Transcript Access 2009_Alan Woodward_Rita James

PONTYPRIDD AND
RHONDDA NHS TRUST
ACCESS 2009
Alan Woodward – Consultant Surgeon
Rita James – Access 2009 Project
Manager
What is Access 2009 and where did it
come from?
In March 2005, the First Minister and
Minister for Health and Social Services
announced that, by December 2009, no
patient in Wales will wait more than 26
weeks from GP referral to treatment,
including waiting times for any diagnostic
tests and therapies required.
What does the Ministerial promise mean?
1. No patient will wait more than 26 weeks
from receipt of referral in secondary care
to 1st treatment i.e. commencement of 1st
treatment plan
2. This will include GP/GDP or other
approved HCP referral to Secondary
care, or emergency presentation to
elective care management
Summary
Clock starts with the
receipt of referral in
secondary care
Clock continues for
specified
diagnostics and
therapies
Clock stops when,
treatment or active
monitoring
commences, or
a decision is made
not to treat the
patient ,or
a referral is made
from consultant to
consultant
(conditions apply)
The Challenge
 Programme delivered by December 2009 within current
resources
 Clinical engagement in the pathway re-design including
 Agreeing Referral Criteria & Guidelines
 Access to diagnostics
 Identifying alternatives to referral to Consultants
 Addressing bottlenecks
 Management of follow-up appointments
 Shadow reporting of the patient pathway during 2007/08
(standard waiting times reports continue)
 Capturing and recording all clinical decisions/outcomes
to inform the patient pathway
 Fully utilising available technology
GP Engagement
In recognition of the important role which
GP’s will play in the success of delivering
26 weeks GP engagement is being
strengthened through the following routes:
-LHB, LMC interface meeting
-Primary /Secondary care meeting
-CPD Group
-Involvement of individual GP’s in
patient pathway re-design
What we have to achieve
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Outpatient Waiting Times
March 2007*8 months
March 2008*22 weeks
March 2009*13 weeks
Inpatient and Day case Waiting Times
 March 2007*8 months
 March 2008*22 weeks
 March 2009*13weeks
Exclusive of diagnostic and therapies
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Diagnostics
March 2007*36weeks
March2008*14 weeks
March2009*6weeks
Therapies
March 2007*36 weeks
March 2008*24weeks
March 2009*13 weeks
Next steps
Design Clinical pathways for the most
challenging specialities
Orthopaedic
General Surgery
ENT
Questions