Driving NHS Service Optimisation in Immunology

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Background	St Mark’s hospital in NW london is a world leading centre for the management of Inflammatory Bowel Disease (IBD). Service over capcity and under severe pressure to deliver, particularly with the advant of NICE guidance recommending biologics for the treatment of ulcerative colitis. Client with a biologic treatment for inflammatory bowel disease (IBD), wanted to support NHS centre in understanding service offered for management of patients. Understanding on all parts with any service optimisation needs data to support the case for change within Trust.
RWD Solution	Mixed methodogy service evaluation developed with all NHS stakeholders. Evaluation involved retrospective patient-level data collection to describe patient pathway, prospective clinic-level data collection to describe patient mix and service delivery, evaluation of staff and patient satisfication with service.
Outputs	Data formed the basis of a business case for significant service re-structure Disscharge patients in remission and free up capacity in out patients Switch biologic to sub-cut and homecare to free up capacity in infusion service Peer to peer learning and toolkit developed to support other centres to assess similar variables HSJ article under development