Hewlett, Sarah

Kirwan, John R.

Pope, Denise

Tipler, Sue

Many chronic conditions with fluctuating levels of disease activity are traditionally managed by lifelong regular medical reviews. However, this means appointments do not always coincide with patient need, while the volume of reviews makes it difficult to respond quickly to requests for help. Research in rheumatoid arthritis suggests that hospital-initiated reviews can be replaced by patient-initiated reviews, supported by nurse-led initiatives.</p

Implementing a patient-led service for chronic conditions

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