It s not just Obs and Swabs!
|
|
- Jacob Shields
- 5 years ago
- Views:
Transcription
1 It s not just Obs and Swabs! Developing a pre-operative assessment service in a complex tertiary referral centre a multidisciplinary approach Emma McCone- Lead Pre op Sister Healthcare at its very best - with a personal touch
2 The Geordies! Healthcare at its very best - with a personal touch
3 Welcome to our Pre assessment Team
4 Our daily problems! Healthcare at its very best - with a personal touch
5 The good old MRSA swab! Healthcare at its very best - with a personal touch
6 Pre-operative surgical patient All patients admitted night before surgery No idea what tests to do - everyone got everything or nothing No risk assessment, no discussion with patients No idea how to manage anticoagulation, diabetes, COPD or what to do if something was wrong
7 13 yrs ago BC (Before clinic) /10 % cancellations (Unfit for surgery) Isolated Pre-assessment Units all around the trust Various health professionals completing it! Assessed late in surgical pathway Patient disappointment /inconvenience No chance for change Postponement Wasted theatre time No/minimal DOSA
8 Whats been happening? Population getting older (cant be ageist) Chronic disease on the increase (Diabetes) Patient Choice New and innovative surgical techniques Targets. Targets. Targets! Healthcare at its very best - with a personal touch
9 Pre-assessment 2016 One of the largest, leading PA service in the UK 30,000 patients each year (3 sites including community based) Largest UK Cardiopulmonary Exercise Testing Facility biggest nurse/ ODP led service in the UK ran by ODP (hes amazing!) < 1% Cancellation Rate yearly audited 90% Patients come in on Day of Surgery (DOSA) Integrated Cross Trust Units (14 disciplines 140 surgeons!) Targeted Investigations (NICE) Healthy Perioperative Income generation
10 How did we do it? Our 3 biggest achievements! 1. Satisfying our service users: Our patients! Consultant surgeons (and they are hard to please!) Business/ Directorate Managers
11 How are we doing? What our patients told us about the pre-assessment clinic In Summer 2015 we undertook a survey to look at the satisfaction of patients using the pre-assessment service The survey was offered to all patients coming to the clinic during a week long period in June 2015 The questions covered a number of different areas including the clinic environment, waiting times, the staff, and overall impressions In total 249 surveys were completed. RESPECT AND DIGNITY 100% of patients were given enough privacy for discussion of their condition or treatment 100% of patients were given enough privacy when being examined or treated 100% of patients felt they were treated with respect and dignity 100% of patients stated the care they received at the clinic was excellent or very good WAITING TIMES 67% were seen within 5 minutes of arrival at the clinic, and 93% within 15 minutes Only 2% of patients waited longer than 30 minutes OVERALL SATISFACTION 98.3% stated their main reason for attending the clinic was dealt with to their complete satisfaction HELLO MY NAME IS.. Our patients said that the clinic staff introduced themselves on 99% of occasions CLEANLINESS 100% of patients found the clinic very clean or fairly clean CONFIDENCE AND TRUST 100% of patients had confidence and trust in the nurse 100% of patients stated the nurse explained things in a way they could understand 90.7% stated that the nurse definitely dealt well with their anxiety SOME COMMENTS FROM PATIENTS Very obliging and pleasant All staff friendly, clean and well presented Nurse very understanding of my anxiety regarding anaesthesia The efficiency moving through the assessment no waiting time Nurse had empathy for my condition Every time I come into the hospital I have been very pleased with any treatments and the staff have been great We value your feedback, thank you
12 Meet Mr French Consultant HPB surgeon I am frequently impressed by team s efficiency, attention to detail and communication with both patients and clinicians. They are flexible, have shown initiative, are extremely hard working and it is clear have developed a very positive departmental culture. It really is a pleasure to work with them
13 Meet Hannah Powell DM for neuro surgery I just wanted to drop you a quick line to say that I attended the surgeon s meeting yesterday and the feedback re: new PAC was all positive. So, you seem to be pleasing the patients, the surgeons and the anaesthetists well done!!
