How are we doing when it comes to planned care?
In our planned care programme we have a focus on reducing inefficiencies and unwarranted variation (unwarranted variation is a term used to describe differences that cannot be explained by illness, medical need or what evidence based care). We work in partnership with NHS organisations across Bradford district and Craven and on a wider footprint with organisations across West Yorkshire and Harrogate to develop a more sustainable planned care delivery model. This model aims to address unwarranted variation and inefficiencies across care pathways and will provide people with a guarantee that every referral, outpatient appointment, investigation and intervention will provide maximum clinical value whilst maintaining or improving quality.
Three stars – better than the English average, 9/10 people are seen and treated within 18 weeks, this result falls just below the 92% standard and is one of the best results in England.
The NHS Constitution describes how patients should wait no longer than 18 weeks from GP referral to treatment (RTT). The CCG is working with our provider organisations to ensure patients are seen in the most appropriate setting, be that in hospital or a community setting. This will help alleviate pressure points and tackle capacity issues. Updated clinical pathways will ensure referrals are only made when necessary and appropriate. The Assist tool will enable GPs to find up-to-date pathway guidance more easily.
One star - worse than English average, 70.5% of all referrals are made electronically via the e-referrals service.
From October 2018 there has been a national requirement that all GP referrals are made via the e-Referral Service (eRS). In our hospitals all specialities are on the e-Referral Service. We have developed the Assist pathway and referral tool within SystmOne - our GP patient record system - to help with making electronic referrals as simple as possible for GPs.
During 2017/18 we reduced follow-up outpatient attendances by 12.6%.
Our aim is to reduce unnecessary follow-up appointments in outpatients and this has been helped by increasingly offering other forms of consultation rather than the traditional face-to-face appointment, for example local providers are able to offer web based e-consultations or a follow-up telephone call.
Advice and guidance services are available for all specialties within Airedale NHS Foundation Trust with the exception of Haematology, the trust respond to 4/5 requests within two working days.