News and Updates for todays Setting Up And Running Virtual Clinics
Virtual Clinics: Governance, Security and Technology
Mr Bibhas Roy, Consultant Orthopaedic Surgeon & Virtual Orthopaedic Clinic Lead 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.
Bibhas speaking at the conference said:
"your virtual services will work with what you already do
remote monitoring from the clinical service team
need to build in lots of different pathways
cash incentives and automated text messages were ineffective
interventions based on validated health behaviour models, care pathways and tailored coaching were the most successful less controversial
mixed results in terms of the effectiveness of RPM on its own
The process of healthcare- technology alone is not useful, new care plans are required. Define populations likely to improve. Behaviour change is required.
Benefits of synchronous vc- distribution of expertise irrespective of geography, less physical space/building requirements. Can be compliant with necessary regulatory requirements"
Virtual Clinics: Redesigning the Patient Pathway
Dr Olwen Williams, OBE, Consultant in Genito-urinary Medicine, Betsi Cadwaladr University Health Board, Clinical Lead, RCP’s Future Hospital Development Site Project President, British Association for Sexual Health and HIV
As a Consultant leading Sexual Health & HIV services in North Wales over past 27 years , I have been passionate about improving services for women especially those who experience sexual violence , child sexual exploitation –set up Amethyst SARC along with Sexual Health and HIV Services. I am currently President British Association of Sexual Health and HIV and member of RCP London Council. As Chief of Staff (2009-15) I was responsible for leading on virtual clinic project C@rtref , a Royal College of Physicians Future Hospital development site. I have a continued interest in health technology.
Olwen said at the conference this afternoon:
"Aims of C@rtref
• Reduce numbers of specialist opd consultations
• Proof of concept re: telemedicine acceptability in older people
• Care closer to home- reducing travel time of both patients and staff
Secondary aim: Reduce carbon footprint
Regular patient and staff satisfaction surveys were carried out- change process and felt it important to place a wellbeing programme in too
Return investment- saving £146 per consultation- 50% discharged
Consultant reduced travel time by 1.5 hours per clinics and mileage by 80 per clinic- this equates to a £1,411 saving per annum based on travel expenses being numerated at 42p/mile- still costs doctors time- typing, notes, letters
this has been enlightening experience for staff and has driven change
Patient satisfaction- positive feedback
However, as patient were selected and self-selected for c@rtref this may have led to some bias outcomes"
Full PowerPoint Presentation
Developing National Standards for Virtual Clinics
Dr Tim Yates, National Medical Director’s Clinical Fellow, NHS Digital, Neurology Registrar & CMIO, Royal Free London NHS Foundation Trust
After qualifying with distinction from Cambridge, Tim trained at Addenbrooke’s and then in London at University College Hospital, with higher clinical and academic training in neurology at Queen Square and the Royal Free. His clinical interests are in neuroinflammation, human factors and health informatics.
As National Medical Director's Clinical Fellow at NHS Digital, he was Clinical Lead and Clinical Safety Officer for the NHSmail Programme. This involved working on one of the world's largest email systems and deploying an implementation of Skype for Business safely across the NHS. He currently spends two days a week alongside his clinical training as Chief Medical Information Officer at the Royal Free London NHS Foundation Trust.
"Virtual consultations depend on safe triage, and unlikely to be suitable for- will only do after meeting for 1 time
Some purposes already been identified in regulatory and other guidance as being unsuitable for virtual consultations
Maintaining high quality care- virtual consultants are different
Record keeping- what to keep- keep everything and place in the patients record"
Full PowerPoint Presentation
Also of Interest
Hip Replacement: Reducing Length of Stay & Improving Outcomes
Developing your Daycase General Surgery Service
Virtual Reality & Simulation in Healthcare Summit 2019
Effective Operating Theatres Summit: Improving Quality, Safety, Productivity and Patient Experience
29 March 2019