Redesigning colposcopy services

Radiotherapy patient flow

Aim:
To reduce the overall length of the radiotherapy pathway in order that it can consistently achieve the 'going further on cancer waits' target and NRAG recommendations for throughput at University Hospitals Birmingham NHS Foundation Trust (UHBFT).

Objectives:
To work with the multi disciplinary team to improve the flow of patients throughout the entire radiotherapy pathway.

Chemotherapy patient flow

Aim:
To improve the flow of patients through the chemotherapy pathway at UHBFT

Objectives:

• To remove the excess waits experienced by patients and to identify what current levels of demand are being experienced by the chemotherapy unit at the Queen Elizabeth Hospital, UHBFT.
• To develop a system whereby new patients leave the department with their next appointment.

Chemo-radiotherapy patient flow

Aim:
To remove the disruption to treatment experienced by patients requiring chemo-radiation at UHBFT.

Objectives:
To work with the multi disciplinary teams involved to improve the flow of patients throughout the pathway between chemotherapy and radiotherapy departments.

For more information on these workstreams please contact Lesley Merrix:
Mobile: 07815 614597
Email: lesley.merrix@westmidlands.nhs.uk

Redesign of chemotherapy preparation

Aim:
Use Lean methodology to reduce patient waiting for chemotherapy  and ensure all quality requirements are maintained at Heart of England NHS Foundation Trust.

Objectives:
Utilise Lean methodology to improve the flow of work.

For more information on this workstream please contact Richard Johnson:

Mobile: 07971 197451
Email: richard.johnson@westmidlands.nhs.uk

Oncology - patient pathway optimisation

Aim:
Work with oncology clinical teams across the network to optmise best clinical practice and patient experience for patients admitted as inpatients.

Objectives:

• The completion and analysis of a demand and capacity study.
• Reduction of oncology emergency admissions by 15%.
• To baseline and share current rate of oncology emergencies.
• Facilitate the implementation and spread of the national transforming in patient care programme winning principles 1.
  Facilitate the implementation and spread of the national transforming in patient care programme winning principles 3.
• Unscheduled (emergency) patients should be assessed prior to the decision to admit emergency admission should be the exception not the norm.
• Clinical decisions should be made on a daily basis to promote proactive case management.
  
  

Demand and capacity study for cancer psychology service

Aim:
Complete a demand and capacity study to enable service redesign and understand current service provision.

Objectives:

• To complete and analysis of a demand and capacity study.
• To flex the capacity to meet service demand.
• Identify areas of wasted capacity.
• Identify areas of duplication.
• To significantly reduce waiting times experienced by patients for new and follow up appointments.
• Reduce the waiting list therefore providing patients with timely access to therapy.
• Understand how to improve patient flow through streamlining administration processes.
• To improve the quality and timeliness of service provision based on evidence.

For more information on these workstreams please contact Marilyn McKoy:
Mobile: 07970 019185
Email: marilyn.mckoy@westmidlands.nhs.uk

Gynaecology pathways

Aim:
Work with the clinical teams to optmise best clinical practice and patient experience at Birmingham Women's Hospital.

• development of personalised care plans
• testing of both national and local tools across two tumour sites and two hospital sites
• a collaborative approach to care
• implementation of treatment summary
• learning across tumour sites