4 Mandating NHS trusts to monitor and track data on outpatient appointments for adult patients with diagnosed or suspected atopic eczema and psoriasis. (NHS England)
5 Formally recognising the Eczema Area and Severity Index (EASI) scoring system in eczema and Psoriasis Area and Severity Index (PASI) scoring system in psoriasis, so that there are nationally endorsed tools for measuring disease severity. (NICE) 6 Removing all barriers to NICE-approved treatments and ensuring consistent implementation of national NICE guidance where available, to end regional variation in access. (Integrated Care Systems) 7 Ensuring Integrated Care Systems (ICSs) have a robust assessment of the numbers and needs of patients living with inflammatory skin conditions in their area. (NHS England) 8 Ensuring all GIRFT recommendations supporting adherence to NICE guidance are delivered, including requiring trusts to submit data that allows for regional benchmarking of treatment use to support identification of unwarranted regional variation. (Integrated Care Systems) 9 Ensuring the NICE shared decision-making standards framework is utilised across dermatology services. (Integrated Care Systems) 10 Developing and publishing national guidelines and accompanying quality standards for the management of atopic eczema in adults and adolescents (NICE) . Integrated Care Systems should then be required to establish associated commissioning policies. (Integrated Care Systems) 11 Increasing access to dermatology training and education for undergraduate curriculums and for existing GPs. NHS England’s new iterative approach to workforce planning should consider how GP vocational training in dermatology can be expanded. (NHS England) 12 In their five-year joint forward workforce plans, Integrated Care Systems should identify how dermatology multidisciplinary team working can implement new guidance and tackle identified challenges. (Integrated Care Systems)
13 Ensuring the Major Conditions Strategy covers services with a high demand on NHS resources, including dermatology, to avoid a two-tier system of prioritised conditions emerging (Department of Health and Social Care). Similarly, all Integrated Care Systems having a strategic aim to improve overall dermatology care.
4
FROM NATIONAL GUIDANCE TO LOCAL ACTION
Made with FlippingBook Ebook Creator