1. NHS | Presentation to Clinical Networks | 22/10/20131 Break

2. Risk Stratified Pathway for PSA follow up Matthew Perry MD BSc FRCS Consultant Urological Surgeon St George’s Hospital, London

3. St George’s Experience High level of involvement Clinical champion eg Consultant Patient involvement IT lead for Trust Pathology technical lead for trust Funding (£6K) Project Lead

4. Drivers for change Increasing clinic workload Cancer surveys indicating poor quality service Expense Desire for Local PCTs to withdraw patients Inability to get PCTs to look after patients Desire to look at new ways of working

5. TrackerEPR PSA form Patient letter GP letter Infoflex at MDT Activate Patient Pathology lab

6. St George’s Experience – PSA Tracker Patient added to MDT meeting via Infoflex Automatically added to Tracker system via Infoflex Patient “activated” following clinical discussion and consent PSA test form given Notices set up, PSA time and value (Alerts) Weekly review of database for alerts/replies Letters/telephone calls activated.

7. St George’s Experience – Pitfalls Weekly virtual clinics Remuneration Pathology laboratory Clinical champion Bedding in to BAU IT troubleshooting

14. Currently: 84 Patients on Tracker Assume 2 appointments per year 168 appointments at 15 mins each 14 whole clinics, ⅓ of my annual clinic load >200 patients have been through the tracker system