14 2. Training and Believing in our staff Preoperative Education Team Led by our nursing and medical teams across 3 sites Meet James, Rhona, Chris and Emma
15 Outpatients nurse Flexible working: 9-5 Going for an easy life Older Redeployed Retired and returning Lazy How hard can it be to tick a box No one really knows what we actually do! Perception of the PAC assessor
16 Meet katie Confused by Guidelines Robotic Confused by Anaesthetists Frustrated No Confidence Confused by Surgeons Administrator
17 Guidelines why so confusing? NICE updated 2016 Consider seeking advice from a senior anaesthetist Consider if no ECG results available from past 12 months Consider in people at risk of AKI No set protocols No definitive answers Have to use Clinical Judgement????? AAGBI Jan 2016 Pre-operative assessment clinics need not measure the blood pressure of patients being prepared for elective surgery whose systolic and diastolic blood pressures are documented below 160/100 mmhg in the referral letter from primary care What!! No blood pressure?? Reliance of referral letters aren t always there Always worried we are held accountable we hate that!
18 Anaesthetists! Getting better but still a huge variation in what happens in different clinics everywhere in UK but with same stories!! Which colleague let him through!!!? I would have liked the charts from 1954 for the GA at the Netherlands if at all possible? Yep. Happy
19 Surgeons A surgeon is someone who likes to operate; an anaesthetist is someone who doesn't like to give anaesthetics. David M. Dent Perceived by patients as the fixer - surgery can be done- I ll refer you to PAC PAC have taken away decision making process for many surgeons as victims of their own success Rotational surgeons mean an unfamiliarity with PAC processes To be fair, limited out patient time to discuss/ explore patient risks and definitely not consistent (diagnosis/ treatment options/ medical history/ medication/ patient choice its just not doable!)
20 What Katie Wants To liaise with GPs To be inspired To work within Structured protocols To learn and be educated To work Consistently To use her clinical skills
21 Meet Gerry Receptionist HCA Assistant Practitioner HOW? (Band 4) Competency based training Good Leadership from a supportive MDT structure Structured education around protocols Support through University
22 Meet Alison PAC nurse Nurse Specialist CPeT Practitioner Consult % CPeT Volumes Senior Nurse % Not reviewed %
23 What can we achieve with the right High Risk (10%) - Consultant Overall Risk Assessment Patient Consultation (including SDM) CPeT Interpretation Appropriate Specialist Referral Ordering of complex tests Communication with surgeons/ cardiologists guidance? Intermediate Risk (20%) Nurse/ODP Practitioner Chest Auscultation Arterial Blood Gases ECG Review Appropriate Anaesthetic Referral Low Risk (70%) - Nurse led (HCA/AP/Nurse) Bloods, Pulmonary Function Tests Behavioural intervention Non invasive Testing (ECHO) CPET GP referrals (BP management)
24 Day Care Protocols QUESTIONS YES NO Suitable for DC surgery Absence of any chest pain No previous problems with anaesthesia or family and anaesthesia <2 medications Absence of any co morbidities (asthma/ihd/epilepsy) BP <185/110 METS > 5(can walk up 2 flights of stairs without stopping) Age<50 BMI >16<35 Adult available for 24 hours post anaesthetic Lives< 1 hour from hospital
25 Smoker >20 day Alcohol >14units/ week (women) >21 units (man) oral contraceptive pill Diabetic medication (including insulin) Anticoagulants/ antiplatelets YES NO VTE assessment MRSA screen MSU
26 3. Optimising our patients for surgery and Life our biggest challenge! Alcohol intervention National research study Respiratory optimisation 1) Smoking cessation Public health 2) COPD management Primary Care/Pfizer Optimisation for fitness before surgery Anaemia optimisation Comprehensive Geriatric Assessment Curing diabetes!!!!! please visit fixing dad
27 Perioperative medicine 5 yr plan Identifying co morbidities early Peri operative Clinicians Shared Decision making Initiating clinical testing without need to refer Improving lifestyle and fitness pre and post op
