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Delivery of 18 Week RTT Standard: Audiology Alex Bowerman & Angela Bonomy

Delivery of 18 Week RTT Standard: Audiology Alex Bowerman Angela Bonomy

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A wealthier and fairer Scotland – faster access to hospital treatment means fewer people unable to work, and better equity of access not dependent on where you live or on patients ability to pay for private healthcare. A healthier Scotland – there is significant evidence that waiting long periods for even “routine” treatment leads to poorer outcomes and higher morbidity. The 18 week standard will help to sustain a better quality of life for patients. A safer and stronger Scotland – stronger local healthcare, helping communities to flourish, reversing the poor health record of Scotland. A smarter Scotland – retaining and attracting skilled healthcare professionals to NHS Scotland, a healthcare system which will be in the international top-league of healthcare systems. A greener Scotland – driving out duplication and waste and making better use of Scotland’s healthcare resources.

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Page 1: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Delivery of 18 Week RTT Standard:Audiology

Alex Bowerman & Angela Bonomy

Page 2: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

“ a whole journey waiting time target of18 weeks from general practitioner

referral to treatment…… by December 2011”

Cabinet Secretary for Health and Wellbeing, Scottish Parliament – Official Report, 28 June

2007

Page 3: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

A wealthier and fairer Scotland – faster access to hospital treatment means fewer people unable to work, and better equity of access not dependent on where you live or on patients ability to pay for private healthcare.

A healthier Scotland – there is significant evidence that waiting long periods for even “routine” treatment leads to poorer outcomes and higher morbidity. The 18 week standard will help to sustain a better quality of life for patients.

A safer and stronger Scotland – stronger local healthcare, helping communities to flourish, reversing the poor health record of Scotland.

A smarter Scotland – retaining and attracting skilled healthcare professionals to NHS Scotland, a healthcare system which will be in the international top-league of healthcare systems.

A greener Scotland – driving out duplication and waste and making better use of Scotland’s healthcare resources.

Page 4: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Better Health, Better Care

Page 5: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Delivery of 18 Weeks: All Specialties• Programme Board• Delivery Teams

– Operational Delivery Team– Emergency Access Delivery Team– Diagnostic Delivery Team– Information Delivery Team

• Improvement and Support Team• Access Support Team

– Task and Finish Groups

• Boards’ Delivery & Improvement Infrastructures

Page 6: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Access Support Team• Measurement and Monitoring of national

waiting times• Delivery Proofing • Allocation of funding • Strategic and tactical approach to

delivery of 18 weeks

Page 7: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Task & Finish Groups

• Orthopaedics – 33% of >12 weeks

• Plastic Surgery – 4 centres, significant differences

• Audiology (and ENT) – new target, long waits

• Neurological Services – non-admitted pathways

• Dental specialties – eg orthodontics,10/20 mix

Page 8: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Workstrands• Measurement and Definitions• Demand/Capacity/Activity/Queue• Demand side solutions• Performance Management• Service Redesign & Transformation• Culture/Change• Workforce• Communication

Page 9: Delivery of 18 Week RTT Standard: Audiology Alex Bowerman  Angela Bonomy

Delivery Approach• Stakeholder Engagement• Managing Waiting Times & Lists• Emphasis on sustainability• Pathway development• Streamlined with redesign and

transformation• Whole systems philosophy