Improving the delivery of multi-specialty care: the rise of the combined clinic service

Helena Marzo-Ortega^{1

2}, Eva Domanne³, Evmorfia Ladoyanni⁴, Adrian Victor Pace⁵, Hoda Mirjafari-Temple⁶, Jane E Freeston^{1

2}, Claire Vandevelde^{1

2}, Andrew Barr^{1

2}, Dennis McGonagle^{1

2}, Christian Selinger⁷, Phil Laws^{1

8}, Kave Shams^{1

8}, Laura Savage^{1

8}, Areti Makrygeorgou⁹, Jacqui Lyttle¹⁰

Affiliations

¹ NIHR Leeds Biomedical Research Centre, The Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
² Rheumatology Department, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
³ Dermatology Department. Countess of Chester Hospital, NHS Foundation Trust, Chester, UK.
⁴ Dermatology Unit. The Dudley Group NHS Foundation Trust, Dudley, UK.
⁵ Rheumatology Department, The Dudley Group NHS Foundation Trust, Dudley, UK.
⁶ Rheumatology Department. Countess of Chester Hospital, NHS Foundation Trust, Chester, UK.
⁷ Department of Gastroenterology, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁸ Dermatology Department, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁹ Dermatology Department, New South Glasgow University Hospital, Glasgow, UK.
¹⁰ South Devon NHS Foundation Trust, Devon, UK.

Helena Marzo-Ortega et al. Rheumatology (Oxford). 2025.

. 2025 Aug 23:keaf454.

doi: 10.1093/rheumatology/keaf454. Online ahead of print.

¹ NIHR Leeds Biomedical Research Centre, The Leeds Teaching Hospitals NHS Trust and Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
² Rheumatology Department, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
³ Dermatology Department. Countess of Chester Hospital, NHS Foundation Trust, Chester, UK.
⁴ Dermatology Unit. The Dudley Group NHS Foundation Trust, Dudley, UK.
⁵ Rheumatology Department, The Dudley Group NHS Foundation Trust, Dudley, UK.
⁶ Rheumatology Department. Countess of Chester Hospital, NHS Foundation Trust, Chester, UK.
⁷ Department of Gastroenterology, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁸ Dermatology Department, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
⁹ Dermatology Department, New South Glasgow University Hospital, Glasgow, UK.
¹⁰ South Devon NHS Foundation Trust, Devon, UK.

No abstract available

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