Waiting times an ongoing battle

1
Waiting times an ongoing battle!

• Pat Tootell
• Senior Therapist Service Improvement Notts County
  TPCT

2
The start familiar?

• Process mapping of services
• Capacity and demand
• Focus on waiting times
• Partial booking national developments
• Development of Triage access tool
• Prioritisation of patients 2 streams only Acute
  Non Acute

3
Some tools

• Use of the telephone
• Pt opt-in
• Groups
• Information
• Systmone no outcomes
• Benchmark against comparable services
• Self referral pilot

4
Orth triage - north

• Meetings with Consultants GPs- 2 yrs!
• Referrals via Referral Mangmt Centre
• Triage of all referrals to secondary care
• ESP GP involved
• Divert inappropriate to Primary Care Orth
  Consultant, Extended Scope PT, surgical podiatry
  2 care Pain clinic.

5
Further developments

• Amalgamation of 6 PCTs into 1
• Aim to get equity across MSK services
• New to follow-up the same
• Different Activity levels
• Different assmt times
• Different skill mix
• Different Orth triage services 18 week

6
New challenges

• Look at Lean principles for process service
  redesign, reduce waste
• Use NHS Institute Thinking Differently to
  generate new ideas from patients staff
• Ensure quality is high/similar outcomes
• Why not See Treat as in A E?
• Information use of the web/technology
• Data

7
Further Aims

• Get Consultants GPs on our side ax the County
  meet, market, ensure confidence in physio staff
  skills to reduce inappropriate demands on
  unplanned care in Secondary sector by
  developing Clinical assessment in 1 Care
• 2 Care followup treatments in 1 care
• Develop databases standardise staff activity
  levels, skills, outcomes, improved quality
  consistency of data

8
Aspirations from Thinking Differently

• Care is based primarily on visits ..
• Care is based on continuous healing relationships
• Professional autonomy drives variability
• Care is customised according to patients needs