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Triage of fracture clinic and identifying those needing F2F visits, phone consults, other imaging, or specialist clinic.

Similar model to Trauma Triage Clinic / VFC but works slightly differently. This is looking at the following day's clinic template in advance - i.e. these patients have already been 'booked' into a fracture clinic. This final layer of screening allows for example patients at their follow up clinic points (not necessarily new patients) being advised they should attend for an xray but should expect a phone consult etc. This further reduces the burden on fracture clinic, especially with the follow ups. Similarly, those follow ups who may be coming back for results of MRI or other specialist imaging. It may be that now they either need redirection to a specialist, or discharge and reassurance, and this can be done by phone, without the need for a face to face visit. We have dramatically reduced our total number of face to face follow ups. 

What is needed to sustain the change?

Support at a national level for the concept of virtual review of patient imaging and records in the follow up period for fracture clinic and the support / guidance to facilitate redirection of patient care at that point. Differs slightly to the VFC model, but uses same principles. Really an extension of existing practice into follow up. 

What is your region?

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edited on Jul 13, 2020 by Kyle Beacham
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Sohail Yousaf May 14, 2020

Our experience is quite similar with triaging of fracture clinic follow up two days in advance.

The consultant of the week review all fracture clinic follow up and contact the patients for appropriate advice and guidance. This has allowed significant reduction of number of patients in fracture clinic areas and helped us to ensure patient safety by maintaining social distancing protocols during the pandemic

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Greta McLachlan Jun 12, 2020

Status labels added: Effective Team Working, Home Working / Remote Working, Integration Of Resources, Investment In Technology, Pathway Redesign, Patient Selection, Screening, Triage, Horizon 1

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Greta McLachlan Jun 12, 2020

The idea has been progressed to the next milestone.

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Kyle Beacham Jul 13, 2020

Status labels removed: Effective Team Working, Home Working / Remote Working, Integration Of Resources, Investment In Technology, Pathway Redesign, Patient Selection, Screening, Triage

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