Inflammatory arthritis

Work stream leader: Dr Joanna Robson

Overall aims

To create care pathways in both trusts, which are evidence-based and extend from diagnosis, through establishing treatment and disease control, to self-management and patient initiated review (Stepped Care).

Projects and activities

We have established evidence-based pathways in both trusts for people newly diagnosed with rheumatoid arthritis. The pathway at University Hospitals Bristol won a national Best Practice Award from the British Society for Rheumatology.

University Hospitals Bristol has a patient-initiated review system for people with rheumatoid arthritis, which won a Guardian Public Service Award.

We have standardised our drug monitoring information guidance (which is also provided to GPs) so that the same practice is followed across both secondary and primary care

Research in progress

  • A randomised controlled trial of cognitive–behavioural approaches for the self-management of fatigue in rheumatoid arthritis, delivered by clinical teams, to groups of patients
  • Development of a patient-reported outcome measure for stiffness
  • Exploring the support needs of men with rheumatoid arthritis
  • Examining access to foot care
  • Development of an activity intervention for fatigue in rheumatoid arthritis
  • Exploring the journey from diagnosis through the first year of life with inflammatory arthritis
  • Developing an intervention to promote physical activity by people with a recent diagnosis of rheumatoid arthritis


Dr Jo Robson,