Dr Maxine Hogarth trained at Liverpool University Medical School and qualified in 1989. She subsequently worked at the Royal Liverpool University Hospital on the Professorial Rotation before moving to London in 1992 to commence Higher Specialist Training. She trained as a Registrar at Hammersmith, Central Middlesex, St Mary’s and Chelsea and Westminster Hospitals before being appointed as Consultant Rheumatologist to Ealing Hospital in 2002. In 2011, she was elected as fellow of the Royal College of Physicians. She has practised at The Clementine Churchill Hospital since November 2007, and the Syon Clinic since 2012, and provides private opinions for all common Rheumatological disorders. A substantial proportion of her referrals come from other Consultant colleagues, emphasising her commitment to multi-disciplinary working, and the respect in which she is held.

Clinical work
Dr Hogarth runs a busy General Rheumatology Service at Ealing Hospital treating all types of arthritis, and soft tissue pain. She runs specialist clinics in early inflammatory arthritis, osteoporosis, and connective tissue disease and is responsible for day case admissions for patients receiving infusion treatments. She supervises a one-stop injection clinic for patients requiring joint and soft tissue injections.

The management of musculoskeletal problems involves a multidisciplinary approach, and Dr Hogarth works closely with other Clinicians involved in this. She has regular multidisciplinary meetings with physiotherapists, occupational therapists, and podiatrists. She is also involved in combined clinics with Orthopaedic Surgeons and has regular meetings with a consultant radiologist with an interest in musculoskeletal disease to review all radiological investigations.

Quality of care
In order to improve patient care, Dr Hogarth works closely with both local General Practitioners and Commissioners to support and develop musculoskeletal services. She is currently working on a pilot project with local GP’s aiming to improve the patient pathway by providing shared and open access care for patients with chronic conditions. She has been involved in developing a fracture liaison service for patients with osteoporosis, and developed a one stop “tingling hands service” to rapidly identify and treat patients with carpal tunnel syndrome.

Dr Hogarth undergoes a yearly appraisal with a senior colleague to ensure her work is of high standard. As part of this, she attends educational meetings, carries out audits of her practise and undergoes 360 degree feedback from colleagues and patients regarding the quality of her care. She has been involved in multiple National Audits looking at the management of gout and osteoarthritis, and is a member of the North West London Rheumatology Forum for Rheumatology Specialists which aims to improve education and communication between local consultants.

Membership of Professional Societies
British Medical Association
Royal College of Physicians
Royal Society of Medicine
British Society for Rheumatology
National Osteoporosis Society

Patient Survey
Postal Survey of 30 consecutive patients who consulted Dr Hogarth in 2013 either as a new or follow up appointment

Q1. Were you seen at the time of your appointment?
100% were seen within 15 minutes

Q2. Did you have enough time to discuss your health problems with the Doctor?
100% responded ‘Yes, definitely’

Q3. How long were you with the Doctor?
21-30 minutes: 40%
11-20 minutes: 40%
6-10 minutes: 20%

Q4. Did the Doctor explain the reason for any treatment in a way you could understand?
100% responded ‘yes, completely’

Q5. If you had important questions to ask the Doctor, did you get answers you could understand?
100% responded ‘yes, definitely’

Q6. Were you involved as much as you wanted to be in decisions made about your care and treatment?
100% responded ‘yes, definitely’

Q7. If you had tests did the Doctor tell you how you would get the results?
100% responded ‘yes’

Q8. Did the Doctor introduce herself?
80% responded ‘yes, definitely, ’
20% responded ‘yes, to some extent’

Q9. How satisfied were you with the waiting time from the first referral?
60% responded ‘very satisfied,’ 20% responded ‘satisfied,’ 20% did not answer

Q10. Overall how would you rate the care you received?
Excellent: 60%
Good: 40%

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