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<p>The two main forms of inflammatory bowel disease (IBD) are Crohn’s disease and
ulcerative colitis. The National Institute for Health and Care Excellence (NICE) published,
<em>Crohn’s Disease Management in Adults, Children and Young People</em>, in October
2012, and, <em>Ulcerative Colitis</em> <em>Management in Adults, Children and Young
People</em>, in June 2013, set out best practice in the management of these conditions.</p><p>
</p><p> </p><p> </p><p>Both sets of guidance state that people with IBD should be
offered a range of support which could include access to psychological and dietetic
support, if appropriate. The ulcerative colitis guideline highlights psychological
support as being particularly important if a patient is considering surgery for their
disease, and post-operatively, when surgery has taken place. With regard to access
to IBD nurse specialists, the Ulcerative Colitis guideline sets out that both patients
who are considering surgery and who have had surgery should have receive information
about their treatment from a specialist.</p><p> </p><p> </p><p> </p><p>The NICE Quality
Standard for IBD comprises the four quality improvement statements as follows; specialist
assessment, multidisciplinary team support, surgery and monitoring drug treatment.
Quality standards are designed to drive measurable quality improvements within a particular
area of health or care using the best available evidence. NHS England expects local
commissioners and providers to consider the latest evidence and guidance, including
from NICE, when planning services for patients with all conditions, including IBD.
Whilst providers and commissioners must have regard to the Quality Standards in planning
and delivering services, the quality standards do not provide a comprehensive service
specification and are not mandatory.</p><p> </p><p> </p><p> </p><p>Finally, we want
all patients with long-term conditions to feel supported to maintain good physical
and mental health which meet their social and psychological needs. Good care planning
for patients with long-term conditions as set out by NHS England in the House of Care
model, should take into consideration all aspects of a patient’s needs, including
psychological needs.</p><p> </p>
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