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Neurophysiology in a Nissen Hut Dr Adrian J Fowle & Elaine Crighton West Surrey Clinical Neurophysiology

Clinical Neurophysiology? (1)

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Neurophysiology in a Nissen Hut Dr Adrian J Fowle & Elaine Crighton West Surrey Clinical Neurophysiology. Clinical Neurophysiology? (1). We run a diagnostic service EEG / EMG / EP Used by all disciplines Orthopaedics, GP, Rheum (Carpal tunnel etc) Paediatrics (Epilepsy, N-ICU) - PowerPoint PPT Presentation

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Page 1: Clinical Neurophysiology? (1)

Neurophysiology in a Nissen HutDr Adrian J Fowle & Elaine CrightonWest Surrey Clinical Neurophysiology

Page 2: Clinical Neurophysiology? (1)

Clinical Neurophysiology? (1)

We run a diagnostic service EEG / EMG / EP Used by all disciplines

Orthopaedics, GP, Rheum (Carpal tunnel etc) Paediatrics (Epilepsy, N-ICU) Neurology (MND, Epilepsy, Neuropathy etc) Medicine / Elderly Care Psychiatry ITU

Page 3: Clinical Neurophysiology? (1)

Clinical Neurophysiology? (2)

Provided by physiologists and doctors Shortage of both nationally. Made worse by MSC – no training places

Patient facing Neonate -> Elderly Autism / Schizophrenia / Seizures / Apnoea Wheelchairs OPD, but also NICU / ITU / outlying hospitals

Page 4: Clinical Neurophysiology? (1)

The Team

Deliberately built Based on

Good social life Creature comforts Shared values Low hierarchy Mutual respect

CPD Training

Page 5: Clinical Neurophysiology? (1)

Patients

Patient Information Leaflets Meet and Greet Explain tests Humour, compassion, distraction Explain results Give patients copy of report Change pathway sometimes

Page 6: Clinical Neurophysiology? (1)

Other Colleagues

Referrers Management Commissioners Trainees

Medical Physiological Other

Regional group National group

Be Nice Meet their needs Coffee Newsletter Engage

Be Tough Say No! Ask again

Page 7: Clinical Neurophysiology? (1)

You have just seen3 Slides

About being niceto people

Page 8: Clinical Neurophysiology? (1)

IT

Spread sheet In house network, server, admin database Trust IT Commercial admin database Very tight integration Type own reports

Page 9: Clinical Neurophysiology? (1)

Queue management (1)

NHS Modernisation Agency Single queues, post office not supermarket No carve out Be tough “Demand Capacity matching” DNAs are important

18ww – Reduced interdepartmental wait Fax then letter Report to patient when possible

Page 10: Clinical Neurophysiology? (1)

Queue Management (2)

Microbooking by experienced staff Travel times for elderly Travel times for transport Staff resources

You can have too short a queue

Page 11: Clinical Neurophysiology? (1)

Clinic Management

Physiologist clinics 1 stop shop Extended hours Blitzing (only goodwill) Skill mix & across 2 sites

Need higher grades in small department Microbooking

Page 12: Clinical Neurophysiology? (1)

Single site / multi site

Single site Economies of scale Cover for leave Sufficient expertise in rare tests Mutual aid of staff

Multi site Near patients Use of IT to bridge gap

Page 13: Clinical Neurophysiology? (1)

Finance and Activity Data

Keep an eye on it Question possible errors Time consuming

Page 14: Clinical Neurophysiology? (1)

Quality

Care about people Be flexible Accreditation - IQIPS