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Transforming Outpatient Services

News and presentations for today's Outpatients conference.

Transforming Outpatient Services
Mr John Hadley
 Clinical Lead for Outpatients Getting it Right First Time Programme (GIRFT) & Consultant ENT Surgeon Ashford St Peter’s NHS Foundation Trust

Chair Mr John Hadley has been a consultant ENT surgeon at Ashford St Peter’s NHS Foundation Trust and the Royal Surrey County Hospital for 20 years. He is a Fellow of the Royal College of Surgeons of England in both General Surgery and ENT Surgery. He has special interests in nasal surgery including endoscopic sinus surgery and balloon sinuplasty, rhinoplasty, benign head and neck conditions and facial plastics. He has also held senior managerial and leadership roles, and has led a number of service changes including implementation of a new MSK service. He also possesses a law degree, MBA and Expert Witness Diploma. He is currently the National Lead for Outpatients for the Getting It Right First Time (GIRFT) program. He has worked with NHSi and Deloittes, NHSBenchmarking, and KPMG on Outpatient transformation projects.

John, speaking at the conference this morning said:
"GP practices and hospital outpatients currently provide 400 million face to face appointments each year"
"Getting It Right First Time is a national programme designed to improve the quality of care within the NHS by reducing unwarranted variations"
"By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings".

Full PowerPoint presentation

Improving outpatients: changing culture and improving patient safety
Dr Umesh Prabhu 
Consultant Paediatrician, Medical Director for more than 15 years Medical Adviser for International Recruitment
Pre-event abstract
NHS is a great Institution and each year 360 million patients are seen by 1.3 Million staff. However, NHS traditional way of treating patient will not sustain NHS for a long time. Cost is increasing, more and more elderly patients are seen with multiple co-morbidities who are struggling to travel to hospital for out-patient appointment.
Out-patients activity accounts for 85% of total hospital activity and in causes lot of inconvenience to patients and their families. 1 in 4 patients do not turn up to their appointment and there are complex reasons for this and lot of money and time is wasted.
Technology is increasing and there are many other ways of providing out-patient care to patients. This will improve the quality of service, reduce cost and patients get much better service closer to their home.
Royal College of Physician’s report gives lot of examples of transformation of such services and in my presentation, I will give examples of transformation of out-patient services.

Umesh talked about leadership and transformation:
"All changes begin with us, transformation means change" 
"A leader sets himself or herself a very high standard of behaviour and quality of work"
"The standard you walk past is the standard you accept"

Delivering alternatives to face to face consultation: Setting up and running Virtual Outpatient Clinics
Mr Bibhas Roy
 Clinical Lead for Elective Services & Consultant Orthopaedic Surgeon Central Manchester University Hospitals NHS Foundation Trust
Bibhas Roy is a specialist shoulder and elbow surgeon In Manchester. He works in Trafford Hospital, Central Manchester Foundation Trust. He also takes part in the general orthopaedic on call and operates on general trauma conditions. His special clinical interest in Tennis Elbow (lateral elbow pain) and has experience in arthroscopic treatment of the condition. Complex rotator cuff surgery is another special interest.
Most of Bibhas’ work is also performed as day surgery. This means quicker return to work and usual activities for his patients.