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Lorenzo: A Clinicians Perspective. Neil Nevitt Podiatry Team Leader Liverpool PCT. Who we are?. Community Podiatry service Clinic based sessions Home visits Nail surgery High risk patients – diabetes, PVD, RA Biomechanics Self referral system – open to all residents of Liverpool

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Lorenzo a clinicians perspective l.jpg

Lorenzo: A Clinicians Perspective

Neil Nevitt

Podiatry Team Leader

Liverpool PCT


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Who we are?

  • Community Podiatry service

    • Clinic based sessions

    • Home visits

    • Nail surgery

    • High risk patients – diabetes, PVD, RA

    • Biomechanics

  • Self referral system – open to all residents of Liverpool

  • Currently- approx 500 clinic/ 180 dom sessions a month


Areas for improvement before lorenzo l.jpg

Accurate understanding of current patients vs total caseload

Improved booking and clinic management

Waiting list management

Scheduling system for home visits

Choice

Equity

Improved accuracy of demographic details

Areas for Improvement: Before Lorenzo


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Staff and rota management

Availability of Clinic sessions

Managing demand

Understanding productivity

DNAs

Identifying opportunities

As a Team Leader…


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What the Podiatry Service wanted to deliver?

  • Flexibility and choice to patients

  • An accessible, equitable service for all

  • A service that responded to patient need

  • Team that understands its achievements is run effectively.

  • A service with fewer patient complaints


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Then

Manual counts

Monthly tallies

Dependent on individual clinic staff

Reporting and Information Gathering

Now

  • Monthly reports

  • Information Team

  • Data quality programme

  • Citywide vs clinic view



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Every little helps!

  • Reviewing real time clinic management-know what kind of day the team are having- DNA’s, walk ins etc!

  • Rota and clinic set up

  • Letter production


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Clinical Coding: Snomed CT

  • North West Regional Podiatrist Dataset

  • Codes now available

  • Start to record clinical information

  • Diabetics, high risk, nail surgery, orthotics


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Liverpool PCT Podiatry Service

Recording Items for Podiatry Service on Lorenzo


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Next Steps

  • Sharing record with Dermatology services

  • Treatment room nurses

  • Compare and share outcome measures


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Summary

  • Taken 2 years

  • Information Team supporting DQ

  • Just starting to code

  • Looking forward to Summary Record


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Questions?

  • Contact Details:

    Neil Nevitt: 07795 370150

    Claire Jones: 0151 234 5093


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