![Mark Sindall, NHS Dumfries and Galloway [PDF - 227Kb] - 18 Weeks](https://img.yumpu.com/30080335/1/500x640/mark-sindall-nhs-dumfries-and-galloway-pdf-227kb-18-weeks.jpg)
Mark Sindall, NHS Dumfries and Galloway [PDF - 227Kb] - 18 Weeks
Mark Sindall, NHS Dumfries and Galloway [PDF - 227Kb] - 18 Weeks
Mark Sindall, NHS Dumfries and Galloway [PDF - 227Kb] - 18 Weeks
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Delivering <strong>18</strong> <strong>Weeks</strong> Referral to<br />
Treatment St<strong>and</strong>ard<br />
- DGRI Neurology Improvements<br />
<strong>Mark</strong> <strong>Sindall</strong><br />
<strong>18</strong> Week Project Officer
<strong>Dumfries</strong> & <strong>Galloway</strong><br />
• Mainly rural with<br />
population clusters<br />
around small towns<br />
• 110 miles from East to<br />
west<br />
• 40 miles North to South<br />
• Population: 148,500<br />
• District General Hospital<br />
in <strong>Dumfries</strong><br />
• 35 GP practices
Neurology Service<br />
• Acute service based in <strong>Dumfries</strong><br />
• 1 Consultant Neurologist<br />
• 1 Consultant Elderly Medicine (Movement<br />
disorders/PD)<br />
• 1 Specialist nurse for MS (Inc Community Nurse -<br />
Physical Disabilities)<br />
• 1 Specialist nurse for PD<br />
• Link with West of Scotl<strong>and</strong> specialist nurse for MND<br />
• GP services
Referral Mgt – SCI Gateway<br />
• RMS roll out – online e -triage<br />
• Removal ‘soon’ category<br />
• Created clinical category menu – capacity<br />
planning<br />
• Patient focussed booking– 360 “agent calls”<br />
• SCI protocol – 1 st seizures
Telephone Advice<br />
• GP request for telephone advice<br />
• Pilot – SCI template (advice only)/direct<br />
access consultant<br />
• Agreed advice line formalised via secretary.<br />
• Audit - Nov – Mar 2010 (24 patients)<br />
‣14 advice only – 10 referred for an appt<br />
• Awaiting upgrade for SCI referral advice
Clinical Outcomes<br />
• Targeted all specialities Jan 2010<br />
• Small group met with clinicians/admin staff<br />
• Agreed clinical outcome sheet<br />
• Launched with neurology Feb 2010<br />
• To date <strong>18</strong> week RTT clinical outcomes 95%<br />
• To date neurology RTT outcomes 87%<br />
• Consultant RTT outcomes 99%<br />
• Ongoing work to underst<strong>and</strong> missing<br />
outcomes
Pathways<br />
• Multiple Sclerosis<br />
‣ Protocol/pathway development to support mgt<br />
relapse MS<br />
‣Appointment physical disabilities nurse, support<br />
MS nurse, AL cover, telephone advice, tysabri,<br />
domiciliary visits<br />
‣ Consideration for IV’s to be undertaken by OP<br />
staff e.g. tysabri, steroids & IG’s
Pathways<br />
• Parkinson Disease<br />
‣ PD nurse return clinics (Neurology & Elderly Medicine)<br />
‣ PD Pathway development links with LTC<br />
‣ MDT pilot Annan<br />
• Epilepsy<br />
‣ Links with Learning Disability to identify opportunities for<br />
business case to support nurse specialist<br />
‣ SCI protocol<br />
‣ Review of EEG pathway – referral pathway
Pathway<br />
• Headaches<br />
‣ Scoping interest for GPwSI<br />
‣ Primary care educational update<br />
‣ NOSTRUM newsletter<br />
‣ Adopt CCI & SCI protocol
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