Community Gynaecology Service (CGS)
NNPC, as part of the National Elective Care Recovery (ECR) programme, were commissioned by Norfolk and Waveney ICB (NWICB) to provide a Pilot Community Gynaecology Service (CGS), having already completed the same support for the Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) from the 1 st to 15 th March 2022. The primary aim of both services was to support the Trusts in recovering compliance with Referral to Treatment (RTT) times by giving the longest waiting patients the choice to be in the CGS. Appropriate patients were identified from the gynaecology list for Heavy Menstrual Bleeding and general gynaecology. The key value for the services was that patients attending the CGS would not be disadvantaged should their care need to be returned to the Acute Trust and they would revert to the correct place on any other waiting list (e.g., for a procedure/surgery). The service for JPUH was Consultant-delivered and based at the Shrublands Health Centre in Gorleston. It ran for 18 days between 24th August and 29th September 2022 and was staffed with a Locum Consultant in Obstetrics and Gynaecology, supported by a Nurse with experience in gynaecology. The service saw a total 293 patient referrals being provided to NNPC. Of those, 246 patients had appointments booked, 191 patients attended, and 55 appointment slots were lost due to patients not attending (DNA & CNA). 47 patients confirmed they no longer needed an appointment. A limited variety of procedures were available in clinic, e.g., biopsies, smear tests, Mirena coil fittings, with more specialist diagnostics or procedures being available at JPUH. Of the 191 patients attending the clinic: • 86 patients were discharged back to the GP (some with treatment or prescription or treatment recommendations) • 57 patients had their care returned to JPUH for further acute care. • 47 patients were awaiting test results. • 1 patient was upgraded to a cancer pathway 2 week wait for biopsy and ultrasound.
It is anticipated that there will be further work in this area looking into the 2023/24 period.
Dermatology Referral Triage
The NNUH provided NNPC with 140 suitable patients for dermatology referral triage, as part of referral management for those patients waiting for more than 72 weeks. NNPC carried out referral triage by patient consultation with an aim to assess the patients skin lesions or rash, then treat, discharge or refer back to NNUH, where required.
NNPC Quality Account 2022/23
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