Scenarios of Current Patient Issues Identified Patient Experience Under the New Benefits Experience Proposed Model 1. A patient with hand injury The treatment was not a one-off The patient could have all the Improved relationship between requiring hand surgery at HVDHB on event, but rather required on-going treatment provided locally. collaborating clinical specialties and different occasions. The patient had care to rehabilitate the hand. CRISP should provide complete allied health professionals. known mental health issues and was Hand therapy was an important patient records to aid Multidisciplinary management plan required to be away from family and and integral aspect of the treatment communication and transfer of care. developed. the local social support system. programme and this should be done Continuity of care and established Quality of care improved through Travel and accommodation costs in a multidisciplinary setting local relationships and supports are involvement of local mental health including the plastic surgeon and were incurred by the patient and not disrupted. team and social support. family, and the DHB of domicile. hand therapist closer to home. Strengthened, integrated support Multiple journeys were made to for access to secondary services. access surgical care, surgical follow- Regional decision making on best up, nursing care and hand therapy. care options. There were communication and process issues. Out of town patients usually remain longer as in-patients. Discharge delayed due to difficulties of organising local support from a distance. 2. A female patient with breast No relationship between patient Continuity of care and local Short and long-term planning and cancer requiring breast cancer and plastic surgeon at HVDHB. support. follow up arranged by a local surgery and immediate breast Relationship dependant on general Better outcomes emotionally and multidisciplinary team. reconstruction. Fast decision process surgeon travelling as at present. psychologically which build GPs as part of the local was required. The local general Assessment done twice as no confidence through existing collaborative team. surgeon was required to travel with shared records. relationships. More effective use of clinicians’
Scenarios of Current Patient Experience Issues Identified Patient Experience Under the New Proposed Model Benefits 1. A patient with hand injury requiring hand surgery at HVDHB on different occasions. The patient had known mental health issues and was required to be away from family and the local social support system. Travel and accommodation costs were incurred by the patient and family, and the DHB of domicile. The treatment was not a one-off event, but rather required on-going care to rehabilitate the hand. Hand therapy was an important and integral aspect of the treatment programme and this should be done in a multidisciplinary setting including the plastic surgeon and hand therapist closer to home. Multiple journeys were made to access surgical care, surgical follow- up, nursing care and hand therapy. There were communication and process issues. Out of town patients usually remain longer as in-patients. Discharge delayed due to difficulties of organising local support from a distance. The patient could have all the treatment provided locally. CRISP should provide complete patient records to aid communication and transfer of care. Continuity of care and established local relationships and supports are not disrupted. Improved relationship between collaborating clinical specialties and allied health professionals. Multidisciplinary management plan developed. Quality of care improved through involvement of local mental health team and social support. Strengthened, integrated support for access to secondary services. Regional decision making on best care options. 2. A female patient with breast cancer requiring breast cancer surgery and immediate breast reconstruction. Fast decision process was required. The local general surgeon was required to travel with No relationship between patient and plastic surgeon at HVDHB. Relationship dependant on general surgeon travelling as at present. Assessment done twice as no shared records. Continuity of care and local support. Better outcomes emotionally and psychologically which build confidence through existing relationships. Short and long-term planning and follow up arranged by a local multidisciplinary team. GPs as part of the local collaborative team. More effective use of clinicians’
plastic-surgery-workforce-service-forecast-report-nov2013.docx