Your departments can reduce unnecessary appointments, and free-up 100’s of hours of clinical nurse specialist time by remote managing patients through Living With’s arthritis products.

Rheumatology patient
Rheumatology patient

Around 10 million people in the UK have arthritis.

Clinical management of arthritis is often based on infrequent and pre-scheduled appointments regardless of the patients’ condition activity, with patient data collection solely based around these interactions. This means that patients may be in remission or have already experienced a flare-up when their consultant sees them.

To complicate things further, it’s difficult for patients to remember exactly how active their disease has been over the months since their last appointment, meaning it can be difficult to correctly tailor treatments to the patient’s needs.
By using Living With, you can remotely assess, monitor, support and treat patients across a range of rheumatology conditions, using (in isolation or together) the following products:


Deliver the following benefits:

  • Money

    Save patient management costs by reducing unnecessary appointments, enable asynchronous consultations, stratifying which patients to prioritise for treatment, maximising opportunities for medication tapering, and facilitating and improving tele-clinic efficiency by providing improved granularity of patient data.

  • increase

    Deliver outcome data to patients on biologics and maximise data collection opportunities for research, audit and quality improvement projects.

  • Patient

    Engage patients in their self-management and thus, improve patient understanding and engagement with their condition and treatment, and reduce flares by improving patient control of their condition. What’s more, patients can provide useful information ahead of their tele-clinics and face-to-face consultations due to tracking symptoms and better understanding their condition.

  • clinic

    Maximise use of time in clinics by improving resource allocation of patient interactions within the multidisciplinary team and providing longitudinal patient data in an easy to appraise format – meaning clinic time can be problem focussed rather than having to recap disease activity since the last appointment.

Living With clinician dashboard - rheumatoid arthritis

The clinician portal

The clinician portal enables clinicians to monitor, rehabilitate and support patients and optimise their interventions:

  • Get patients to complete questionnaires to assess their condition.
  • Send messages with updates, results and reading materials to your patients.
  • Track a patient’s condition between appointments through diary entries and recorded flares.

The patient app

The patient app provides patients with a range of features to understand, track and manage their own conditions better:

  • complete questionnaires to assess your condition
  • report flares to track your symptoms
  • set goals for self-motivation and clear objectives
  • send messages to your clinician
  • track your medication and receive notifications to remind you to take it
  • read articles in the library to improve your understanding of your condition
  • keep a diary to monitor your condition
early inflammatory arthritis joint assessment app screenshot
Ankylosing Spondylitis fatigue activity diary app screenshot
early inflammatory arthritis report flares app screenshot

Results and Feedback

A service evaluation shows that Living With Rheumatoid Arthritis is delivering an efficient shift in working practice: a virtual review takes approximately 15 minutes to complete (including administration time) versus F2F reviews which take 30 minutes + 10 minutes administration time.

This leads to considerable time savings on clinical nurse specialist time, and over the last 14 months, at the North Bristol Trust, 142 hours of clinical nurse specialist time have been saved.

Source: Philip D H Hamann, Nicola Minaur, Jon H Tobias, Emma M Clark, Capturing remote disease activity – results of a 12-month clinical pilot of a smartphone app in NHS rheumatology clinics in Bristol, Rheumatology, Volume 59, Issue 8, August 2020, Pages 2158–2161, https://doi.org/10.1093/rheumatology/keaa015.

Woman and toddler

Clinician feedback

A PubMed article – Rheumatology (Oxford) – explores the efficacy of Living With Arthritis.

For information on the efficacy of Living With’s rheumatology products head to the Evidence page and the Rheumatology Case Studies page.