Somerset-wide urology

1
Somerset-wide urology

• Initial scoping project for flexible health care

2
The Team

• Core members
• Tim Porter/Andrea Cannon
• Steve Thole
• A GP
• A patient
• Extended Team
• All Somerset Urologists
• Clinical Nurse Specialists inc Continence Team
• Nurses at Community hospitals (Pam North)

3
Initial Scoping

• What exists already?
• What can be done closer to home?
• How is work referred, where is it performed?
• What solutions possible in short, medium, long
  term?
• Donals challenge

4
Somerset PCT Referrals Flexi-cystoscopy
Jan08-Jan09
5
Somerset PCT Referrals New Outpatients
Jan08-Jan09
6
Somerset PCT Referrals Follow-up Outpatients
Jan08-Jan09
7
Somerset PCT referrals to YDH New Outpatients
Jan08-Jan09
8
Somerset PCT referrals to YDH Follow-up
Outpatients
Jan08-Jan09
9
MPH haematuria
PCT_Name em_el_dc Minehead Musgrove
Out of County Daycase 5 108
Out of County Elect   1
Out of County Emerg   2
Out of County Total 5 111
Mendip PCT Daycase   154
Mendip PCT Elect   8
Mendip PCT Total 0 162
Somerset Coast PCT Daycase 104 446
Somerset Coast PCT Elect   16
Somerset Coast PCT Emerg   1
Somerset Coast PCT Total 104 463
South Somerset PCT Daycase   203
South Somerset PCT Elect   9
South Somerset PCT Emerg   1
South Somerset PCT Total 0 213
Taunton Deane PCT Daycase 4 525
Taunton Deane PCT Elect   14
Taunton Deane PCT Emerg   3
Taunton Deane PCT Total 4 542
TOTAL   113 1491
10
Stage 1 Proposal

• Develop fortnightly clinics at community
  hospitals
• Pair hospitals (eg Crewkerne/Chard)
• All day consultant delivered clinic
• 2 parallel clinics- CNS, drop in clinic
• Flows, haematuria,

11
Challenges

• Radiology training
• Practices used to referring elsewhere
• Staffing/job planning/Access
• Choose and Book

12
Next steps

• Patient acceptability and feedback embedded
• Notes project
• GP integration
• Proposal funding

13
CREDIBILITY