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ACCESSING THE SERVICE FROM PRIMARY CARE The impact of direct access booking. Dr J A Gibson Consultant Gastroenterologist Mid Staffordshire NHS Trust . NHS A Patient Focused Service. DIRECT ACCESS BOOKING SYSTEM -

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Accessing the service from primary care the impact of direct access booking l.jpg
ACCESSING THE SERVICE FROM PRIMARY CARE The impact of direct access booking

Dr J A Gibson

Consultant Gastroenterologist

Mid Staffordshire NHS Trust


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NHS A Patient Focused Service

DIRECT ACCESS BOOKING SYSTEM -

PART OF THE NATIONAL BOOKED ADMISSIONS PROJECT


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AIMS

  • Consultants, GPs, Health Authority & IT working together to improve booking systems

  • Gives GPs a simple secure means of bookings patients directly on to operating lists during a consultation at the surgery

  • Allows patients to choose date & time of their investigation/operation and provides medical information at the time of booking


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  • Progress to Date

    • 1 995 DABS introduced to GPs

    • 1997 Open access Gastroscopy

    • 1998 Gastroscopy through DABS

    • 2000 Procedure available at second site

    • 2001 Demand for services increased

  • Booking increased

    • 2002 Increase in procedures offered


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Example of Current Process

HospitalReferral

ConsultantPrioritisation

Appointment Given

GP Consultation

ConsultantConsultation

Pre-op Assessment

Admission

TCI Letter

Waiting List

Anaesthetic Assessment

Discharge

Recovery

Operation


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Direct Booking

GP Consultation

Pre-op Assessment by GP

Admission

Anaesthetic Assessment(Streamlined)

Discharge

Operation

Recovery

Process for Direct Access


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DIRECT ACCESS BOOKING

  • The Patients view

  • The GPs view

  • The Hospitals view


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Patient views

  • popular as It speeds up the waiting time

  • Patient has choice of available dates/times/consultants whilst in Surgery

  • Reduces anxiety waiting for appointment

  • Patient can phone to change appointment once on the system


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GPs views - advantages

  • Like efficient complete service offered

  • Providing a patient centred service

  • Speeds up appointment process

  • Allows GP to control the waiting list


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GPs view - disadvantages

  • Patients are waiting longer for appointments

  • Question Sets too comprehensive

  • Time consuming by answering questions on line

  • Complex referral form

  • Duplication of paperwork

  • Simpler to send basic referral


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Hospital view

  • Reduction in number of incorrect referrals

  • Correct patient clinical information provided

  • Patients have information booklet about the procedure

  • Patient choice reduces the number of DNAs

  • Booked Admissions Officer provides Gastro Dept with theatre lists/patient referrals weekly


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  • The Future

    • Increase no of slots available on system

    • Compatible with all GP systems

    • Expand services for all open access referrals

    • Use of system for access to other services

    • Review the referral form/screen


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My Thanks to the Patient Access Team

Helen Perrin

Judith Williams

Katherine Aston



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New Booked Admissions Process

Hospitalreferral to Central

Admissions

ConsultantPrioritisation

Appointment date discussed

GP Consultation

Consultation and decision made

to treat

or

Nurse led pre-op assessment

Consultant to discuss date

Booking Clerk to discuss date

Operation or treatment

Discharge

Recovery


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INTRODUCTION AND PRESENTATION BY

DR JOHN GIBSON

CONSULTANT GASTROENTEROLOGIST


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