The UK Inflammatory Bowel Disease Audit 1st Round demonstrated a marked variation in the resources and quality of care for IBD patients across the UK with particular deficits in some fundamental aspects of IBD care. Following dissemination of results, change implementation was supported by a series of regional meetings, a web based document repository and selected hospital visits.
The second round of the audit in autumn 2008 assessed changes to the organisation and processes of IBD care following these interventions.
- There should be a renewed focus on multidisciplinary working with units moving towards the development of the IBD team as outlined in the IBD National Service Standards.
- Improvement in provision of specialist nurses to levels recommended in the IBD National Service Standards.
- Dietetic service provision remains poor and efforts to develop this should be continued.
- Psychological support is notably lacking and should be improved.
- Trusts/Health Boards should provide appropriate levels of toilet facilities.
- Efforts should be made to continue to improve stool culture and CDT collection rates.