Barnsley PCT

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Barnsley PCT

• Increasing Utilisation of Choose and Book

Rhona Collins Programme Manager Choice and Choose
Book Thursday 25th January 2007
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(No Transcript)
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Currant Position

• 39 practices live with CB
• 69 bookings for Jan at 14/01/07
• Direct Booking into local Provider
• Direct booking into all S Yorkshire providers
• All Specialities bookable
• CAS for Trauma and Orthopaedics
• PCT provider services bookable
• IBS booking into ISTC

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Capacity

• Provider - BHNFT
• All Routine and Urgent First OP released to
  choose and book
• Weekly
• validate
• Paper referrals
• Capacity released
• Daily
• Review slots released
• Retrieve release change type
• Urgent Referrals all released within BHNFT
• TWW Referrals Limited capacity released

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Capacity

• PCT
• PCT Monthly report from CB
• Capacity released slots released against new
  first appointment slots (booking rules) Slots
  utilised by GPs
• Working relationship with local provider

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Directory of Service

• Mapping of Clinics
• Services / specialism offered
• Clinical Engagement
• Consultant
• GP
• Refinement
• Clinicians View
• LHC
• SHA

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Meeting the 2 week wait Challenge
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Engagement

• Clinical Champion
• Local Cancer Management Team
• Engaging Clinical Leads individual / drop in
  session
• North Trent Cancer Network

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Booking

• Direct Booking Skin, Colorectal, Breast, Head and
  Neck, Haematology, Gynaecology, Upper GI
  dysphasia, and Urology
• Upper GI- Jaundice excluded within trial
• Process Redesign in secondary care
• Tracking system for cancer patients
• Co-ordinator role
• Receives referral
• Accepts as per protocol consultant review /
  assessment
• Monitor the effect on the cancer target

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Secondary Care

• DoS defined by 2ww specialty
• Process Redesign in secondary care
• Tracking system for cancer patients
• Co-ordinator role
• Receives referral
• Accepts as per protocol consultant review /
  assessment
• Monitor the effect on the cancer target

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Service Selection / Decision Trees

• Quality of Referrals
• Clinical Engagement
• EMIS LV templates

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GP / Practice

• Super user group
• Algorithm re process of booking
• Appointment to booked at the practice
• Information re changing appointment contact the
  providers 2ww office
• Referral template attached with the booking
• GP Pack
• Training and support

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Test Phase

• 5 GP practices only
• Refer into all tumour sites
• 6 weeks
• Fax referrals as backup through testing phase
• Review

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Pilot started 6th Dec 06 Bookings to date 53To
evaluate and plan roll out
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Whats next

• Roll out two week wait referral?
• Diagnostics
• Midwifes
• Mental Health
• Provider PCT services
• Tissue Viability
• Family Planning
• Diabetic Nurses

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Issues

• Capacity at other Providers
• Two week Cancer Network view
• Ongoing support required by practices
• Sustaining the position
• Instability following new releases
• Project team transition

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Any Questions?Contact DetailsRhona.Collins_at_
barnlseypct.nhs.uk