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#NHSChangeChallenge

Planned and Elective Care

18 Ideas
12 Votes
83 Comments
49 Subscribers

Please outline key changes in patient care in Planned and Elective Care that have taken place so far during the Coronavirus pandemic and should be locked in to the NHS during the next phase and beyond.

We’re keen to hear about changes that may relate primarily to patients, staff, behaviours and the wider health system.

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  1. Yuvraj Agrawal
    114 pts
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    89 pts
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    84 pts
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    67 pts
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Theatre recycling and waste management

The reset of elective theatres allows changes to be made prior to returning to “normal” practice. We are using this time as part of a local QI Project at SWLEOC elective theatres to change how waste is managed. We are aiming to recycling all recyclables used during elective surgery as well as ensuring appropriate waste pathways are provided and correctly used within the complex. This should decrease the carbon cost of elective surgery as well as having a cost saving aspect to the costs of...

0

Video consultations for elective/trauma care

Uploaded on behalf of Julia Cattermole (Service Manager – T&O) The biggest change that has been implemented and is likely to stay is the Video consultations. We aim to do at least 50% of clinics over video, going forward, even once the full lockdown and social distances is no longer required. This will reduce the need for patients to travel to the hospital, lowering emissions, save on parking charges and reduce the need to patients to take time off work to attend an appointment. There...

0

Stockport Skin Advice and Guidance and Referral platform

A skin referral software platform pilot for advice & guidance started in 2016 and allows all general practitioners across Stockport access through their GP clinical software systems to make referrals with secure images, including dermatoscopic ones into dermatological and surgical services capable of managing the problematic skin lesion or condition. Images are captured securely via a smartphone App which are then automatically integrated with the patient referral record. The pilot has...

0

Role of NHS and Orthopaedic Recovery Post COVID–19 Pandemic. Lessons learnt.

The Orthopaedic change post COVID-19 could be considered under following heads 1) Re-starting of elective orthopaedic practice  2) Shifting to Out-Patient Care 3) Telemedicine 4) Distance learning 5) Mental Wellbeing

0

Pod system working and post COVID MSK planing

Pod working has allowed the provision of an efficient, high quality service for all trauma patients. Consultant led care has results in early pragmatic decisions being formulated, resulted in reduced face to face appointments and early discharge.

0
Horizon 3

Rapid implementation of virtual clinics: a quality improvement initiative

A multidisciplinary group of healthcare professionals was assembled to support the implementation of virtual clinics at the Royal National Orthopaedic Hospital, Stanmore. The Institute for Healthcare Improvement approach to quality improvement was followed using the Plan Do- Study-Act (PDSA) cycle. A process of enablement, process redesign, delivery support and evaluation were carried out, underpinned by Improvement principles. Following the target of 80% virtual consultations being set, 87%...

0 Points
7
Horizon 3

Ideal timing for interactive online consent platforms

Now that patients are more familiar with online consultations / education, and understand that their physical presence in hospital should be minimised, the timing is ideal in order to introduce platforms which can provide tailored audiovisual information regarding any elective procedure, which patients can review in their own time, before electronically signing a consent form. Of course, the patients would have the option of booking a video consultation to have any questions answered by a...

6.5 Points
5
Horizon 1

Brace before Replace!

Brace before Replace! Not just a pandemic solution but an on-going solution for MSK services Lengthy waiting lists for knee replacements, put “on hold” due to the COVID-19 pandemic, mean that hospital trusts throughout the UK face an unprecedented task in clearing the backlog.  It is estimated that 28,404,603 elective surgeries have been cancelled or postponed during the 3 months of COVID-19 lockdown.  Before the pandemic, we had been working on a pilot project to refer patients...

4 Points
4
Idea thumbnail
Horizon 1

Say No To Plastic Aprons!

We use plastic apron when seeing patients in side rooms and isolation. Although it demonstrates a certain discipline, hand on heart, we know it doesn't protect the patient from infection, nor does it protect the staff. If we are going to accept that Corona virus and other infections are going to remain amongst us for a considerable period of time we should invest in full sleeves re-usable gowns. The gowns must be water repellants and tie in the back like surgical gowns still in-use in some...

3 Points
14
Idea thumbnail
Horizon 2

Virtual MSK MDT

There are so many points within a patient’s MSK pathway that can be enhanced with a virtual MDT from: A) Advice & guidance from primary care - triage to correct subspecialty (e.g. spine v shoulder or hip,)  B) Assess need for imaging / neurophysiology/ gait analysis pre consultation. C) need for surgical outpatient at all in very elderly or significant comorbidities  D) Advice & guidance in secondary care e.g rheumatology to orthopaedics; orthopaedics to pain team;...

8.5 Points
5
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