Doing Things Differently

1
Doing Things Differently

• Referral Management Centre
• Tracey Porter
• RMC Manager
• Chris Absi
• Commissioning Manager

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Strategic Drivers

• Designed For Life
• Designed to Care
• Health, Social Care and Wellbeing
• Estate Strategy
• Strategic Change Efficiency Plans

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Referral Management
AIM Match demand with clinical capacity to
benefit patients across the Healthcare Community
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What is a Referral Management Centre?

• A system to support and inform GPs in making
  informed referral decisions with patients
• PLUS
• An information tool for the LHB/ Trust to advise
  the commissioning process and the development of
  new services to the local community

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Summary- What an RMC Offers

• Provides best Choice for patients
• Allows the LHB to make more informed
  commissioning decisions
• Can start to track patients through the system.
• Activity manages change

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Referral Management Centre
Waiting times from specialised care
LHB/Trust Information Monitoring
referral Process, forecasting Capacity,
and Developing new services
RMC advises GPs on current choice, waits,
referral patterns and comparison
Patient /GP make choice of referral
Referral added to RMC database
Patient attends GP
Referral sent to RMC
Long Wait Safety Net Liaise with Practices when
there Is potential to Lessen wait for Patients
by Providing other options
Referral sent to specialised provider
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Findings 6 weeks into RMC

• 100 Compliance by GPs
• Private Referrals - awareness
• Direct Route into Trust (not travelling through
  various departments)
• Enables specialised reporting on
• Speciality /Provider
• Patient/ Referrer
• Symptom/Diagnosis as per Referral letter
• Quality of referral data analyse/educate

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Referral Information

• 3000 Referrals received first 6 weeks
• Highest specialty referral is Trauma
  Orthopaedic
• Referrals sent outside the NHS (Private Sector)
• Communication and dialogue significantly improved
  between Stakeholders to enable Patient Referral
  Pathway.

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Volume to Date Reduction of 690 gt 4 months
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Commissioning/Service Planning

• Breast
• Gynaecology
• Ophthalmology
• Dermatology
• Musculoskeletal
• Diabetes
• GP development sessions
• Links to Informing Healthcare/CV Clinical Portal
  and Trust Data Warehouse

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Trauma Orthopaedic Referral Type
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Glaucoma Pathway

• Way Forward
• Implement refined initial assessment from
• Barry Hospital undertaken by Optometrists
• All Follow ups to be seen by optometrists locally
  with direct links to Barry service
• To Ensure
• Appropriate Secondary care referrals
• Reduced demand
• More quality time to assess complex cases
• Improved communications/quality of patient care
• Multidisciplinary team working across
  Primary/Secondary Care
• Further Change
• Children squint/refractions
• Direct school nurse referrals
• Optometrists working with Broad street
• team

• 70 of referrals from Optometrists
• 2 population will develop Glaucoma
• 80 of on average are false positive readings
• Follow up 6 monthly

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Interim Optometry SurveyMr Ted
ArbuthnotOptometrist

• 128 referred to Ophthalmology in Sept/Oct 05
• 57 Appropriate to Secondary care
• 71 Appropriate to Optometry screening
• All school nurse referrals via Optometrist
  initially

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The Way Forward

• Diagnostics
• Mental Health
• Clinical Pathways
• Optometry Referrals direct to RMC
• Improved local delivery of local clinical
  services
• Doing things Differently

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Vale of Glamorgan LHB

• Thank you for your time.