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Learn about the transformation of a Neurophysiology Service in 2008, addressing long waiting times, patient choices, and improved outcomes through strategic changes and thorough monitoring.
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ChChChChangesDavid Bowie 1976OrWe have the powerThe Source- 8o’sMichele ThorpeHead of Neurophysiology Lothian Supra Regional Service Sharon Thinn Highly Specialised Physiologist
Areas covered by the Supra Regional Clinical Neurophysiology Service
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
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
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
Outcomes • Waiting time down to 4-5 weeks • DNA down to 4% in January • Attendance rate increased • Up to date patient information
Next steps • Audit • Validation of Physiologist Reporting • E referrals • Reports available on TRAK