Department of clinical neurophysiology glasgow
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Department of Clinical Neurophysiology Glasgow. The Waiting Times Challenge Anne Peden Professional Services Manager. Background. We provide a wide range of Neurophysiological investigations to a potential patient referral base of 2.7 million. Investigation performed include:

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Department of Clinical Neurophysiology Glasgow

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Department of clinical neurophysiology glasgow

Department of Clinical Neurophysiology Glasgow

The Waiting Times Challenge

Anne Peden

Professional Services Manager


Background

Background

  • We provide a wide range of Neurophysiological investigations to a potential patient referral base of 2.7 million.

  • Investigation performed include:

    Standard EEG

    Sleep Deprived EEG

    Short Video EEG

    EEG Monitoring including Intra-cranial recording

    Evoked Potentials

    EMG investigations, including Physiologist Led Nerve Conduction Studies


Staffing

Staffing

  • 3 Consultant Clinical Neurophysiologists.

  • 1 Locum Consultant.

  • 2 Specialist Registrars.

  • 10 WTE Clinical Physiologists (7 at SGH, 1 at WIG, 1 at GRI and 1 at SEC Bridge of Weir).

  • 4 Trainee Clinical Physiologists.

  • 1 Assistant Clinical Physiologist.

  • 4 Administrative staff.


Waiting times

Waiting Times

At Jan 10 waiting times:


Department of clinical neurophysiology glasgow

Why?


Due to

Due to:

  • Significant expansion of Orthopaedic and Neurology services in West of Scotland.

  • In 1999/2000: There were only two Consultant Clinical Neurophysiologists employed within the department.

  • Development also began of Specialised EEG Monitoring Services in Glasgow (including Intra-cranial recording).

  • 2008/2009: Despite having 3 Consultant Clinical Neurophysiologists, they were dealing with a growth of 300% in EMG referrals along with other clinical commitments.


What have we done

What have we done?

  • Look at skill base of staff.

  • Room utilisation: Where and when are labs free.

  • Appointment slots: Increased EEG and Ambulatory appointments to ensure that these waits remain manageable.

  • Re-organize EP clinics to set day/ times, to free-up space for additional NCS

  • From June 09 introduced Physiologist Led Clinics for Carpal Tunnel Syndrome.

  • Now have 4.5 Clinical Physiologists able to perform NCS (5 clinics per week).

  • 1 Physiologists assisting clinic for NCS.

  • Additional Locum Consultant appointed August 09


Outcome physiologist clinics

Outcome- Physiologist Clinics


What s next

What's next:

  • Waiting List Initiative Clinics for Consultant investigations, from March to May 2010.

  • Pooled EMG referrals, for Consultant led clinics (March 2010).

  • Common vetting for all EMG referrals.(Urgent, Routine and Phys)

    Up to 45% of all referrals suitable for phys clinics.

  • Increase number of Consultants from 3 to 5 by June 2010.

  • Increase number of Physiologist Clinics from 6 to 10 by June 2010, thereby freeing up consultant time to deal with complicated investigations.


Conclusion

Conclusion

Changes we have made have had a significant impact on waiting times and therefore improved the quality of service we provide to our patients.

We realise there is still a lot of work to do, but we are heading in the right direction!


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