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Enhancing Community Podiatry Services in Liverpool: A Clinician's Approach

The Liverpool PCT Podiatry Team, led by Neil Nevitt, is dedicated to providing comprehensive care for high-risk patients, including those with diabetes, PVD, and RA. Our community podiatry service offers flexible clinic-based sessions and home visits, aimed at improving patient accessibility and choice. With a focus on effective clinic management, data quality, and patient feedback, we strive to enhance service delivery, reduce waiting lists, and ensure equity in care. Our commitment is reflected in our monthly reporting and continuous improvement initiatives.

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Enhancing Community Podiatry Services in Liverpool: A Clinician's Approach

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  1. Lorenzo: A Clinicians Perspective Neil Nevitt Podiatry Team Leader Liverpool PCT

  2. Who we are? • Community Podiatry service • Clinic based sessions • Home visits • Nail surgery • High risk patients – diabetes, PVD, RA • Biomechanics • Self referral system – open to all residents of Liverpool • Currently- approx 500 clinic/ 180 dom sessions a month

  3. Accurate understanding of current patients vs total caseload Improved booking and clinic management Waiting list management Scheduling system for home visits Choice Equity Improved accuracy of demographic details Areas for Improvement: Before Lorenzo

  4. Staff and rota management Availability of Clinic sessions Managing demand Understanding productivity DNAs Identifying opportunities As a Team Leader…

  5. What the Podiatry Service wanted to deliver? • Flexibility and choice to patients • An accessible, equitable service for all • A service that responded to patient need • Team that understands its achievements is run effectively. • A service with fewer patient complaints

  6. Then Manual counts Monthly tallies Dependent on individual clinic staff Reporting and Information Gathering Now • Monthly reports • Information Team • Data quality programme • Citywide vs clinic view

  7. Offering Choice and Managing Demand

  8. Every little helps! • Reviewing real time clinic management-know what kind of day the team are having- DNA’s, walk ins etc! • Rota and clinic set up • Letter production

  9. Clinical Coding: Snomed CT • North West Regional Podiatrist Dataset • Codes now available • Start to record clinical information • Diabetics, high risk, nail surgery, orthotics

  10. Liverpool PCT Podiatry Service Recording Items for Podiatry Service on Lorenzo

  11. Next Steps • Sharing record with Dermatology services • Treatment room nurses • Compare and share outcome measures

  12. Summary • Taken 2 years • Information Team supporting DQ • Just starting to code • Looking forward to Summary Record

  13. Questions? • Contact Details: Neil Nevitt: 07795 370150 Claire Jones: 0151 234 5093

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