Cardiology Out Patients

1
Cardiology Out Patients
Richard Samson Modernisation Manager NHS Lothian
2
Drivers

• December 2007 Waiting Time Guarantee
• Inequity of Waits Across Lothian
• Recent Redesign of Cardiology Services

3
Approach (LEAN)

• Talk to Stakeholders
• Available Capacity / Demand
• Map the Service (Referral Clinic)
• Identify Opportunities
• Workout
• Action Plan
• Complete all Actions within 60 Days

4
Value Stream Map RIE Cardiology
Kaizen
Kaizen
Kaizen
Consultant Triage
2 Days - 2 Weeks
OPDS Secretaries
OPDS Secretaries
3-5 Days
GP
Health Records
3 Days
Kaizen
5 Days
Appointment Booked
Named Consultant
Internal External
Dear Doctor
Attend Clinic
26 WEEKS
5
Opportunities

• Single Point of Referral
• Equalisation of Waits Across Lothian
• Nurse Led Triage Review (Low Risk)
• Telephone
• Referral Criteria
• GP Direct Access to Diagnostics
• GP Advise Line

6
Your Views
7
2 Stations
Appointments
Clinic
20 Mins each station Report back
8
Appointments

• Would you be prepared to travel for a quicker
  appointment ?
• How far ?
• What parts of the process did you feel worked
  well?
• What parts of the process do you feel could be
  improved?
• Appointment-was it received in enough time?
• Was letter clear enough?
• Finding way to clinic-Parking? Signage?
• Anything else ?

9
Clinic

• Is it important to see the same Consultant new
  review ?
• Nurse led follow up
• Telephone follow up
• What parts of the process did you feel worked
  well?
• What parts of the process do you feel could be
  improved?
• Wait at clinic ?
• Was it what you expected ?
• Anything else ?