Instructional Session: ISW17

Wednesday 4 July 2018, 16.45-17.45

The role of the virtual clinic in ENT

Aman Khanna, Catherine Rennie, Lilia Dimitrov, Samit Unadkat, Jonathan Galloway, Harry Monaghan, Hesham Saleh, Imperial College Healthcare NHS Trust

a. Overall objective:
To improve the patient journey through their ENT treatment; improve efficiency of the referral-to-treat pathway; reduce unnecessary outpatient hospital visits; reduce burden on administrative time for clinicians; reduce departmental costs. Many patients attending ENT appointments require investigations and are followed-up simply to inform them of the test results and then discharged. Others are followed-up to confirm success of treatment and then discharged. We are implementing a virtual clinic to inform and manage these patients without requiring a physical hospital visit. By formalising a previously ad-hoc process, patients can be assured of contact within a reasonable timeframe, as well as the option to implement further treatment remotely if the presenting condition is persisting.

b. Outline of the session:
Initially we will present the history behind our Trust’s follow-up waiting list, how we implemented the virtual clinic, and the outcomes. We will then invite participants to outline the issues their ENT departments are facing with clinic waiting lists, and work through options to implement the virtual clinic into their environment. We can perform this one-to-one or as a group discussion. Participants are invited to bring information regarding referral-to-treat target breaches and number of patients awaiting review. Average new / follow-up numbers would be useful. This will allow discussion regarding dealing with current backlog, as well as enabling a streamlined throughput for new referrals.

c. Learning outcomes:
Be able to identify patients who would benefit from a virtual clinic follow-up, and implement this process in their local ENT department.

d. Who the session is aimed at:
Senior clinicians with an interest in service improvement, and non-clinical managers.