RNHRD Rheumatology Services

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1 Dr Ellie Korendowych Consultant Rheumatologist & Clinical Lead for Rheumatology RNHRD Rheumatology Services Rheumatology Upper Borough Walls, Bath, BA1 1RL

2 Our vision To advance excellence in clinical service provision, research and education in Rheumatic Diseases We are determined to continuously improve the quality of services we provide.

3 RNHRD brand Since becoming part of the RUH RNHRD brand recognised as important Recognition of the importance of National / International Specialist services and research Recognition of the National / International reputation of RNHRD consultants and service leaders Desire to build on this Opportunities for enhanced marketing and funding of Specialist services There is a clear understanding of the RNHRD s multi-disciplinary model

4 Our recent successes. Since becoming part of the RUH we have: Become a Lupus Centre of Excellence Awarded Patient Choice Awards for Dr Sengupta and the AS team Fibromyalgia Vanguard Awarded a 2m Psoriatic Arthritis research grant

5 Strengthened clinical links Since becoming part of the RUH we have strengthened clinical links: Pulmonary Hypertension Clinic Combined Respiratory clinic Combined Dermatology clinic Combined Obstetric clinic Fracture Liaison service Sports injury clinic Same teams providing the same services

6 Your rheumatology services Well established and excellent reputation Expertise in diagnosis, assessment and treatment of a broad range of rheumatological and musculoskeletal conditions Particular expertise in working with patients who have complex and multiple diagnoses

7 Your services Ankylosing Spondylitis Psoriatic Arthritis Early Synovitis Biologics service Connective Tissue Diseases Fibromyalgia Service General Rheumatology Hypermobility Metabolic bone diseases, including osteoporosis Sports and exercise medicine All moving to RNHRD and Therapies Centre

8 Your services Community Clinics provided in eg. Frome, Chippenham, Warminster, Paulton will remain in these locations Telephone advice lines for patients and GPs will continue Recently started Consultant Connect to improve links with GPs Introduction of other consultation systems eg telephone consultations, Skype consultations, remote monitoring using mobile phone Apps to check on wellbeing between appointments Will not be affected by the relocation

9 Your services Clinical Measurement Rheumatology is supported by Clinical Measurement services eg thermography, nailfold capillaroscopy Enables clinicians to give accurate diagnosis and optimum treatment to patients Includes Bone Mineral Densitometry (DEXA scanning) Clinical measurement will relocate at the same time as the rheumatology and therapy services Moving to Nuclear Medicine (2018) then Dyson Cancer Centre (2020)

10 Benefits of moving to our new site Alignment of specialist teams Closer working for benefit of outpatients and inpatients eg Rheumatology input for patients admitted with medical emergencies, orthopaedic procedures, complications of the condition / treatment Medical facilities and support much higher on-site at the RUH than at the RNHRD, allowing our sickest patients to have closer input from Rheumatology if they need to be cared for on a medical ward Working with other medical specialties in complex cases Investigations / procedures all on one site Rheumatology will be more integrated for the benefits of patients

11 Benefits of being on the RUH site Purpose built day centre, developed in conjunction with patients, clinicians and carers Improved facilities for patients and staff Located with therapies services on one site Dedicated building near main entrance patients will not need to visit the main hospital when returning for therapy or treatment on a regular basis Potential for the future increased flexibility of service delivery times

12 The future We are excited about the opportunities the relocation brings for our patients and our teams We will still be looking after you, you will still have access to The same services, delivered by the same teams in a brand new, purpose built environment

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