NHS England’s Elective Care Transformation Programme exists to help manage rising patient demand as efficiently as possible. The Programme tests innovations very quickly over a period of 100 days to see if they work. If they do, great! If they don’t, they “fail fast”, meaning endless budget isn’t swallowed (this is a well known approach borrowed from Silicon Valley, USA) . Successful innovations that work in practice are included in the Programme’s handbook.
We’re very pleased that our project in Somerset has been featured in the Programme’s Gastroenterology Elective Care Handbook & Case Studies.
Somerset Gastroenterology Elective Care 100-day Challenge
Somerset’s specialist Gastroenterology Team reported that they were seeing a number of people who, with the right support, could have been managed in primary care instead.
The team wanted a service that could be used by GPs to access rapid telephone advice from a specialist, in order to reduce inappropriate referrals and manage patients more effectively in primary care. Consultant Connect was already used in 71 GP practices in Somerset for advice in other specialties, so the Gastroenterology Team decided Consultant Connect would be the best option.
Making it work:
A Gastroenterology consultant and business manager developed a rota to ensure there was always a specialist available to answer calls during working hours. The rota consisted of four Gastroenterology Consultants at Yeovil District Hospital.
Delivery & Results:
The team identified that GP uptake was key to the success of this intervention; the pathway was emailed to all GP practices via a CCG bulletin.
Consultant Connect went live on 3 April 2017 and as of 3 July, 13 calls had been made to the service:
- The average call wait was 52 seconds
- The average call duration was 4 minutes and 23 seconds
As of day 100, 13 calls from GPs had been received, with a referral avoided of 54% of calls.
For more information about this project, email firstname.lastname@example.org or call us on 01865 261467.