28 CQC highlight perioperative medicine service at the Freeman as an area of outstanding practice The Dedicated Peri operative TEAM.have not only embraced the RCoA 5 year vision.. We are already there as national leaders The perioperative care team at the Freeman were national leaders in pre-operative assessment, cardiopulmonary exercise testing and outcome prediction after major intra-abdominal surgery (including shared decision making in the pre-operative counselling process CQC 2016
Pre Assessment Policy. Trust Policy Forum March 2004
Policy No: OP19 Version 1.0 Name of Policy: Pre Assessment Policy Effective From: March 2004 Approved by: Trust Policy Forum March 2004 Next Review Date: March 2005 Reviewed by: This policy supercedes
More informationDomain 5 Cardiothoracic Standards RCoA Accreditation 2017
1 PRIORITY The Care Pathway 5.4.1.1 The process for preoperative assessment presenting for cardiac and thoracic patients (including thoracic aortic) is defined within the patient pathway. 1 A clinical
More informationPre operative assessment
Pre operative assessment Dr Anna Lipp Consultant Anaesthetist, Clinical lead day surgery and pre-op assessment Norfolk and Norwich University Hospital President-elect BADS Overview Organisational issues
More informationAdvanced Roles and Workforce Planning. Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow
Advanced Roles and Workforce Planning Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow Confusion of Advanced Roles Clinical Support Worker (CSW) Nurse Practitioner (NP) Physicians Associate
More informationAnaesthesia Fellow. Position Description. Department : Department of Anaesthesia & Perioperative Medicine
Job Title : Anaesthesia Fellow Department : Department of Anaesthesia & Perioperative Medicine Location : Waitemata District Health Board Reporting To : Clinical Director Anaesthesia Direct Reports : Anaesthesia
More informationJOB DESCRIPTION. Pre-Assessment Senior Nurse. Band: Band 6. Pre-Assessment Team Leader. 1 Job Summary
JOB DESCRIPTION Job Title: Pre-Assessment Senior Nurse Band: Band 6 Division / Department: Hours: Reports to: Accountable to: Perioperative Services 37.5 Hrs per week Pre-Assessment Team Leader Theatre
More informationWelcome to the Anaesthesia and Perioperative Care Prioritisation Survey
Welcome to the Anaesthesia and Perioperative Care Prioritisation Survey We want you to nominate the most important topics for future research in anaesthesia and perioperative care. We are therefore asking
More informationNATIONAL PATIENT SURVEY, 2004
NATIONAL PATIENT SURVEY, 2004 This survey is about your experience of the services provided by the National Health Service. What condition were you treated for when visiting the NHS Hospital Trust on the
More informationPerioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery
CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Life Line Screening UK Corporate Office 3rd Floor, Suite 8,
More informationPreanaesthetic Assessment Clinic
One-stop Preanaesthetic Assessment Clinic A Kwan, WG Fok, KL Tong, HK Ma Department of Anaesthesiology and Pain Medicine, Operating Room Department and Day Surgery Centre United Christian Hospital 2 Preoperative
More informationEvaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services
Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services *Formerly known as Self-Assessment Framework ** Chronic Obstructive Pulmonary Disease (COPD) Standard 1:
More informationDay Surgery Satisfaction Isn t Built in a Day
news, views & ideas from the leader in healthcare satisfaction measurement The Satisfaction Snapshot is a monthly electronic bulletin freely available to all those involved or interested in improving the
More informationTrans Urethral Resection of Bladder Tumour (TURBT) (Day Case)
Trans Urethral Resection of Bladder Tumour (TURBT) (Day Case) Department of Urology Information for patients i What is a Trans Urethral Resection of Bladder Tumour (TURBT)? Your recent cystoscopy has shown
More informationIntroduction to Gynaecology & Obstetrics Theatres St Marys Hospital
