Centralised Result Management Bureau Merle Symonds, Lead Health Adviser Leni Edmonds, Results Administrator
Some Context • Four legacy organisations – 3 Acute NHS Trusts – 1 PCT • 4 GUM Services • 1 CASH Service • 1 Chlamydia Screening Programme – Variation in: • Systems, automation and turnaround times • Resource associated with results management • PN processes and reported KPIs (0. 1 - 0. 6)
Process Single networked information system Centralised management team Centralised diary management Automated results management system (99. 8% TAT <72 hrs) • Close oversight and process management • Granular reporting of PN / Real time reporting • •
Outcomes • £ 118, 000 reduction associated staffing costs • Reduction in sampling incidents (avg 5 datix reports per month) • 85% of all results management managed on an automated basis (>800, 000 tests per annum). • Treatment rates (CT and GC – 99. 7%)
Outcomes • PN outcomes (2015/16) – CT – 1. 05 (HCW verified 0. 61) – GC – 0. 88 (HCW verified 0. 55) • Retest rates (CT) 37% • Reinfection rate (CT) 7% • 29% growth in DRI between 2013 -15
Primary Care Support • Significant transformation of primary care sexual health (integrating the NCSP, guidance for commissioners, DH 2012) • General Practice – Cessation of NCSP forms – GPs manage all aspect of pathway – Monthly failsafe to assure Rx and option for PN support • Community Pharmacy – 46 Services on LES (EHC, HIV, CT/GC testing/Rx and epidemiological Rx) – Results management team notify and initiate PN.
Primary Care • Outcomes – 60% growth in GP screening in past 3 years – 400% growth in Pharmacy screening in past 18 months • Limitations – GP – Limited ability to qualify PN activity or measure meaningful outcomes – Pharmacy – Significant support required to mobilise and support pharmacy – Issues re: assuring safeguarding
Key Points • Centralised, interoperable systems are key – Limited utility in absence of a skilled workforce • Measuring and verifying PN is pivotal – However further work required to validate outcomes. • Commissioning of services needs to consider structural support (training, governance, quality assurance) alongside cost
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