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Ep 23. Improving care for long-term conditions, Todd Manning & Dr Elizabeth Macphie

For patients will all types of conditions, the pandemic has led to significant challenges around their care, with treatment backlogs and elevated risks from the virus. However, particularly for those with long-term conditions, there has been notable disruption to their regular care, with stakeholders from across all aspects of the healthcare required to play a role in the recovery.

Speaking with consultant rheumatologist and Chair of the British Society of Rheumatology’s Clinical Affairs Committee, Dr Elizabeth Macphie, and Todd Manning, General Manager at AbbVie UK, the scale of the challenge before us is vast, but spread disproportionately from service to service, and specialty to specialty. This has created unique challenges, but equally opportunities to innovate around the care being provided, to meet the local needs and desires of these services’ patients.

Dr Macphie, who alongside her BSR role is a consultant rheumatologist based in Preston within a community rheumatology service as part of an integrated musculoskeletal (MSK) service, explains: “I’ve come into this with the local knowledge of what’s happened to our service as a result of the pandemic and how things have changed, but [myself and colleagues] have also been listening to that national voice of what is happening to colleagues and departments up and down the country.

“We’re recognising that rheumatology services are very different, and the impact of services has been quite varied.

“How these services are now getting back to the ‘new normal’ as we hear being talked about so often, is again very different for services up and down the country.

“With respect to the NHS restart, I’ve always wanted to look at the positives. The pandemic has resulted in huge changes across the NHS, with lots of activity put on hold, but I think the change that has happened within the NHS [around new mindsets] needs recognition.

“Particularly for services dealing with patients with long-term conditions, there has been so many situations where there were lots of discussions happening before the pandemic about where remote consultations fit [in the offering] for these patients. The pandemic has pressed the fast-forward button on all of that.

“It has meant we’ve all had to adapt to new ways of working very rapidly, and now we must capture those new models of care.”

Todd Manning and Dr Elizabeth Macphie were featured in the NHE Sept/Oct edition Read the full article here.

Interested in what you’ve read? Listen to more from Dr Elizabeth Macphie and Todd Manning, as they joined Matt Roberts on Episode 23 of NHE’s Finger on the Pulse podcast:

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