Evaluation showed how, and by how much, putting patients in control of their care improves outcomes. This was led by the Sheffield Centre of Health and Related Research (SCHARR) at the University of Sheffield.
Whilst the project was delivered in Sheffield, we ensured that the voices of people living with Crohn’s and Colitis across the UK were heard and shared regular news and updates.
Project updates
We are excited that as part of the AWARE-IBD project, people with Crohn’s and Colitis have designed a questionnaire to measure their experience of using health services. You can read more on its development here. The PREM became a key outcome measure for the research evaluation and allowed us to formally measure how the service was addressing what was important to patients. Initial statistical validation shows it to be a valid and reliable survey instrument, highlighting the importance of giving patients autonomy in choosing and refining items during survey development.
We invited everyone who received IBD care from the Sheffield IBD service to answer the question “What Matters To You?”. People living with IBD told us that Access, Communication and Patient-Centred Care mattered most to them.
Throughout the project we have tested four service changes:
- A nurse-led clinic to prioritise access for patients who receive infusions as part of their IBD care and were overdue for a 3-monthly review.
- A consultant-led clinic to prioritise access for those who are: a) newly diagnosed; b) starting or changing biologic treatments or c) require urgent review for flare symptoms following a call to the helpline.
- A co-produced personalised written care plan template, to provide more patient-centred care.
- An IBD Education Programme, including eight in-person sessions and online resources, to improve communication of information.
The patient-led service changes were only made possible by our patient coach, who completed the Microsystems Coaching Academy training and has been leading the IBD Team in weekly service improvement meetings since May 2022. They have driven the effective delivery of the microsystem and wider improvement activities, including high level engagement with patients, clinicians, specialist nurses and other professional groups. A wider group of over 500 service users have inputted into the co-design of service changes on an ad-hoc basis via online surveys and workshops.
You can also take a look at the projects newsletters below for full updates and an opportunity to meet the team:
If you are interested in learning more or have any questions, please contact our Health Services Team.