Introduction to Gynaecology & Obstetrics Theatres St Marys Hospital Name: Start Date:. Mentor:. Introduction My name is Helen McCallum; I am the Clinical Skills Facilitator for St Marys Theatres. I would
More informationUnderstanding the 18 week elective pathway and referral process, your rights and responsibilities
Understanding the 18 week elective pathway and referral process, your rights and responsibilities Buckinghamshire Healthcare NHS Trust is committed to providing timely access to services and treatment
More informationOur five year plan to improve health and wellbeing in Portsmouth
Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a
More informationEvelyn Medical Centre. Job Description - Practice Nurse
Evelyn Medical Centre Job Description - Practice Nurse Salary : Negotiable An offer will be made based on skills and knowledge. Holiday entitlement: 5 weeks per year pro rata Hours : Part-time 20-25 hours
More informationPAPERLESS ED? AN EPIC EXPERIENCE. Adrian Boyle Cambridge University Hospitals Foundation
PAPERLESS ED? AN EPIC EXPERIENCE Adrian Boyle Cambridge University Hospitals Foundation Trust @dradrianboyle We d like you to come and speak at Bournemouth Great! What on? Violence? Quality? Crowding?
More information1. JOB PURPOSE. 2. ORGANISATIONAL POSITION Professor Nancy Fontaine. Job advertised. Deputy Chief Executive Chief Nurse
Job Title: Vascular Nurse Practitioner/ Vascular Diabetic Foot Nurse Practitioner ( VNP) Band: 7 Reporting To: Head of Surgical Nursing and Vascular Consultants Department(s)/Location: Vascular Unit PAH
More informationUsing results-based accountability (RBA) to drive improvements in the management of long-term conditions
Using results-based accountability (RBA) to drive improvements in the management of long-term conditions Ruth Jordan Senior Service Improvement Manager Cardiff and Vale University Health Board Chronic
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Fitzwilliam Hospital Milton Way, South Bretton, Peterborough,
More informationREPORT ON LOCAL PATIENTS PARTICIPATION FOR THE COURTLAND SURGERY ILFORD
REPORT ON LOCAL PATIENTS PARTICIPATION FOR THE COURTLAND SURGERY ILFORD February 2012 Local Participation Report 1 Background Patients Reference Group Following the guidance by Primary Medical Services
More informationClinical Strategy
Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner
More informationBreast Screening Service Patient Satisfaction Survey January 2016
Introduction Breast Screening Service Patient Satisfaction Survey January 2016 This report contains the results of the Breast Screening Service patient satisfaction survey undertaken during December 2015.
More informationDrs Eccleston, Matthews & Roy The Crescent Surgery Statement of Purpose Health and Social Care Act 2008
Drs Eccleston, Matthews & Roy The Crescent Surgery Statement of Purpose Health and Social Care Act 2008 Version: 1 Date of Next Review: September 2014 Service Provider Details Name: Address: Drs Eccleston,
More informationPATIENT ASSESSMENT POLICY Page 1 of 7
Page 1 of 7 Policy applies to: All staff and allied health professionals involved in patient care delivery at Mercy Hospital including Manaaki. Related Standards: Health & Disability Services (core) Standards
More informationIf you do find something out of the ordinary, bring it to the attention of the senior medical staff.
Clerking Patients The clerk-in procedure is meant to be an independent overall assessment of a patient s condition at the time of admission. While it is good training for a trainee doctor, it is also an
More informationBest-practice examples of chronic disease management in Australia
Best-practice examples of chronic disease management in Australia With the introduction of Health Care Homes, practices will have greater flexibility to provide comprehensive, coordinated, patient-centred
More informationMEDICAL PRACTICE REPORT
Filter Definition Filter Choice(s) Visit Date From 02/01/2016 To 01/31/2017 CMS View applied CAHPS Options 1 CAHPS Summary Information Global DOMAIN Question n % Global Rating Item Overall Doctor Rating
More informationModified Early Warning Score Policy.
