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Department of Clinical Neurophysiology Glasgow

Department of Clinical Neurophysiology Glasgow. The Waiting Times Challenge Anne Peden Professional Services Manager. Background. We provide a wide range of Neurophysiological investigations to a potential patient referral base of 2.7 million. Investigation performed include:

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Department of Clinical Neurophysiology Glasgow

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  1. Department of Clinical Neurophysiology Glasgow The Waiting Times Challenge Anne Peden Professional Services Manager

  2. Background • We provide a wide range of Neurophysiological investigations to a potential patient referral base of 2.7 million. • Investigation performed include: Standard EEG Sleep Deprived EEG Short Video EEG EEG Monitoring including Intra-cranial recording Evoked Potentials EMG investigations, including Physiologist Led Nerve Conduction Studies

  3. Staffing • 3 Consultant Clinical Neurophysiologists. • 1 Locum Consultant. • 2 Specialist Registrars. • 10 WTE Clinical Physiologists (7 at SGH, 1 at WIG, 1 at GRI and 1 at SEC Bridge of Weir). • 4 Trainee Clinical Physiologists. • 1 Assistant Clinical Physiologist. • 4 Administrative staff.

  4. Waiting Times At Jan 10 waiting times:

  5. Why?

  6. Due to: • Significant expansion of Orthopaedic and Neurology services in West of Scotland. • In 1999/2000: There were only two Consultant Clinical Neurophysiologists employed within the department. • Development also began of Specialised EEG Monitoring Services in Glasgow (including Intra-cranial recording). • 2008/2009: Despite having 3 Consultant Clinical Neurophysiologists, they were dealing with a growth of 300% in EMG referrals along with other clinical commitments.

  7. What have we done? • Look at skill base of staff. • Room utilisation: Where and when are labs free. • Appointment slots: Increased EEG and Ambulatory appointments to ensure that these waits remain manageable. • Re-organize EP clinics to set day/ times, to free-up space for additional NCS • From June 09 introduced Physiologist Led Clinics for Carpal Tunnel Syndrome. • Now have 4.5 Clinical Physiologists able to perform NCS (5 clinics per week). • 1 Physiologists assisting clinic for NCS. • Additional Locum Consultant appointed August 09

  8. Outcome- Physiologist Clinics

  9. What's next: • Waiting List Initiative Clinics for Consultant investigations, from March to May 2010. • Pooled EMG referrals, for Consultant led clinics (March 2010). • Common vetting for all EMG referrals.(Urgent, Routine and Phys) Up to 45% of all referrals suitable for phys clinics. • Increase number of Consultants from 3 to 5 by June 2010. • Increase number of Physiologist Clinics from 6 to 10 by June 2010, thereby freeing up consultant time to deal with complicated investigations.

  10. Conclusion Changes we have made have had a significant impact on waiting times and therefore improved the quality of service we provide to our patients. We realise there is still a lot of work to do, but we are heading in the right direction!

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