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LAPAROSCOPIC FUNDOPLICATION TELEPHONE FOLLOW-UP

LAPAROSCOPIC FUNDOPLICATION TELEPHONE FOLLOW-UP. PRIORITY FOR NTHFT. Commissioners have requested reduction in number of review appointments UGI SLM dashboard indicated a high number of review appointments Audit of notes showed a high number of inappropriate appointments. PLAN.

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LAPAROSCOPIC FUNDOPLICATION TELEPHONE FOLLOW-UP

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  1. LAPAROSCOPIC FUNDOPLICATION TELEPHONE FOLLOW-UP

  2. PRIORITY FOR NTHFT • Commissioners have requested reduction in number of review appointments • UGI SLM dashboard indicated a high number of review appointments • Audit of notes showed a high number of inappropriate appointments

  3. PLAN • Discussed at UGI SLM • Team agreement to do telephone follow-up of laparoscopic fundoplication patient’s 4 weeks post operatively • Follow-up to be done by CNS following period of training with UGI surgeon • Follow-up profoma to be drafted and agreed by surgeons

  4. DO • Draft profoma agreed • Cohort of patients planned for surgery sent to CNS • Patient notes sent to CNS following surgery • Patients phoned 4 – 6 weeks following surgery using the profoma which is filed in the notes • Copy of GP letter sent to surgeon for him to agree any further actions

  5. STUDY • Pilot the initiative from October 2011 – April 2012 • Audit patient notes • Feedback findings to UGI SLM

  6. ACT • UGI SLM to discuss findings • Identify problems • Plan how to improve service from findings • Pilot new improvements

  7. THE FUTURE • To develop robust telephone follow-up • Ultimately to negate the need for any form of out patient appointment for patients who have had straight forward surgery

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