Commissioning for Quality in Rheumatoid Arthritis (CQRA)

Who we are

Commissioning for Quality in Rheumatoid Arthritis (CQRA) represents a multidisciplinary group of stakeholders covering representatives from the Department of Health, patients and patient groups (including NRAS), the pharmaceutical industry (Roche Products Limited), rheumatoid arthritis (RA) healthcare professionals (including consultants, specialist nurses and researchers) and commissioners.*

CQRA aims to:

  • prioritise RA, and standardise and improve the quality of RA service delivery in the UK by developing and driving implementation of clinically-relevant commissioning metrics
  • capture and improve the patient experience of care by developing and validating Patient Reported Experience Measures (PREMs) for RA

Both the metrics and the PREMs are ready for use and can be downloaded from the links below

CQRA tools for download: Commissioning metrics

CQRA has developed key commissioning metrics based on current best evidence (NICE guidelines and guidance) to be used by commissioners as indicators to ensure they are commissioning a high quality RA service and by service providers to assess and demonstrate the quality of their service. Associated metric data collection forms for both recent onset and established RA have also been developed. The commissioning metrics and data collection forms have been piloted in the clinical setting, refined and are now available for wider use.

CQRA tools for download: PREMs for RA and non-RA rheumatic conditions

CQRA have developed a PREMs tool which has been piloted and validated in patients at participating study sites to establish how well it captures the patient experience of RA services. A modified PREMs for use in patients with non-RA rheumatic conditions is also available.

CQRA published data: Metrics and PREMs

CQRA has presented data from two studies using the metrics at the British Society for Rheumatology (BSR) annual conferences in 2011 and 2012, respectively. The data demonstrate that the metrics are robust indicators that provide data on RA service quality and that implementation of the metrics can facilitate improvement of quality of care.

Results from the RA PREMs pilot survey were presented at BSR 2013 and following validation at the American College of Rheumatology Annual Meeting 2013. Data from the survey in non-RA rheumatic conditions were presented at BSR 2014

CQRA Metrics: real-life case studies

Case studies demonstrating the implementation and value of the metrics from a commissioner, clinician and service provider perspective are available.

For more information on the CQRA group and CQRA projects please e-mail cqra@nras.org.uk*CQRA is a Joint Working Partnership between healthcare professionals in the NHS, academia (University of Keele), patient organisations (NRAS) and industry (Roche Products Limited).

The Executive Summary of the Joint Working agreement is published here