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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

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:

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
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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