Table 2.

The 5C Concept in IBD clinical care

Concept	Use in clinical practice
Comprehensive IBD care	• Evaluate and monitor the disease using best techniques
	• Evaluate and manage complications
	• Specialist centres deliver specialist training
Collaboration	• Greater use of MDT meetings and networking
	• Collaborate with other specialists [eg dermatologist]
Communication	• Help patient to understand their disease and risk factors
	• Develop better patient education
	• Agree shared goals between physician and patient
Clinical nurse specialists	• Play a pivotal role in supporting patients and helping physicians to spend appropriate time with patient
Care pathways	• Define patient-centred pathways so that care for patients may be rapid and seamless

IBD, inflammatory bowel disease; MDT, multidisciplinary team.