Quality statement 2: Assessment at diagnosis

Quality statement

Adults newly diagnosed with osteoarthritis have an assessment that includes pain, impact on daily activities and quality of life.

Rationale

Adults with osteoarthritis may experience a number of challenges because of their symptoms, which may affect their ability to carry out their daily activities, work and enjoy a reasonable quality of life. It is important that an assessment is carried out at diagnosis that goes beyond the clinical presentation of osteoarthritis, to include pain, impact on daily activities and quality of life, while taking comorbidities into account. This will support self‑management that empowers the person by focusing on their individual goals and preferences and allows healthcare professionals to give patient‑centred advice and support that is positive and constructive. This has been shown to increase patient satisfaction and the effectiveness of the treatment plan, thereby reducing demand on the health service.

Quality measures

Structure

Evidence of local arrangements to ensure that adults newly diagnosed with osteoarthritis have an assessment that includes pain, impact on daily activities and quality of life.

Data source: Local data collection.

Process

Proportion of adults newly diagnosed with osteoarthritis who have an assessment that includes pain, impact on daily activities and quality of life.

Numerator – the number in the denominator who have an assessment that includes pain, impact on daily activities and quality of life.

Denominator – the number of adults newly diagnosed with osteoarthritis.

Data source: Local data collection. Data on assessment of pain and function are included in the Keele Primary Care Consortium Osteoarthritis (OA) e-template for primary care consultations (endorsed by NICE).

Outcome

Patient satisfaction with assessment of their osteoarthritis.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers (such as GPs, community healthcare providers and hospitals) ensure that systems and resources are in place for adults newly diagnosed with osteoarthritis to have an assessment that includes pain, impact on daily activities and quality of life.

Healthcare professionals carry out an assessment that includes pain, impact on daily activities and quality of life for people newly diagnosed with osteoarthritis.

Commissioners (such as clinical commissioning groups and NHS England) ensure that they commission services in which adults newly diagnosed with osteoarthritis have an assessment that includes pain, impact on daily activities and quality of life.

What the quality statement means for patients, service users and carers

Adults who have been diagnosed with osteoarthritis have an assessment in which they are asked about their pain, how they are managing on a day‑to‑day basis and how the condition is affecting their life overall, including their mood. This will help when deciding the best way to try to improve their symptoms and quality of life.

Source guidance

Definitions of terms used in this quality statement

Assessment

An assessment for people newly diagnosed with osteoarthritis includes:

  • a pain assessment

  • the impact on the person's day‑to‑day activities, including activities of daily living, employment and leisure activities

  • the person's overall quality of life, including their mood.

The assessment should be adapted to meet the person's individual needs and take comorbidities into account.

[Adapted from Osteoarthritis (NICE guideline CG177) recommendations 1.2.1 and 1.2.3]

Equality and diversity considerations

Healthcare professionals should take into account cultural and communication needs (including any learning disabilities) when assessing an adult newly diagnosed with osteoarthritis.