Clinical


Training
Dr Maxine Hogarth graduated from the University of Liverpool Medical School in 1989 and subsequently completed the Professorial Medical Rotation at the Royal Liverpool University Hospital. She moved to London in 1992 to commence Higher Specialist Training in Rheumatology in the North-West Thames Deanery (Hammersmith, Central Middlesex, St Mary’s and Chelsea and Westminster Hospitals), and during this period, she was awarded a Medical Research Council Fellowship which resulted in the award of a Ph.D Degree from the Royal Postgraduate Medical School in 1997. She was appointed as Consultant Rheumatologist to Ealing Hospital in 2002 and in 2011 was elected to the Fellowship of the Royal College of Physicians of London.

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 ankylosing spondylitis and is responsible for day-case admissions for patients requiring intravenous therapies. She supervises a one-stop injection clinic for patients requiring joint and soft tissue injections.

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 (both NHS and Private) come from other Consultant colleagues, emphasising her commitment to multi-disciplinary working, and the respect in which she is held.

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, and is also involved in combined clinics with Orthopaedic Surgeons. She has weekly 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 and improve the patient pathway by providing shared and open access care for patients with chronic conditions. She has a Postgraduate Certificate in DXA Reporting and is medical lead for the new Fracture Liasion Service at Ealing Hospital which aims to ensure all patients aged 50 and over with a fragility fracture are assessed and treated in line with Royal Osteoporosis Society standards. She has been involved in developing a new, one stop “tingling hands service” to rapidly identify and treat patients with Carpal Tunnel Syndrome.

Dr Hogarth undergoes an annual appraisal with a Consultant colleague to ensure her work is, and continues to be, of the highest standards and compares with national peers. As part of this, she attends educational meetings (both national and local), carries out audits of her practice and undergoes 360 degree feedback from both colleagues and patients regarding the quality of her care. She has been involved in multiple National Audits looking at the management of gout, osteoarthritis, and rheumatoid arthritis as well as the safety and side effects of new biologic treatments. She has also been involved in developing local guidelines to facilitate good practice including:

• Safe prescribing and monitoring of Rheumatological drugs
• Joint injection counselling and advise
• Cardiovascular and osteoporosis risk assessment in patients with rheumatoid arthritis
• Treatment breaks in osteoporosis
• Reducing infection risks and promoting vaccination in immunosuppressed patients

Dr Hogarth is a member of the North West London Rheumatology Forum and London Bone Society. Both of these aim to improve education and communication between local consultants.

Awards
Dr Hogarth has been awarded four Clinical Excellence Awards in recognition of her work in delivering, developing and managing a high quality Rheumatology Service.

Membership of Professional Societies
British Medical Association
Royal College of Physicians of London
British Society for Rheumatology
Royal Osteoporosis Society
Bone and Research Society

Private patient Survey 2013
Postal Survey of 30 consecutive private 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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