1. Outpatients

2. Outpatient Services Homerton 2016/17
272,714 hospital outpatient attendances
Main Outpatients (OPD 1,2 and 3)
Sir Ludwig Guttmann (SLG) at Stratford
Antenatal clinic & Women’s OPD
Bryning
Fertility Centre
Starlight Children’s Outpatients

3. Community Sites Community Outpatient Sites:
Hackney Ark – centre for children
with disabilities
St Leonards
John Scott, Lower Clapton, Fountayne Road
Health Centres
Kenworthy Road

4. Main Outpatients Main Outpatient Department (OPD 1,2 & 3 )
56 clinic rooms
600+ patients daily
OPD support services–117 staff
Outpatient nursing team
Reception teams
Healthcare Records & Clinic support
Central Bookings team

5. The Patient's View
Friends and Family Message to matron Complaints PALS Compliments Listening to patients Coffee mornings

6. The Patient's View
August Coffee Morning – focus on privacy and dignity Spoke to 108 patients

7. The Patients View – feeding back

8. Improving services We have introduced….
A dedicated phlebotomy for Outpatients
A physio clinic for patient attending the fracture clinic
A daily morning tea and coffee trolley
A mini library
New signage on consulting room doors to
ensure patients’ dignity while in consultation
New queue lay out to reduce wait and
fast tracking patients ( check-in & check-out)

9. Transformational Changes – Electronic Referrals Service
NHS e-Referral Service
On-Line booking
Back up national telephone line
Choice of available appointments
Booked at your GP or at home later

10. Transformational Changes – arriving for your appointment
Upgrading our patient administration system
Fewer clicks, more time to smile…
Making booking follow-up appointments quicker
Implementing Kiosks
Streamlining check-in
Reducing queues at reception

11. Transformational Changes – during your appointment
Image archive – contains link to all images that your clinician may need – ultrasounds, cardiology tests, scope images and more. Electronic Patient Record - clinicians will document directly into the computer system, information is always there in the future.

12. Transformational Changes – Writing a Clinic letter
Doctors using a ‘voice recognition’ solution
Specialist medical version of commonly used software
Protected and secure
Removes the need for letters to go in to a queue to be typed
Letters turned around on the
same day

13. Thank you for listening
Any Questions?

14. Transformation 4 schemes Outpatients and transcription
Community productivity and estate
Medical productivity
Surgical productivity
Total savings per annum by 2018/19 of £2.6m

15. Community productivity and estate
Project aims to improve productivity and patient experience through the introduction of new technology and ways of working.
Key improvements include
Community staff are able to access patient records in real time through the use of mobile technology which supports better decision making and care planning.
Mobile working means we require less community office space leading to rent savings.
Reduced staff admin and travel time results in increased time for patient appointments.

16. Medical Productivity
Project aims to improve bed utilisation through reducing length of stay and improving the flow of patients through the hospital.
Key improvements include
Patient review meetings on all wards each morning.
Rescheduling of all ward rounds to take place in the morning.
Introduction of ward based discharge planners and a weekend discharge team.
Introduction of an ambulatory care unit for patients needing medical care but not inpatient admission.

17. Surgical Productivity
The project aims improve productivity and flow across the whole surgical pathway so resources are used as efficiently as possible and patients have a consistent high quality experience. Current initiatives include
Key improvements include:
Increasing the length of the afternoon theatre sessions so all sessions are consistent in length.
Reducing DNAs through improved patient booking and reminder processes.
More intelligent patient booking to ensure maximum utilisation of theatre time.
Improved access and streamlining of pre-op assessment.
Continued development of enhanced recovery to help people recover more quickly after surgery.

18. Any Questions?