Patient Choice

1
Patient Choice
Jean Perry Commissioning Manager Lydia Woodward
Project Manager
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The Evolution of Booking

• Waiting times
• Choice of provider
• Choice of appointment
• NHS modernisation agenda

3
The way we were

• Patient sees GP
• GP refers to consultant
• Hospital sends appointment to patient
• Long Waits no negotiation of appointment

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Evolution to include more patient choice

• Partial booking process for all MPCT outpatient
  clinics introduced 2002
• Centralisation of MPCT outpatient booking 2003
• Introduction of private provider capacity for
  Orthopaedics (July 03)
• Choice for patients on surgical waiting lists
  (Since Jan 2001 over 1700 patients accepted
  choice offer and moved for shorter wait)

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Benefits from Choice

• Smaller waiting lists from over 2,500 patients
  to 1,450 for elective surgery
• Same is true for outpatients
• Shorter waiting times. From 15 months and 26
  weeks to 6 months and 13 weeks

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Lessons learnt

• Patients more likely to attend if appointments
  are negotiated
• Clinics more effectively utilised if booking
  centralised
• Offering choice for patients already on surgical
  waiting lists has 2 main drawbacks
• 2 outpatient consultations needed
• Lack of clarity if consultants at 2 providers
  dont agree

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Choice at Point of Referral

• More efficient
• Only one outpatient appointment
• Clarity of consultant opinion
• Patient negotiated time/place of appointment
• Choose and Book system designed to streamline
  process

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Choose and Book System

• Patient sees GP
• GP decides to refer to consultant
• GP considers and discusses with patient options
  of where is clinically appropriate
• Patient contacts Booking Management Service to
  discuss selected options, considering wait times,
  location/logistics
• Patient agrees convenient appointment

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Department of Health monitoring of Choose and Book

• Strategic Health Authority ranking
• Primary Care Trust ranking
• GP sign up to discussing choice with patients
• Targets set for practices and PCTs

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Mendip PCT trend line
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Mendip Practices performance in Choose and Book
5 days to 23.5.06
5 days to 14.6.06