Quality statement 6: Timing of review

Quality statement

Adults with osteoarthritis discuss and agree the timing of their next review with their primary healthcare team.

Rationale

Adults with osteoarthritis should be offered regular reviews to assess the progress of the condition and its impact on their quality of life, provide support for self‑management and review treatments to reduce further deterioration and the need for additional medication and/or referral for surgery. It is important to address appropriate medication use, including prescribed and over‑the‑counter analgesics, monitor side effects and review polypharmacy. The timing of reviews will depend on individual needs, including severity of symptoms and response to treatment. It is important that adults with osteoarthritis are made aware of the need for reviews, and for the timing to be discussed and agreed with their primary healthcare team.

Quality measures

Structure

Evidence of local arrangements to ensure that adults with osteoarthritis discuss and agree the timing of their next review with their primary healthcare team.

Data source: Local data collection.

Process

Proportion of adults with osteoarthritis with an agreed date for a review.

Numerator – the number in the denominator who have an agreed date for a review.

Denominator – the number of adults with osteoarthritis.

Data source: Local data collection.

Outcome

Adults with osteoarthritis are confident that their needs will be reviewed regularly.

Data source: Local data collection.

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

Service providers (general practices, primary and community healthcare providers) ensure that processes are in place for adults with osteoarthritis to discuss and agree the timing of their next review based on the person's individual needs.

Healthcare professionals discuss and agree the timing of the next review with adults with osteoarthritis, based on the person's individual needs.

Commissioners (clinical commissioning groups and NHS England) ensure that they commission services in which processes are in place for adults with osteoarthritis to discuss and agree the timing of their next review based on the person's individual needs.

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

Adults with osteoarthritis discuss and agree (usually with their GP or practice nurse) when they should have their next review to check how well they are managing and if they need any more support. The timing of their next review will depend on how much their osteoarthritis is affecting them and how well any treatment is working.

Source guidance

  • Osteoarthritis (2014) NICE guideline CG177, recommendations 1.7.1 and 1.7.2 (key priorities for implementation)

Equality and diversity considerations

Healthcare professionals should take into account cultural and communication needs (including any learning disabilities) when arranging reviews for adults with osteoarthritis.