Trust Policy and Procedure Modified Early Warning Score Policy. Document ref. no: PP(15)271 For use in (clinical areas): For use by (staff groups): For use for (patients): Document owner: Status: All clinical
More informationBARIATRIC SURGERY SERVICES POLICY
BARIATRIC SURGERY SERVICES POLICY Please note that all Central Lancashire Clinical Commissioning Policies are currently under review and elements within the individual policies may have been replaced by
More informationWorcestershire Acute Hospitals NHS Trust
Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Quality Report Charles Hastings Way Worcester WR5 1DD Tel: 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit: 12,
More informationOldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices
Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities
More informationIntegrated respiratory action network for patients with COPD
Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory
More information18 Weeks Referral to Treatment (RTT) Waiting times
Patient Access Policy 18 Weeks Referral to Treatment (RTT) Waiting times King s College Hospital NHS Foundation Trust is committed to providing timely access to services and treatment for all patients
More informationOrchard Home Care Services Limited
Orchard Home Care Services Limited Orchard Home Care Inspection report 2 Ashfield Terrace Chester-le-street County Durham DH3 3PD Tel: 0191 389 0072 Website: www.cqc.org.uk Date of inspection visit: 12
More informationDrs Eccleston, Matthews & Roy The Crescent Surgery Statement of Purpose Health and Social Care Act 2008
Drs Eccleston, Matthews & Roy The Crescent Surgery Statement of Purpose Health and Social Care Act 2008 Version: 1.1 December 2015 Date of Next Review: December 2016 Service Provider Details Name: Address:
More informationRenal cancer surgery patient experience February 2014-February 2015
Renal cancer surgery patient experience February 2014-February 2015 The specialist renal cancer team have set high patient experience as one of the key objectives of the specialist renal cancer centre.
More informationHealthwatch Knowsley Aintree University Hospitals Trust Service User Report Qtr. 1 ( )
Healthwatch Knowsley Aintree University Hospitals Trust Service User Report Qtr. 1 (2016-17) 1 Contents About this report... 3 Snapshot... 3 Key... 4 Key Treatment & Care... 5 Key Facilities & Surroundings...
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Crook Log Surgery 19 Crook Log, Bexleyheath, DA6 8DZ Tel: 08444773340
More informationDrs Whittle, Scott, Bevz & Fairhead. Health & Social Care Act 2008
Drs Whittle, Scott, Bevz & Fairhead Cleveleys Group Practice Health & Social Care Act 2008 Version 1 - August 2013 Version 2 - December 2015 Date of Next Review: December 2016 Service Provider Details
More informationComplex Care Coordination Service Profile and Case Study
Complex Care Coordination Service Profile and Case Study Central Coast Local Health District Prepared by Alison Austen Complex Care Coordinator Ongoing and Complex Care August 2011 Central Coast Local
More informationUpton Surgery Local Patient Participation Report
Upton Surgery Local Patient Participation Report 2014-15 Introduction The Practice established an active Patient Participation Group in 2007. The current PPG chair was approached to help the Practice develop
More informationMencap - Dorset Support Service
Royal Mencap Society Mencap - Dorset Support Service Inspection report Unit 5, Prospect House Peverell Avenue East, Poundbury Dorchester Dorset DT1 3WE Date of inspection visit: 08 December 2016 Date of
More informationA1 Home Care. A1 Home Care Ltd. Overall rating for this service. Inspection report. Ratings. Good
A1 Home Care Ltd A1 Home Care Inspection report Units 16-19 Robjohns House, Navigation Road Chelmsford Essex CM2 6ND Date of inspection visit: 06 April 2017 Date of publication: 08 June 2017 Tel: 01245354774
More informationHow to conduct second line assessments. Barry Beiles-Clinical Director VASM
