Sharon Thinn Highly Specialised Physiologist

1. ChChChChangesDavid Bowie 1976OrWe have the powerThe Source- 8o’sMichele ThorpeHead of Neurophysiology Lothian Supra Regional Service Sharon Thinn Highly Specialised Physiologist

2. Areas covered by the Supra Regional Clinical Neurophysiology Service

3. Physiologist led NCV Service Challenges November 2008 • Waiting time of 45 weeks • Unbooked clinic slots totalling 21% • 15% DNA rate • 15% CNA rate (left unfilled) • Report turnaround time up to 13 days • No patient choice

4. Referral received OP appt Nerve conduction Follow-up appt Surgery 45-51 wks 6-18 wks 9-15 wks Carpal Tunnel Pathway 2-15 wks Total pathway 62 to 99 weeks max

5. What we did • Waiting list validation • Changes to booking Investigations • Introduction of Trak • Patient choice through PFB • Update patient information leaflets • Ongoing Pilots of physiologist reporting • Regular monitoring of impact of changes

6. Outcomes • Waiting time down to 4-5 weeks • DNA down to 4% in January • Attendance rate increased • Up to date patient information

7. Next steps • Audit • Validation of Physiologist Reporting • E referrals • Reports available on TRAK