How are we doing when it comes to planned care?
The overall aim of the planned care programme is that, by March 2019, the Airedale system of delivering planned care will be through an Accountable Care Contract will be focused on improving outcomes for patients. People registered with a GP in Airedale, Wharfedale and Craven will be guaranteed that every referral, out-patient appointment, investigation and intervention will give maximum clinical value whilst maintaining or improving quality. We will have a focus on reducing inefficiencies and unwarranted variation, (differences that cannot be explained by illness, medical need or what evidence based care).
We are working in partnership with NHS Bradford Districts CCG and NHS Bradford City CCG, CCGs across West Yorkshire & Harrogate and our local providers to develop a more sustainable planned care delivery model by addressing unwarranted variation and inefficiencies across care pathways. This work has identified a number of opportunities including:
Two stars - similar to English average
The NHS Constitution sets out that patients should wait no longer than 18 weeks from GP referral to treatment (RTT). However, delivery of the target has been challenging as a result of increased demand and capacity issues across the local system.
One star - worse than English Average
Currently only 50.8% of all referrals are made electronically via the e-referrals services. This needs to be the way all patients are referred by the 1st of October 2018
During 2017/18 we had reduced follow-up outpatient attendances by 12.6%.
Our aim to reduce unnecessary follow up appointments in outpatients has seen an increase in other forms of consultation rather than the traditional face-to-face appointment.
Increasingly we are using technology to support this - for example, by holding web based e-consultations.
By January to March 2018 advice and guidance services between GPs and Consultants at the time of referral was in place for Gynaecology, Gastroenterology, General Surgery, Ophthalmology, Obstetrics, Cardiology, Orthopaedics, Breast, Urology, Paediatrics, Oral Surgery.
These services cover 35% of all GP referrals. Airedale NHS Foundation Trust respond to 9 out of 10 requests within 2 working days.