Amplitude Clinical Outcomes’ Post

Numbers show that NHS waiting times in Wales are significantly longer than in England. In March, the average wait for treatment was 21.8 weeks in Wales compared to 14.9 weeks in England, a gap that worsened during the COVID-19 pandemic. Over 20,600 patients in Wales have waited more than two years.   Orthopaedic patients are particularly affected, making up more than a quarter of the longest waits. About 21% of patient pathways in Wales have been on the waiting list for over a year, compared to 4.1% in England. Factors such as an older and sicker population in Wales contribute to these challenges. 18WS is dedicated to assisting in managing demands and providing support to enhance NHS capacity, working in collaboration with trusts across the UK to tackle the waiting list backlog. To discover more about our partnership solutions, please visit us at: https://lnkd.in/eMsKXs5F   Source: https://lnkd.in/eFb5b8k7

📢 Calling all paediatric surgeons... British Association of Paediatric Surgeons Did you know you ALL now have access to the National Consultant Information Programme (NCIP) as part of a national rollout? The data in the NCIP portal offers: 1. A single source of data to scrutinise your entire practice across procedures such as appendicectomy and cholecystectomy                            2. Access to data for appraisals & M&M meetings 3. A chance to export reports, to help streamline clinical audit. Don’t miss out on your opportunity to see and compare your own data - join us for a short session next week (06.02.24, 12pm) for a demo and to find out how NCIP can work for you. Register today: https://bit.ly/41Xayof You’ll get the most from the session if you register to look at the portal in advance, so email [email protected] TODAY to unlock your access. #YourNCIPYourData More information: https://bit.ly/3Qa9BDv

New primary care hubs have opened across Cornwall in 8 locations, offering extra on the day GP appointments for people needing urgent care for acute minor illness. The new concept aims to ease urgent on the day demand on general practice, allowing practices to focus on patients with long-term conditions. The hubs are conveniently located across the county in health settings at Launceston, Bodmin, St Austell, Truro, Mount Hawke, Redruth, Helston and St Ives. Q: How are patients referred to the hubs? A: Patients who contact their GP surgery for an appointment will be triaged and booked an appointment at a suitably located primary care hub. You can’t just turn up; you will need to have had an appointment made by your GP surgery. Q: What do the hubs provide? A: The primary care hubs are run by health professionals including a GP or another experienced healthcare practitioner with minor illness experience, who will offer advice and onward care including issuing prescriptions.

When recovering from an injury, surgery, or stroke, the journey to healing may not end at the hospital. Your healthcare team may suggest continued care at a rehabilitation center where specialists can provide targeted physical, occupational, and speech therapy exercises to help improve your condition. As you prepare to leave acute care, your treatment team may recommend two options for rehabilitation: an inpatient rehabilitation hospital (IRH) or a skilled nursing facility (SNF). Both providers offer different levels of care, expertise, and knowledge, so choosing the right support can have a significant impact on your recovery. Remember to consider all your options and discuss them with your healthcare team to make the best decision for you or your loved one. We've listed a few key differences; however, you can read our full blog article about the differences between inpatient rehab hospitals and skilled nursing facilities by clicking the link below. https://shorturl.at/jvwx0

Did you know that VitalHub UK can offer a complete, end-to-end ecosystem of solutions that directly align with NHS England's five key priorities for perioperative pathways? **NHS Priority 2** Provide tailored support to optimise patient health before surgery. Below are just some of the ways in which VHUK supports this: *Identify Patient Risk* Our solutions can pull in data from patients and clinicians, as well as lab data, such as ECGs and blood results, from other systems, providing clinicians with a more holistic understanding of the stability of a patient’s health. Cardiac and risk levels, as well as a mortality score, are also calculated as part of the assessment process. *Automated RAG Rating* Our solutions enable clinicians to identify and send specialist referrals from the platform that are required for patient optimisation. *Personalised Educational Content* Our solutions deliver educational resources to patients, tailored to their unique health needs, to help them prepare for surgery. Get in touch with our team to learn more about how we can help provide proactive, personalised support for at-risk patients: [email protected]. #NHS #HealthcareInnovation #PerioperativeCare #PatientFirst #VHUK #preop #prehab #discharges #prescreening #digitalhealth Lisa Riley Mike Sanders DOUG HOPKINS Katrina Fanneran-Mullins Hugo Vincent Alistair Frost Kieran Slaney Ben Wilton Molly Young Milly Bates James Ferris Scott Parker Vickie Stevens Rob Field Kev Fletcher Pete Beaumont David Warburton Sharon Gater Cathy Nyaga-Giefing Evie Myers Bernadette Croft