How to conduct second line assessments Barry Beiles-Clinical Director VASM ASM receives notification of death Surgical case form sent to surgeon for completion by paper or Fellows Interface Completed paper
More informationGUIDELINES FOR THE PROVISION OF. anaesthetic services. The Royal College of Anaesthetists
GUIDELINES FOR THE PROVISION OF anaesthetic services 2013 The Royal College of Anaesthetists GUIDELINES FOR THE PROVISION OF anaesthetic services Introduction Guidelines for the Provision of Anaesthetic
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Nuffield Health Newcastle-upon-Tyne Hospital Clayton Road, Newcastle
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Highgate Medical Centre St Patricks Community Centre for Health,
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Spire Gatwick Park Hospital Povey Cross Road, Horley, RH6 0BB
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationClinical Nurse Specialist - Quality & Research Dept of Anaesthesiology
Date: June 2017 Job Title : Clinical Nurse Specialist - Quality & Research Clinical Nurse Specialist, Dept of Anaesthesiology & Perioperative Medicine Department : Department of Anaesthesia & Perioperative
More informationObesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol
NHS Dorset Clinical Commissioning Group Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives 1. INTRODUCTION
More informationPerioperative Nurse Coordinator Lead [Surgical]
Date : July 2017 Job Title : Perioperative Nurse Coordinator Lead Note: Lead role is equivalent to Associate Clinical Charge Nurse Level [SN 4] Department : Surgical and Ambulatory Services Otorhinolaryngology
More informationStage 2 GP longitudinal placement learning outcomes
Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health
More informationJuly to December 2013: Outcome Measurement System (OMS) Report
July to December 2013: Outcome Measurement System (OMS) Report Overview of Washington s Participation in OMS The purpose of the Outcome Measurement System (OMS) is to help Children s Advocacy Centers (CAC
More informationNursing Practice Committee
Nursing Practice Committee Standard Operating Procedure on Patient preparation and Admission to Operating Theatre Author: Emma Cooney CNM 3 & Rosemary Clerkin CNF Issue Date: March 2010 Review Date: March
More informationInteractive Urological Outpatient Workshop
Interactive Urological Outpatient Workshop One Stop Urology Clinic design Norfolk and Norwich University Hospitals 25 th September 2014 Is this your service? Multiple entry points into the service new
More informationWest Middlesex Junior Doctors Handbook in Colorectal Surgery
West Middlesex Junior Doctors Handbook in Colorectal Surgery Page 1 of 10 INTRODUCTION Welcome to surgery and to the colorectal team! This guide is meant to be just that, a guide and has been principally
More informationNOT INTENDED FOR DISTRIBUTION TO PATIENTS
NOT INTENDED FOR DISTRIBUTION TO PATIENTS Thank you for completing this important questionnaire regarding your surgical visit. Your feedback is very important in helping us continue to provide the highest
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. CARE Fertility (Northampton) Limited 67 The Avenue, Cliftonville,
More informationPeri-operative Pain Management - a multi-disciplinary team-based approach
Peri-operative Pain Management - a multi-disciplinary team-based approach Dr Steven Wong Chief of Service Department of Anaesthesiology & OT Services Queen Elizabeth Hospital Outline Development of postoperative
More informationREPORT TO IMPROVING PATIENT EXPERIENCE COMMITTEE
REPORT TO IMPROVING PATIENT EXPERIENCE COMMITTEE Date: Agenda No: 10 Date Paper produced: 25 th July 2014 Sponsoring Director (responsible for signing off report): Author: Paper Title: National Cancer
More informationNHS North Yorkshire and York
CASE STUDY NHS North Yorkshire and York Managing long term conditions through redesigning the care pathways and integrating telehealth North Yorkshire and York The challenge Strategic plans NHS North Yorkshire
More informationWe plan. We achieve.
