nhs highland transforming audiology services
Post on 06-Jan-2016
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NHS HighlandTransforming Audiology Services
Karen WilliamsonAlison Robertson
Bill McKerrowSimonie Craig
Maimie Thompson
ENT Net Demand - All Referral Sources Nov 07 to Dec 08
472
399
439
453460
470
488
444
463
371
469
361
405
364
300
350
400
450
500
550
600
Nov-07
Dec-07
Jan-08
Feb-08
Mar-08
Apr-08 May-08
Jun-08
Jul-08 Aug-08
Sep-08
Oct-08
Nov-08
Dec-08
Net Demand - Option 1 Mean
432
ENT Review of Referrals (Raigmore)
• 10-20% referrals could be managed in a different way … NOW– Quality of referral information– GPs to start and complete treatment before deciding
to refer– Referrals could be avoided- if process for GPs to
access advice– Following pathways (eg Direct to Audiology)
• Nurse Led Developments (Returns)• Change in Pathway – Audiology > 18
Pilot of Actions Taken
• Nurse- Led Daily Vetting of ENT Referrals• GP review of Referrals• Draft Pathway for Audiology Screening• Pilot of Hand-Held Audiology Screener• Joint Nurse/Audiologist BAHA Clinic• Nurse –Led Ear Care Clinic
• New Pathway for Direct to Audiology
Direct Access to Audiology
• Widening direct access from >55 to 18 Years +– 3 Month Secondment (Senior Audiologist)– Revise Referral Form & Process– New Pathway to include Screening test & Questionnaire– Management of Returns– Work closely with ENT– Simple Evaluation
• Was referral appropriate ? • How many were referred onto ENT• Is ear drum visible• Does intervention reduce demand into ENT?• Feed-back from patients
Spanners, Red Herrings & Lime Light
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