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S hropshire Phlebotomy Service Reconfiguration Project Helen Harvey

S hropshire Phlebotomy Service Reconfiguration Project Helen Harvey. Mission: To improve patient access to phlebotomy services Vision: To provide the right care, in the right place, at the right time, delivered by the right people. Background

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S hropshire Phlebotomy Service Reconfiguration Project Helen Harvey

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  1. Shropshire Phlebotomy Service Reconfiguration ProjectHelen Harvey Mission: To improve patient access to phlebotomy services Vision: To provide the right care, in the right place, at the right time, delivered by the right people • Background • In 2009/10 14,000 primary care patients travelled to the hospital site to access a phlebotomy service. • Demand is growing, putting the current drop-in service under severe pressure. • There is no current Service Level Agreement (SLA) between the Trust and Shropshire County PCT for this service. • Begin with the End in Mind • Create a innovative community based service for all GP patients requiring blood tests (hub & spoke model). • Ensure the service is provided by the Trusts phlebotomists, to maintain the quality of the service for the benefit of patients and reduce error rates. • Improve service productivity, by moving to an appointment system, thereby smoothing workflow. • Negotiate a new SLA agreement between the Trust and PCT, to reduce the level of Trust resources currently allocated to supporting this service for benefit of primary care patients. • Relocate the phlebotomy out-patients department, closer to out-patient clinics. • Achievements to Date • Seek First to Understand: we conducted a series of surveys, inviting patients, staff, service users and GP’s to tell us what was important to them. • And then be understood: we went out to talk to GP consortia, sharing our vision for the future of the service and asking them for feedback on our proposals. We also shared our vision with the phlebotomy team and have held regular briefings to keep them informed. • Think win/win: we have opened SLA negotiations with the PCT. They are also keen to move the service into General Practice and agree with the idea of introducing an appointment system (CAB). • Why it matters • Move care closer to home: Patients will be able to access a phlebotomy service in their local area. • The appointment system will reduce waiting times for patients and smooth workflow. • The new SLA will mean that the Trust can re-direct some of its funds to improve in-patients services on the wards, by introducing a second daily ward round and introducing an on-call phlebotomist for urgent bloods. This will reduce pressures on other healthcare staff (medics & nurses. • Relocating the phlebotomy department will mean that patients won’t have to walk from one end of the hospital to the other. • The vacated area will be redeveloped to enabling the centralisation of Pathology. Acknowledgements: Thanks to the Project Team: Alison Fowles (Phlebotomy Manager), Sarah Faulkner (Business Assistant), Hannah Roy (Patient and Public Engagement Manager), Alison Jones (GP Liaison Manager), Shaun Taylor (Contracting) and Dianne Lloyd (SDU Manager)

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