Gerald Wistow and Judith Smith report on their evaluation of the North West London Whole Systems Integrated Care (WSIC) programme.
A new website has been launched this week to support our patients to get the Right Care, First Time.
The website, www.rotherhamemergencycentre.nhs.uk, will guide users through the right path to take if they are feeling unwell, are injured or if they are concerned about their health; this will help people have the right information about health services in Rotherham, ready for when our new Emergency Centre opens in 2017.
The website includes information about the new Emergency Centre such as frequently asked questions, news about building works and links to local health services such as pharmacies.
How the new Rotherham Emergency Centre will look when it opens in 2017:
Improving patient flow processes may have better impacts than structural / physical reorganisation of the emergency department.
Physical therapists can work in emergency departments independently, providing fast and safe care. This may free clinicians’ capacity to focus on people needing more urgent help.
Introducing automated drug dispensing systems on ICUs may have a high return on investment for hospitals.
Sending text message reminders about outpatient appointments can save the NHS money
A hospital outpatient clinic tested sending text message reminders to adult patients about their appointments. Data about did not attend rates were compared for 24 months before and 24 months after implementation. People were sent reminders one week prior to their scheduled appointment. The Did Not Attend rate reduced by 12%. Over a two year period, there was a cost saving of 19,853 pounds.
Full reference: Rohman L, Maruswezki D, Boyce Cam N. The impact of a text messaging service on orthopaedic clinic Did Not Attend rates. Journal of Telemedicine and Telecare. 2015. 21(7): 408 – 413
Screening a short video in the waiting room before an appointment may help improve patient engagement in decision-making. This is a simple and feasible approach to helping service users become more involved in their care.
In Australia, the AskShareKnow campaign encouraged service users to ask the questions: what are my options; what are the possible benefits and harms of those options; and how likely are each of those benefits and harms to happen to me?’
In total 121 people attending a clinic were invited to watch a four minute video about the campaign in the waiting room. They were surveyed before watching the video, immediately after their consultation and two weeks later. Seven out of ten people reported asking asked one or more of the questions during their consultation (69%) and one third said they asked all three (29%). Of those making a decision, 87% asked one or more questions and 43% asked all three. Two weeks later, half of the group could still remember the questions.
Full reference: Shepherd, H et al. Can consumers learn to ask three questions to improve shared decision making? A feasibility study of the ASK (AskShareKnow) patient-clinician communication model intervention in a primary health-care setting. Health Expectations. first published online: 14 Sept 2015