What could be improved a) Any future CGS would comprise a direct pathway from Primary Care which would mitigate some of the difficulties faced by the Pilot service but, for completeness, the following items should be noted: i. Manual processes pose many risks e.g., potential data breaches, uncertainty as to whether a sent email has been received etc. Any future service will benefit from all administrative processes being automated wherever possible ii. Administrative processes split across more than one team always create additional work and increase the risk of errors iii. The process to identify and contact patients who could be appropriately seen in the CGS was more complex than had been though at first, hence there was a delay in getting referral information across to NNPC. It is probable that more patients would have been seen if appointments could have been booked earlier. Dermatology Carried out in January 2022 with NNPC in collaboration with the Univ ersity of East Anglia’s medical school, the service evaluation of the dermatology service highlighted that: • 67% of completed dialogues have resulted in the patient being retained in primary care rather than becoming additions to wait lists for secondary care. • Median elapsed time from dialogue initiation to decision was under 9 hours; more than 90% of dialogue outcomes were decided within 36 hours. • 20% of cases were transferred to the two-week cancer pathway. • With regard to wait list growth for secondary dermatology care, Norfolk and Waveney ICS is performing comparably to all-rest-England and a local comparator area (Lincolnshire CCGs). • Referrer feedback is overwhelmingly positive. Clinician feedback on resulting educational activity is overwhelmingly positive. • Patient feedback is limited but has been positive (as of October 2021). • Identification of most commonly asked clinical questions and cases and delivered learning outcome-based education to primary care work force which was highly positively received. GPFD at James Paget University Hospital NHS Trust (JPUH) & The Queen Elizabeth Hospital NHS Trust (QEH) Performance The GPFD service at JPUH commenced on 22.09.2021, and by 31.03.2022 had streamed 17,531 patients and seen a total of 5, 560 patients in a total of 2, 228 hours of service delivery. This equates to an average of 32% of all patients who were streamed were seen at GPFD, based on a 12 hour per day service delivery. The GPFD service at QEH commenced on 04.01.2022 and by 31.03.2022 has streamed 8, 033 patients and had seen a total of 2, 050 patients in a total of 1 011 hours of service delivery. This equates to an average of 25.5% of all patients who were streamed were seen at GPFD, based on a 12 hour per day service delivery. The data accumulated for both GPFD services from inception to current time will form a basis for full-service evaluation, research paper opportunities, and service development. It is anticipated that as both services develop over time that the service performances will only increase.
NNPC Quality Account 2021/22
19|Page
Made with FlippingBook - Online Brochure Maker