1. Transforming Outpatient Services
Primary drivers
Change concepts
Aim
All people are seen in the right place, at the right time, by the right person.
Initial Measures
Decrease new appointments by 10%
Decrease return:new ratio, achieve Scotland upper quartile follow up
Decrease DNAs to 4%
People attend OP clinics as last resort
(Reduced return:new)
(Reduced unwarranted first appointments)
(Improved referral outcome)
Adopt Advice Only, clinical dialogue and referral feedback response
Standardise multidisciplinary triage approaches including centralised and etriage
Clinic resources are fully utilised
(Reduced DNAs)
(Reduced clinic cancellations)
Reduce DNAs by utilising reminder systems
Adopt direct access to imaging for knees through Orthopaedics, Radiology and GP redesign
More people are assessed at home or in the community
(Reduced variation in referral and return)
(Reduced waits)
(Increased self management)
Roll out direct access to community physiotherapy (knee and lower back), and consider use of NHS24 capacity
Enabling Our 2020 Vision
Invention and innovation – including embedding use of technology
Leadership and clinical behaviour change
Use of data and measurement
Knowledge into action
Improving flow and capacity management
April 2013