How do you monitor NHS waiting times? I was recently looking at the providers with the worst ophthalmology waiting times (for completed pathways) and Milton Keynes stood out as dramatically improving from 32 weeks to 23 weeks (which, mathematically, could be because they have stopped treating the longest waiters but in reality I am assuming it is because they are working through the back log generally) However, I then looked at it by percentile (and it only includes providers completing at least 100 pathway a month so just over 200 of them) and they went from 100th longest to 94th longest which is a really good improvement but highlights they have a long way to go to be doing the same as everyone else. So do others measure relative waiting time performance as well as absolute performance? [The below shows the numbers and a graph [https://lnkd.in/gv4VrVg2] of relative waiting time performance for ophthalmology completed pathways in June 2024]

Mr. Krisztian Deierl, Consultant Orthopaedic Surgeon and Orthopaedic Trauma Lead at West Hertfordshire Teaching Hospitals NHS Trust, talks about EPRs and workflow management solutions. He described the difference between the two systems using an analogy with ordering food online: 👉 You browse the menu to select your food—that's the EPR. 👉 Then you place your order and keep track of it, from being received, prepared, with the delivery person, until it gets to your doorstep—that's workflow management. EPRs and workflow management solutions are like apples and oranges. 🍊🍎 Interested in reading more? Click the link below to read the full article with Mr. Krisztian Deierl's insights. ⤵ #epr #ehr #workflowmanagement #clinicalworkflow #clinicalprocesses #healthcare #interview #healthtech #digitalhealth #digitalsolutions

