Local Assessment Centres

Hayley Heard

Head of Programme

Local Assessment Centres

• Specialist Screening Practitioner Assessment

• Colonoscopy

• Radiological investigations

• Histopathology

Local Assessment Centre locations

Local Assessment Centre locations (1)

• ABM– Princess of Wales Hospital, Bridgend– Singleton Hospital, Swansea

• Cardiff and Vale– Llandough Hospital

• Cwm Taf– Prince Charles Hospital, Merthyr– Royal Glamorgan Hospital, Llantrisant

• Gwent– Caerphilly Miners Hospital

Local Assessment Centre locations (2)

• Hywel Dda– Bronglais Hospital, Aberystwyth– West Wales General Hospital, Carmarthen– Withybush Hospital, Haverfordwest

• North Wales– Wrexham Maelor Hospital– Ysbyty Glan Clwyd

• North West Wales– Ysbyty Gwynedd

Border Trusts

• Chester

• Shrewsbury and Telford

• Hereford

The future

More Local Assessment Centres?

Location of Local Assessment Centres

Suitability criteria

Robust and challenging criteria

Service requirements• Departmental multi disciplinary meetings • Complies with BSW assessment model for screening colonoscopists• Adequate number of staff • System for monitoring and reviewing unpredicted incidents and near misses

Environmental• Based in an acute hospital with cardiac arrest team on site• Complies with BSG Standard for decontamination of equipment and

participates in all Wales audit• Private rooms for discussion / admission/ SAN phone calls

Suitability criteria

Equipment• Number of scopes recommended by the BSG guidelines• Modern video endoscopes <8 years old• Piped oxygen to colonoscopy rooms and recovery rooms

Training• Offer access to and agree to attend BSW training programme• Sustainable delivery plan for training programme• Work force development plans e.g. nurse colonoscopists

Trust visits

Nov/Dec 2007• Meet implementation teams• Baseline review questionnaire findings

March 2008• Development of local assessment centre screening plans

September 2008• Assessment of suitability for screening

Progress - ABM

• Single Implementation Team

• Two lists per week

• Decontamination equipment for Singleton

• Three Screening colonoscopists approved

• Two specialist screening practitioners

Progress – Cardiff & Vale

• Two lists per week

• New endoscopy unit being built

• Four Screening Colonoscopists approved

• Two specialist screening practitioners

Progress – Cwm Taf

• Single Implementation Team

• One list per week on alternating sites

• One colonoscopist approved

• Two specialist screening practitioners

Progress - Gwent

• Two lists per week

• Second endoscopy room is to be developed

• One colonoscopist approved

• Two specialist screening practitioners

Progress – Hywel Dda

• Two lists per week

• New endoscopy unit being developed in Bronglais

• Two Screening Colonoscopists approved

• Three specialist screening practitioners

Progress – North Wales

• Working towards a single implementation team

• Two lists per week

• Four colonoscopists assessed

• Four specialist screening practitioners

Progress – North West Wales

• One list per week

• Private admission room and SSP room being developed

• New decontamination equipment installed

• Two colonoscopists nominated

• Two specialist screening practitioners

Border Trusts and Powys

• Bowel screening has not been rolled out in the English border Trusts

• Border Trusts are able to accept referrals for Welsh residents

• SSP arrangements being discussed

Conclusions

• Recruitment, training and assessment of 15 Screening Colonoscopists rising to at least 20 by the end of November

• Recruitment and training of 17 specialist screening practitioners

• Development of Local Assessment Centre Screening plans

• Ready for launch