ELHT Evidence Hub
  • Home
  • Meet the Team
  • Library Facilities
  • Education, Research and Innovation
Picture

Connecting to you: Introduction of a Telephone Follow-Up Clinic for Orthopaedic patients undergoing steroid injection treatments.

27/7/2017

0 Comments

 
​Name
Barbara Earnshaw 

Role
Trainee Advanced Nurse Practitioner: Trauma & Orthopaedics 

Place of work
Fracture Clinic, East Lancashire Hospitals NHS Trust 

Background  
The CQC (2014) highlighted that Outpatient Services within East Lancashire Hospitals NHS Trust (ELHT) were not responsive to the needs of its population. The Trauma & Orthopaedic (T&O) Directorate within ELHT provides elective steroid injection treatments to an average of 1200 patients per year. These patients are followed up face-to-face with the Consultant in the Orthopaedic Outpatient Department.
 
As this procedure is minimally invasive, patients could be safely reviewed post-procedure via telephone consultation by an Advanced Practitioner (Wilson & Bickerdike, 2015; Department of Health [DH], 2010). Role substitution would enable the Consultant to focus on more complex patients whilst having a positive impact on clinical flow within the T&O Directorate.
 
Aim  
To revise the existing outpatient follow-up service for Orthopaedic patients who undergo elective steroid injection treatments by introducing a Telephone Follow-Up Clinic.
 
Methods
  • Kotter’s (1996) Eight Step Theory for Leading Change utilised to manage change
  • Elective Orthopaedic steroid injection treatment process analysed highlighting current gaps in service provision
  • Potential service improvements identified
  • The effectiveness of Advanced Practitioner telephone consultation and role substitution analysed.
  • Key Stakeholders and pilot group identified
  • Telephone Clinic set up and patient selection started
  • Telephone Clinics started
 
Evaluation
  • Donabedian’s (1966) Structure-Process-Outcome methodology utilised
  • Patient satisfaction – evaluated via questionnaire
  • Patient journey – analysis of physiotherapy capture, and discharge and re-attendance rates
  • ‘Failure to contact’ rates analysed –compared to ‘did not attend’ rates for face-to-face consultations
  • Consultant activity during the pilot period analysed.
 
Conclusion  
The introduction of the Telephone Follow-Up Clinic has made this service more responsive to patients’ needs whilst enhancing stakeholder engagement by offering alternative methods of contact. This intervention has had a positive impact on patient waiting times and Consultant activity.
 
Three key learning points  
1. Utilising alternative methods of patient contact ensures continuing patient participation in care
2. Communication and multidisciplinary team working are the cornerstones of excellent clinical practice
3. A robust support network is a necessity to facilitate successful navigation of the complexities of service provision
Picture
Click to view enlarged poster
0 Comments

    Archives

    June 2018
    May 2018
    July 2017

    Categories

    All
    BREAST
    ELDERLY MEDICINE
    EMERGENCY CARE
    END OF LIFE
    FOUNDATION DOCTORS
    GENERAL MEDICINE
    GYNAECOLOGY
    HEPATOLOGY
    ORTHOPAEDICS
    PAEDAITRICS
    PSYCHIATRY
    RESPIRATORY
    SURGERY
    UROLOGY

    RSS Feed

Learning Centre Library
Royal Blackburn Teaching Hospital
library.blackburn@elht.nhs.uk
01254 734312 or Ext 84312

​Find us

Staffed Opening Hours
Mon      08:30-16:30
Tue       08:30-16:30
Wed     08:30-16:30
Thu      08:30-16:30
Fri         08:30-16:00
Mackenzie Library
Burnley General Teaching Hospital
library.burnley@elht.nhs.uk
01282 803114 or Ext. 13114

Find us

Staffed Opening Hours
Mon      08:30-16:00
Tue       08:30-16:00
Wed     08:30-16:00
Thu       08:30-16:00
Fri         Unstaffed

FAQS
​Library Catalogue
Library @lerts
​Your Specialty or Professional Group
Membership Terms & Conditions
Privacy Policy
Our Performance
​Your Feedback
​Specialty Journals

Picture
Picture
24/7 access to the library is available - please see library staff
Picture
  • Home
  • Meet the Team
  • Library Facilities
  • Education, Research and Innovation