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Redesign of Adult Audiology Services at the Royal Liverpool Hospital

Redesign of Adult Audiology Services at the Royal Liverpool Hospital . Presented By Neil Turner Audiology Services Manager. Overview . Based in The Royal Liverpool Hospital Serve a catchment area of 350,000 15,000 patients per year Only one Satellite Clinic

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Redesign of Adult Audiology Services at the Royal Liverpool Hospital

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  1. Redesign of Adult Audiology Services at the Royal Liverpool Hospital Presented By Neil Turner Audiology Services Manager

  2. Overview • Based in The Royal Liverpool Hospital • Serve a catchment area of 350,000 • 15,000 patients per year • Only one Satellite Clinic • Began fitting Digital Hearing aids in 2003

  3. Staffing • 6 Full time Audiologists • 3 Part time Audiologists • 1 Hearing Therapist • 2 Assistant Audiology Practitioners • 3 A&C

  4. The Problem • Waiting list prior to modernisation • Over 1250 patients awaiting HA assessment or fitting by end of 2005 = 104 weeks • Reduced by 50% by end of 2006 • Mid 2007 = end of 2005 • Patient Council

  5. The Plan of Action • 18 weeks made simple • 6 weeks by the end of March 08 • 18 weeks by the end of 2008 • Make it sustainable

  6. Working Differently

  7. Audiology room capacity - 4 long days - 9 day rota • Appropriate appointment allocation • Group hearing aid instruction appointments • Patient assessed and fitted with a hearing aid on the same day • Overtime in the evenings and weekends • Planning Patient journey in logical order

  8. The Result • By the 31st March 2008 the 6 week target had been met • Patients given an appointment to have their hearing aid fitted within the remaining 12 week slot available to us • Regular group instruction appointments because patient feedback has been so positive • At no time was the quality of the service offered to the patients compromised or their dignity disrespected • A monthly progress report sent out to all the staff

  9. The patient council kept informed via regular meetings • The reduction in waiting times has allowed for regular staff meetings and training sessions. • Staff are eager to pursue self development and are encouraged to take on specific projects that will help to continue to improve the Audiology service that this Trust provides. • Closer links with Manchester University as staff can now coordinate and mentor BSc and MSc Audiology students as they come into the profession • Reduction in DNA’s • Working more closely with the Merseyside Society for Deaf People • Decrease in complaints • Team of the Year Finalist 2008

  10. The Impact Expansion of the Service

  11. Staffing • Review skill mix at every opportunity • Good working relationship with ENT • Wax removal on same day • Set up Audiology Bank in the Trust • Appointed times for ENT PTA’s

  12. Expansion • Hearing aid help group • Group Tinnitus information sessions • Adults with learning difficulties clinics • Advanced Diagnostic clinics

  13. SummaryWhy we succeeded!!

  14. Audiologists Patient's A&C Patient Council

  15. The Philosophy Tell me and I may forget Show me and I may remember Involve me and I will understand

  16. Thank You For Listening

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