NHS outpatient secondary care: a time of challenges and opportunities
Nick J Levell
DOI: https://doi.org/10.7861/fhj.2022-0044
Future Healthc J July 2022 Nick J Levell
ANorfolk and Norwich University Hospitals NHS Foundation Trust, Norfolk, UK
Roles: consultant dermatologist
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vol. 9 no. 2 106-112
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History:
- Published online July 28, 2022.
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© Royal College of Physicians 2022. All rights reserved.
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NHS outpatient secondary care: a time of challenges and opportunities
Nick J Levell
Future Healthc J Jul 2022, 9 (2) 106-112; DOI: 10.7861/fhj.2022-0044
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- Article
- ABSTRACT
- Introduction
- NHS outpatient referral numbers and waiting times
- Reviewing nineteenth-century NHS hospital infrastructure
- Developing linked primary and secondary care outpatient networks
- Addressing outpatient workforce shortages with the multidisciplinary team
- Address workforce morale to get genuine staff buy-in for change
- Developing outpatient multidisciplinary ‘superclinics’
- Managing factors increasing pressure on outpatients
- Managing pressure for outpatient referral with education and threshold policies
- Whole systems care models, and improving communication between primary and secondary care
- Balancing outpatient waiting list priorities
- Working with patients
- Locum agencies and outpatient waiting lists: short term gains – long term pain
- Pre-referral activities to reduce pressure on outpatients
- Referral pathways for procedures or specific advice
- Opportunities for increased efficiency in the outpatient appointment
- Clinic settings outside hospital
- Reducing outpatient ‘did not attends’
- Follow-up in outpatients
- Reducing variation in high-cost drugs used in outpatients
- Summary
- References
- Figures & Data
- Info & Metrics
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