Alleged breach in SOC: 𝙁𝙖𝙞𝙡𝙪𝙧𝙚 𝙩𝙤 𝙩𝙞𝙢𝙚𝙡𝙮 𝙞𝙣𝙩𝙚𝙧𝙫𝙚𝙣𝙚 But was it really a breach? 2 months ago, I reviewed an anesthesia case for merit • Colonoscopy • 78 year old male • Moderate sedation • Long bradycardic event • Cardiac arrest and code activation So why is an anesthesiologist reviewing this❓ The patient ultimately suffered a severe stroke And an allegation was made by plaintiff's counsel That the responding anesthesiologist was negligent But I disagreed and my retaining counsel was unhappy "𝙏𝙝𝙚𝙮 𝙛𝙖𝙞𝙡𝙚𝙙 𝙩𝙤 𝙖𝙙𝙢𝙞𝙣𝙞𝙨𝙩𝙚𝙧 𝙀𝙥𝙞𝙣𝙚𝙥𝙝𝙧𝙞𝙣𝙚 𝙞𝙢𝙢𝙚𝙙𝙞𝙖𝙩𝙚𝙡𝙮 𝙪𝙥𝙤𝙣 𝙖𝙧𝙧𝙞𝙫𝙞𝙣𝙜 𝙖𝙩 𝙩𝙝𝙚 𝙘𝙤𝙙𝙚," he argued But I corrected him. The epinephrine was not ✴️documented✴️ as being given immediately upon anesthesia arrival 𝙒𝙝𝙞𝙘𝙝 𝙞𝙨 𝙙𝙞𝙛𝙛𝙚𝙧𝙚𝙣𝙩 𝙩𝙝𝙖𝙣 𝙞𝙩 𝙣𝙤𝙩 𝙗𝙚𝙞𝙣𝙜 𝙙𝙤𝙣𝙚 ... Then I pointed out that upon arrival, the anesthesiologist: 1. Ran to the OR 2. Directed the code 3. Intubated the patient 4. Replaced his infiltrated IV 5. Placed a radial arterial line 6. Secured central venous access 7. Successfully managed to obtain ROSC And only then sat down and documented 𝙊𝙣𝙚 𝙝𝙤𝙪𝙧 𝙤𝙛 𝙧𝙚𝙨𝙪𝙨𝙘𝙞𝙩𝙖𝙩𝙞𝙤𝙣 𝙡𝙖𝙩𝙚𝙧 ... In conclusion I stated: After 1 hour of (𝙨𝙪𝙘𝙘𝙚𝙨𝙨𝙛𝙪𝙡𝙡𝙮) running a code The anesthesiologist documented his interventions Thus, there was no anesthesia breach in the standards ... But they can have a word with the GI doc Who didn't de-insufflate despite several minutes of progressively worsening bradycardia ... 𝙗𝙪𝙩 𝙩𝙝𝙖𝙩 𝙘𝙖𝙡𝙡𝙨 𝙛𝙤𝙧 𝙖 𝙙𝙞𝙛𝙛𝙚𝙧𝙚𝙣𝙩 𝙚𝙭𝙥𝙚𝙧𝙩 𝘿𝙤 𝙮𝙤𝙪 𝙛𝙖𝙘𝙩𝙤𝙧 𝙞𝙣 𝙚𝙢𝙚𝙧𝙜𝙚𝙣𝙘𝙮 𝙘𝙞𝙧𝙘𝙪𝙢𝙨𝙩𝙖𝙣𝙘𝙚𝙨 𝙬𝙝𝙚𝙣 𝙚𝙫𝙖𝙡𝙪𝙖𝙩𝙞𝙣𝙜 𝙢𝙚𝙧𝙞𝙩? ----------------- 𝗣.𝗦. Love these insights? [ 𝗿𝗲𝗽𝗼𝘀𝘁 ] Want to impress your network, leave a [ 𝗰𝗼𝗺𝗺𝗲𝗻𝘁 ] Nahh, nothing special here, move on! [ 𝗮 𝗹𝗶𝗸𝗲 𝘄𝗶𝗹𝗹 𝗱𝗼 ] Liked this post? Want to see more? I'm David Gutman, MD, MBA 🩺 1. Ring the 🔔 on my Profile 2. 🔝Follow & Connect with me #litigation #medicalmalpractice #expertwitness https://lnkd.in/gdvKT28w

Here is a small part of my talk on uncertainty in pediatric orthopaedics for physicians in clinical decision making.

Keratoconus is the most common corneal ectatic disorder worldwide. Currently, it accounts for nearly 30-40% of the corneal tertiary referrals, placing significant burden on the ophthalmic services. To address this issue, several innovative measures have been introduced, including the set up of virtual clinics and allied health professional (AHP)-led clinics. In our recently published article in the Eye journal, we highlight the effectiveness, safety and feasibility of AHP-led keratoconus service model (with minimal consultant support) in managing new and follow-up cases of suspected keratoconus. AHPs, including optometrists and nurse practitioners, were able to make the same correct decision as the corneal consultants in 92% of the cases! For more information, please see the link below: https://lnkd.in/eFkCTE6f Thank you Marianthi Bourlaki, MD for driving this work and the BMEC corneal team (Murad Khan, Saliamma Bandyopadhyay, Rashvinder Sahota, Emadur Khan, Urvasee Patel, Mykolas Pajaujis, Anil Aralikatti, Ankur Barua) for the collaborative effort! These interesting findings also spark another debate - should we be focussing on upskilling existing ophthalmic workforce (including AHPs) versus introducing new roles like physician associates into ophthalmic services? What's your thought on this? #keratoconus #cornea #crosslinking #ophthalmology #service #alliedhealthprofessional #physicianassociate