For Healthcare Professionals

For Healthcare Professionals

Welcome to the act on axial SpA website - providing resources to reduce time to diagnosis in axial SpA. Explore our pages below, developed by healthcare professionals across various specialties. Think we are missing something relevant to your discipline? Please reach out to the Gold Standard team: goldstandard@nass.co.uk

ACT ON AXIAL SpA:

A Gold Standard time to diagnosis

The current time to diagnosis of axial SpA in the UK averages approximately 8.5 years from symptom onset. This delay is unacceptable and has serious consequences for the patient. Our act on axial SpA campaign sets out a roadmap for reducing the time from symptom onset to diagnosis to just one year. 

Building public awareness

Building public awareness

With a lack of public awareness of the condition, many people may not attribute their symptoms to axial SpA. We have created a selection of resources to help you raise awareness of axial SpA in your local healthcare setting and across your community. 

Identification and referral in primary care

Identification and referral in primary care

People with undiagnosed axial SpA usually first present with chronic lower back pain to their general practitioners or other non-rheumatology primary care providers. We have curated bespoke resources developed by GPs, physiotherapists, FCPs, osteopaths, chiropractors and rheumatologists to assist you in recognising and referring suspected axial SpA from primary care.

Identification in secondary care

Identification in secondary care

Evidence suggests that many opportunities to recognise and refer potential axial SpA in secondary care are being missed. Explore our resources developed by gastroenterologists, dermatologists and ophthalmologists, to help you recognise and internally refer suspected axial SpA from secondary care.

Diagnosis within rheumatology

Diagnosis within rheumatology

The diagnosis of axial SpA is complex, whereby individual symptoms or tests in isolation are insufficient to either diagnose or rule out axial SpA; rather a combination of axial SpA symptoms, physical examination, appropriate diagnostic tests and imaging should lead to diagnosis. 

Symptoms starting slowly

Pain in the lower back

Improves with movement

Night time waking

Early onset (under 40)