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There are a number of sources for guidelines. The guidelines outlined on this site are chiefly focusing on rheumatology. For advice on professional or general nursing issues you should see:
the Nursing and Midwifery Council website ( and the Royal College of Nursing ( or the Chief Nursing Officers website at

The Royal College of Nursing (Rheumatology Forum)
Guidelines on Biologics, subcutaneous methotrexate administration, Standards and charters for rheumatology nurse care. Some guidelines are accessible from the website without holding RCN Membership.

The British Society of Rheumatology
Guidelines on disease modifying drugs monitoring, vaccination and other medical aspects of rheumatology care.

The Primary Care Rheumatology Society
Guidelines on the management of Osteoarthritis and Osteoporosis.

Department of Health & NHS Modernisation Agency

For European Guidelines in rheumatology (
There are recommendations for nurses caring for patients with inflammatory arthritis;

Arthritis and Musculoskeletal Alliance
The Arthritis and Musculoskeletal Alliance (ARMA) are an umbrella organisation of patient groups and healthcare professionals from all disciplines providing care to those with musculoskeletal conditions.

In 2004 Standards of Care for Inflammatory Arthritis, Back Pain and Osteoarthritis were published by ARMA. These have been well received nationally and have excellent yet easy to read standards that patients and healthcare professionals can use to define the standards of care patients should expect.

There are also examples of good practice that can be accessed. For information on the ARMA documents see

The National Institute of Health and Clinical Excellence. Guidance on drug therapies reviewed by NICE , commissioning toolkits and other useful information particularly for England and Wales. There are benchmarking and audit tools, key guidance documents and valuable patient information leaflets in relation to guidance.


Susan Oliver Associates


© copyright Susan Oliver 2008