We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Achievements of 2008/09 l Our plans for 2009/10 l Our commitments for the next five years. We are committed to providing
More informationThe Junction Health Centre. Patient guide
The Junction Health Centre Patient guide The Junction Health Centre is a health practice commissioned by NHS England and Wandsworth CCG and operated by Care UK, a leading independent provider of health
More information#NeuroDis
Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations
More informationPoole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1
Wessex Deanery Poole Hospital NHS Foundation Trust Individual Placement (Job) Descriptions for Foundation Year 1 Placement F1 - Diabetes and Endocrinology comprises 3 diabetes and endocrinology consultants.
More informationCOPD Management in the community
COPD Management in the community Anne Jones Independent Respiratory Nurse Consultant RN,BSc(Hons),PGDip(RespMed)/MA Content of session Will consider the impact of COPD COPD Strategy recommendations and
More informationThe NHS Constitution
2 The NHS Constitution The NHS belongs to the people. It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot
More informationNON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS
NON-INVASIVE RESTING BLOOD PRESSURE RECORDING AND INTERPRETATION ON A RANGE OF PATIENTS AIM SCOPE The aim of this assessment is to ensure that the student develops his/her skills with respect to patient-centred
More informationDay Surgery/Endoscopy Unit
Day Surgery/Endoscopy Unit Information for Day Surgery Patient information Leaflet Your Consultant Surgeon has decided that you need an operation/procedure. Because your operation/procedure requires only
More informationHealth and care services in Herefordshire & Worcestershire are changing
Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health
More informationCan web based pre-operative assessment in low risk orthopaedic patients improve patient satisfaction without influencing quality outcome measures?
PRIORITY BRIEFING The purpose of this briefing paper is to aid Stakeholders in prioritising topics to be taken further by PenCLAHRC as the basis for a specific evaluation or implementation research project.
More informationGuidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP)
Guidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP) Summary Helping you to get better sooner after surgery June 2012 Foreword These guidelines have been produced
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Spire Wellesley Hospital Eastern Avenue, Southend-on-Sea, SS2
More informationThe ROHNHSFT Experience: Implementing BWCH PEWS
The ROHNHSFT Experience: Implementing BWCH PEWS Alison Warren Clinical Matron for Children and Young Peoples Services The Royal Orthopaedic Hospital NHS Foundation Trust RGN, RSCN, ENB 415 & 998 PG Cert
More informationBusiness Case Authorisation Cover Sheet
Business Case Authorisation Cover Sheet Section A Business Case Details Business Case Title: Directorate: Division: Sponsor Name Consultant in Anaesthesia and Pain Medicine Medicine and Rehabilitation
More informationThree steps to success
Inpatient care for people with diabetes at Russells Hall Hospital (The Dudley Group NHS Foundation Trust) Three steps to success The ThinkGlucose team at Russells Hall Hospital developed a three-stage
More informationPerioperative Essentials for Early Discharge and Outpatient Total Joint Arthroplasty
Perioperative Essentials for Early Discharge and Outpatient Total Joint Arthroplasty R. Michael Meneghini MD Associate Professor of Orthopaedic Surgery Indiana University School of Medicine Indianapolis,
More informationReview of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre.
