Introducing an axial SpA GP pop up tool

Introducing an axial SpA GP pop up tool

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Dr Raj Sengupta is a Consultant Rheumatologist and Clinical Lead for Axial Spondyloarthritis at the Royal National Hospital for Rheumatic Diseases, Royal United Hospitals Bath NHS Foundation Trust. This video from Dr Sengupta demonstrating the tool, its benefits, and its use.

This GP pop up tool was a collaboration between Dr Raj Sengupta, PRIMIS and a partnership with Novartis Pharmaceuticals UK Ltd.

GP pop up tool – a pilot


PRIMIS developed this pop-up alert tool which works with EMIS Web and TPP SystemOne GP IT systems that supports healthcare professionals to identify at-risk patients with a potential diagnosis of axial spondyloarthritis (axial SpA).

Use of the tool in primary care can reduce the time to diagnosis and treatment of patients with axial SpA. The tool was designed to support, and not be burdensome, for clinicians working in general practice and trigger criteria developed to be as accurate as possible.

Use of the PRIMIS tool will support early identification of axial SpA in primary care a key focus on our Act on Axial SpA campaign:

  • refer quickly and provide early intervention (the current average delay to diagnosis from when symptoms start is 8.5 years, by which time irreversible damage to the spine may have occurred)
  • provide earlier treatment initiation (delayed diagnosis is linked to worse outcomes and unfavourable treatment responses in patients with axial SpA)

You can find out more about the tool, how to get involved as an early adopter and the plans for wider roll out on the PRIMIS site here:





Symptoms starting slowly

Pain in the lower back

Improves with movement

Night time waking

Early onset (under 40)