Roy Garscadden, NHS Lanarkshire - 18 Weeks

NHS LanarkshireNeurology ServicesRoy GarscaddenDirector of Planning (Acute)NHS Lanarkshire

1st Seizure PilotAimTo improve the referral process for patients by enhancing theuse of SCI Gateway for patients with suspected 1 st seizure.• GP access to simplified / clear referral protocol andinformation• Develop a referral proforma• Improve the quality of the referral• Triage and vet to appropriate pathway• Stream patient to the most appropriate professional• Quicker access to diagnosis and treatment

1 st Seizure - Process• Engage with primary / secondary carecolleagues• Protocol agreed for 1 st Seizure• eRefferal criteria agreed• Proposed timescale for 1 st Appointment• Implementation

Action Taken• Complete review of the referral process• Single point for receipt of referrals• Single Consultant vetting• Introduction of eVetting• Effective streaming of patients• Access within waiting time guarantees• Confirmed outcomes

Neurology Referrals (Apr - Mar 2010)16001400Number of Patients120010008006004002000GeneralNeurologyEpilepsyFirstSeizureHeadacheMovementdisorderMSMuscleSubspecialty

Next Steps• Concentrate specialist services• Agree patient pathways for each subspecialty• Single system approach to service delivery• Engagement with Users and Carers andcolleagues in Local Authority• Maximise existing resources• Targeted investment in context of availablebudget