Review of Patient Experience of Elective Orthopaedic Services at Manchester Elective Orthopaedics Centre. Report Summary The purpose of the report was to gather views from people using the elective orthopaedic
More informationAintree University Hospital NHS Foundation Trust Corporate Strategy
Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital
More informationSurvey of adult inpatients in the NHS, Care Quality Commission comparing results between national surveys from 2009 to 2010
Royal United Hospital, Bath, NHS Trust Survey of adult inpatients in the NHS, Care Quality Commission comparing results between national surveys from 2009 to 2010 Please find below charts comparing the
More informationPre-operative categorization (triaging) of emergency surgical cases. A tool for improving patient care and emergency operating room efficiency
Pre-operative categorization (triaging) of emergency surgical cases A tool for improving patient care and emergency operating room efficiency Introduction No national or provincial guidelines exist for
More informationCare of Critically Ill & Critically Injured Children in the West Midlands
Care of Critically Ill & Critically Injured Children in the West Midlands University Hospitals Coventry & Warwickshire NHS Trust Visit Date: 4 th December 2013 Report Date: April 2014 Images courtesy of
More informationJersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2
Wessex Deanery Jersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department The type of work to expect and learning opportunities Where
More informationNational findings from the 2013 Inpatients survey
National findings from the 2013 Inpatients survey Introduction This report details the key findings from the 2013 survey of adult inpatient services. This is the eleventh survey and involved 156 acute
More informationChinese HomeCare Specialists
Chinese Association Of Tower Hamlets Chinese HomeCare Specialists Inspection report 680 Commercial Road Poplar London E14 7HA Tel: 02075155598 Website: www.chinesehomecare.org.uk Date of inspection visit:
More informationLocal Anaesthesia for your eye operation. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Local Anaesthesia for your eye operation An information guide Local Anaesthesia for your eye operation Introduction You and your doctor
More informationCONSENT FOR I & D PERIANAL ABSCESS
Surgery > Immesive Scenario 8 CONSENT FOR I & D PERIANAL ABSCESS MODULE: GENERAL SURGERY TARGET: CT1 ST4 BACKGROUND: Junior surgical trainees are often expected to take consent for procedures in theatre
More informationAcceleration for ACS. NSTEMI Event 09 November. Outputs from Table Discussions
Acceleration for ACS NSTEMI Event 09 November Outputs from Table Discussions 1 1. What mechanism do we need to have to identify patients early (within 6 hours of admission to hospital)? Have identification
More informationBenchmarking in Day Surgery. Mark Skues President, British Association of Day Surgery
Benchmarking in Day Surgery Mark Skues President, Across the Irish Sea... Issues with Financing Demographics Morale Making Day Surgery count An opportunity for care that is: Better quality More patient
More informationTrust-wide Policy. For. Access Policy
Trust-wide Policy For Access Policy A document recommended for use In: All departments / Divisions By: All staff For: Managing patients care pathways & compliance to NHS constitution and Care Quality Commission
More informationNorth East Surgery Centre Level 3 Pre-assessment Unit. Portfolio of Learning Opportunities
North East Surgery Centre Level 3 Pre-assessment Unit Portfolio of Learning Opportunities Review date January 2012 Pre-Admission Assessment Learning Zone Interpreter Dietician Occupational Therapy Physio
More informationROLE OF THE ANESTHETIST IN ORGANIZING AMBULATORY SURGERY. Dr. Paul Vercruysse M.D. Belgium
ROLE OF THE ANESTHETIST IN ORGANIZING AMBULATORY SURGERY Dr. Paul Vercruysse M.D. Belgium DISCLOSURES - Conflicts of interest? I am an anesthesiologist... TRADITIONAL ROLE OF THE ANESTHESIOLOGIST EVOLVING
More informationTHE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY
THE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY An Economic Assessment of the South Eastern Trust Virtual Ward Introduction and Context Chronic (long-term)
More informationHome Instead Birmingham
Maranatha Healthcare Ltd Home Instead Birmingham Inspection report Radclyffe House 66-68 Hagley Road Birmingham West Midlands B16 8PF Date of inspection visit: 07 March 2017 Date of publication: 17 May
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Seahaven Dental Practice 2D Meeching Road, Newhaven, BN9 9QX
More informationPatients Experience of MRSA Screening What Can We Learn? Dr. Carol Pellowe, King s College, London A Webber Training Teleclass
Background MRSA screening mandatory since 2009 Patients perceptions, awareness and cooperation implicit Pathfinder 2011 found poor communication and misinformation between staff and patients June, 20,
More information