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<p>NHS England and clinical commissioning groups (CCGs) are responsible for commissioning
services for people with inflammatory bowel disease (IBD).</p><p> </p><p>To support
local commissioning, the National Institute for Health and Care Excellence (NICE)
has published best practice guidance for the timely and accurate diagnosis, treatment
care and support for patients with IBD.</p><p> </p><p>NICE has published the guidance
’Faecal calprotectin diagnostic tests for inflammatory diseases of the bowel’ which
recommends that that faecal calprotectin testing as an option to help support clinicians
distinguish between IBD and irritable bowel syndrome.</p><p> </p><p>Faecal calprotectin
testing will therefore help decide who should be referred for colonoscopy (the Gold
Standard diagnostic test) and who may be amenable to management in primary care. Primary
and secondary care clinicians are expected to follow the good practice guidelines
and the quality standard.</p><p> </p><p>NHS England commissions specialised Intestinal
Failure Services. A number of these centres are currently involved in multidisciplinary
training of health professionals in specialised IBD care. In addition, the Association
of Coloproctology of Great Britain and Ireland are currently in the process of setting
out national standards for surgical management of IBD. Patients are managed by a multidisciplinary
team (MDT) with the necessary expertise to enable appropriate monitoring, support
and advice necessary to manage the side effects of treatment, flare-ups and to review
and maintain remission. MDT support and the associated diagnostic and investigative
resource necessary for IBD patient care will usually be found in secondary care settings.</p><p>
</p><p>General practitioners and clinicians are expected to take account of relevant
NICE guidance to ensure that patients with suspected inflammatory bowel disease are
referred quickly and efficiently, and have a specialist assessment within four weeks
of referral.</p><p> </p><p>The NICE guidelines are available at the following links:</p><p>
</p><p><a href="http://www.nice.org.uk/guidance/cg152/resources/crohns-disease-management-pdf-35109627942085"
target="_blank">www.nice.org.uk/guidance/cg152/resources/crohns-disease-management-pdf-35109627942085</a></p><p>
</p><p><a href="http://www.nice.org.uk/guidance/cg166/resources/ulcerative-colitis-management-pdf-35109695126725"
target="_blank">www.nice.org.uk/guidance/cg166/resources/ulcerative-colitis-management-pdf-35109695126725</a></p>
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