The value of embedded secondary-care-based psychology services in rheumatology: an exemplar for long-term conditions.

Rheumatoid arthritis is an exemplar long term condition, complicated by pain, disability, comorbidities and long-term medication use. It has significant effects on mobility, work performance, social role, sexual function and relationships. It is commonly associated with fatigue and mood disturbance as a result of complex interactions of physical (disease related) and psychosocial factors.1 National Institute for Health and Care Excellence guidance recommends the availability of psychological support for these patients.2 We have implemented a psychology service …