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Clinical Neurophysiology? (1)

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)

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Clinical Neurophysiology? (1)

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

  2. 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

  3. 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

  4. The Team Deliberately built Based on Good social life Creature comforts Shared values Low hierarchy Mutual respect CPD Training

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

  6. 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

  7. You have just seen 3 Slides About being nice to people

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

  9. 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

  10. Queue Management (2) Microbooking by experienced staff Travel times for elderly Travel times for transport Staff resources You can have too short a queue

  11. Clinic Management Physiologist clinics 1 stop shop Extended hours Blitzing (only goodwill) Skill mix & across 2 sites Need higher grades in small department Microbooking

  12. 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

  13. Finance and Activity Data Keep an eye on it Question possible errors Time consuming

  14. Quality Care about people Be flexible Accreditation - IQIPS

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