sets out requirements and funding for the new Primary Care Networks was published in February. Some significant changes were made in response to consultation, including one relevant to the delivery of “additional roles” which, amongst other things, will help fund the roll out of First Contact Practitioners. The two main changes are an expansion of the roles and an increase in the funding from 70% to 100% of salary. Many of the new roles are also important for MSK health.…

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NHS extends testing of non-urgent care waiting times target changes

If you are referred for specialist non-urgent treatment, you currently should expect to be treated within a maximum waiting time of 18 weeks. Over the last year, the NHS has been reviewing this 18-week target. ARMA has been involved in the advisory group looking at this change.

The NHS England board meeting on 30 January announced plans to extend the testing period for proposed changes to the 18-week elective care measure into 2020/21.

This joint response was issued by National Voices, The Arthritis and Musculoskeletal Alliance, Versus Arthritis, the MS Society, the Neurological Alliance and Healthwatch England.…

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NICE Quality Standard – Rheumatoid arthritis in over 16s

In January 2020, NICE published an update on the Quality Standard for rheumatoid arthritis in over 16s (QS33). This quality standard covers assessing, diagnosing and managing rheumatoid arthritis in over 16s. It describes high-quality care in priority areas for improvement.

NICE thanked organisations that submitted comments during the consultation period. All consultation comments were considered by the advisory committee (QSAC) and are documented in the minutes of this meeting.

Also available on the website is a summary of the consultation comments prepared by the NICE quality standards team and the full set of consultation comments.…

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Feedback on NICE behaviour change guideline

NICE is developing a guideline on Behaviour change: digital and mobile health interventions and ARMA has been invited to register as a stakeholder.

Behaviour change interventions have been considered in relation to the following areas:

eating patterns
physical activity
smoking
harmful drinking
sexual health
mental wellbeing

The consultation for this guideline opened on Friday 24 January. It will close at 5pm on Friday 6 March. If your organisation would like to have the opportunity to comment, you will first need to register as a stakeholder.…

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Third APPG for Axial Spondyloarthritis

The third meeting of the All-Party Parliamentary Group for Axial Spondyloarthritis took place on 29 January at Portcullis House in Westminster. The meeting focussed on the delay to diagnosis and included the launch of our Freedom of Information Inquiry report.

Huge thanks go to our speakers: Zoe Clark who gave an emotional account of her seven year wait for a diagnosis; Dr James Prior from Keele University who summarised the latest research into the area; Rebecca Adshead, physiotherapist at Whipp’s Cross Hospital, who gave an example of good practice, presenting on how the delay to diagnosis had been reduced locally; and finally Dr Raj Sengupta from the Royal National Hospital for Rheumatic Diseases presented the draft Gold Standard to Diagnosis.…

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FLS-DB annual report 2020

The Fracture Liaison Service Database Annual report 2020, published in January by the Royal College of Physicians, provides the third national benchmark for the performance of FLSs at the patient level.

There were 58,979 of an expected 322,660 patients who sustained a fragility fracture in 2018 across England and Wales were reported on in the Fracture Liaison Service Database (FLS-DB). The FLS-DB used eleven key performance indicators (KPIs) for this report to measure secondary fracture prevention.

With over 300,000 fragility fractures in England and Wales detected every year in patients aged 50 years and over (NHFD, 2019), secondary fracture prevention is more important than ever.…

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Guest blog: A Decade of Real Change

by Clare Jacklin, Chief Executive, NRAS

I heard a good joke during the Christmas break –

Question: What do you think next year will bring?
Answer: How would I know…? I don’t have 2020 vision!

Albert Einstein is widely credited with saying, “The definition of insanity is doing the same thing over and over again but expecting different results.”

Now, I’m not for a moment saying we’re all going insane but I wonder how many of you reading this feel (as I do) a sense of déjà vu that we’ve heard the same thing over and over but little change has occurred.…

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How integrated care is set to improve outcomes for those with comorbidities

Guest blog by William Pett – Senior Policy Advisor, NHS Confederation

As people grow older, health conditions often become both more complex and chronic. Evidence shows that rates of those living with multimorbidity rise significantly with age; a recent study revealed that 30% of adults aged 45 to 64 years report at least two chronic conditions, increasing to 65% of adults aged 65 to 84 years and more than 80% for those above 85 years old.

For older people living with multimorbidity, musculoskeletal conditions are common.…

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