Transforming Outpatient Services

1
Transforming Outpatient Services
Primary drivers
Change concepts

• Aim
• All people are seen in the right place, at the
  right time, by the right person.
• Initial Measures
• Decrease new appointments by 10
• Decrease returnnew ratio, achieve Scotland upper
  quartile follow up
• Decrease DNAs to 4

People attend OP clinics as last resort (Reduced
returnnew) (Reduced unwarranted first
appointments) (Improved referral outcome)
Adopt Advice Only, clinical dialogue and referral
feedback response
Standardise multidisciplinary triage approaches
including centralised and etriage
Clinic resources are fully utilised (Reduced
DNAs) (Reduced clinic cancellations)
Reduce DNAs by utilising reminder systems
Adopt direct access to imaging for knees through
Orthopaedics, Radiology and GP redesign
More people are assessed at home or in the
community (Reduced variation in referral and
return) (Reduced waits) (Increased self
management)
Roll out direct access to community physiotherapy
(knee and lower back), and consider use of NHS24
capacity
Enabling Our 2020 Vision Invention and
innovation including embedding use of
technology Leadership and clinical behaviour
change Use of data and measurement Knowledge
into action Improving flow and capacity
management
April 2013