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Improving Audiology Waiting Times and Departmental Issues - NHS Borders

This report discusses the issues faced by the Audiology Department at NHS Borders in 2007, including increasing waiting times, long appointment durations, and staff shortages. It outlines the actions taken to address these issues, such as formulating a recovery plan, recruiting new staff, and improving efficiency. The report concludes with the current situation, including reduced waiting times and improved departmental planning.

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Improving Audiology Waiting Times and Departmental Issues - NHS Borders

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  1. NHS Borders Audiology waiting times

  2. Departmental issues – Feb 2007 • Increasing waiting times • Appointment times were too long • Clinical procedures not being followed • Ineffective ENT support • Staff shortages • Accommodation shortage • No staff development • Low staff morale

  3. Waiting times - Historical

  4. Appointment times • Assessment appointment - 75 minutes • Fitting – 60 minutes • Review – 30minutes • No telephone reviews • No “Open Fits”

  5. Issues • No REM’s • No GHABPs • 2 Band 6 audiologists resigned • Additional test rooms required • Staff morale low.

  6. Actions. • Formulate recovery plan • Install 2 new testing booths • Recruit new staff (locums used in interim) • Acquire funding (£200k) • Introduce national clinical procedures • Introduce national recognised appointment times

  7. Recovery plan –To be fully compliant in 12 months • Calculate increased capacity requirement based on full clinical procedures and national appointment times – 1 additional audiologist and 0.5wte clerical required for fixed term of 1 year - sourced • Use of private sector to cover ENT support • Improve efficiency in all areas of the department • Empower staff to make decisions

  8. Anticipated waiting times recovery

  9. Actual reduction in waiting times

  10. Current situation • Waiting times reduced to 11 weeks to fitting (and still reducing) • ENT support brought back in house • New HoS recruited • Now able to “plan for the future” across all areas of the service

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