1. RHEUMATOLOGY NURSING TEAM 30 th May 2012

2. Evaluating and improving a Nurse Led Advice Line for Rheumatology Patients and relevant Healthcare Professionals

3.  Team of 5.6 wte CNS  Advice Line – 250 Hits Per Week  10 Hours Work  Not Funded  Activity not Recorded  Highly Interventional  Rescue Work

4.  Potential Reduction Of Nursing Resource  Lack of Clarity re CNS Role  Complex Drug Regimes  Change in GP Approach  Commissioning & Competition

5.  Stakeholder evaluation to identify claims, concerns and issues of the different stakeholder groups  A number of action cycles guided by an action research approach using practice development as an intervention

6.  Service users, GPs & AHPs who have used the service within a designated 3 month period  The service providers  Other stakeholders including Trust Managers

7.  Minimum 8 groups in total  Voluntary participation following information  Facilitated by academic researcher  Groups will be recorded  Telephone interviews offered  Data collected anonymised

8.  Data Qualitatively Analysed by Project Supervisor & CNS Team to Identify Themes/Differences  Identify Priority Actions  CNS Supported through Active Learning to Lead Action Cycles Using Principles of Practice Development

9. EKHUT Corporate Objectives:  Improve Clinical Outcomes, Patient Safety, Patient Satisfaction & Efficiency  Include Service Users  Make best use of Information & Communication Technology  Improve Education, Training & Research Capacity/Capability  Promote, Protect and Improve the Public Health of Kent Residents

10.  Time  Maintaining Team Motivation  Availability of Facilitator  Invisibility of the Value/Impact of Nurse Led Initiatives

11.  Work together & with our Patients  Academic Recognition  Trust Recognition  Evidence of Benefit to Patients  Demonstrate Cost Effectiveness  Improve on our Current Service