Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care

Kim Lawrence Ah-See,1 Andrew Blaikie,2 Natalie Boyle,3 Jonathan Foulds,3 Catherine Wheeldon,3 Peter Wilson,3 Caroline Styles,3 Shona Sutherland,3 Roshini Sanders3 1Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, Scotland, UK; 2School of Medicine, University of St Andrews, St...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ah-See KL, Blaikie A, Boyle N, Foulds J, Wheeldon C, Wilson P, Styles C, Sutherland S, Sanders R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cataract surgery healthcare policy training service provision Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/fb44e9967f0d4ab7acf80a2133687bae
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:fb44e9967f0d4ab7acf80a2133687bae
record_format	dspace
spelling	oai:doaj.org-article:fb44e9967f0d4ab7acf80a2133687bae2021-12-02T12:45:19ZCataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care1177-5483https://doaj.org/article/fb44e9967f0d4ab7acf80a2133687bae2021-01-01T00:00:00Zhttps://www.dovepress.com/cataract-surgery-redesign-meeting-increasing-demand-training-audit-and-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kim Lawrence Ah-See,1 Andrew Blaikie,2 Natalie Boyle,3 Jonathan Foulds,3 Catherine Wheeldon,3 Peter Wilson,3 Caroline Styles,3 Shona Sutherland,3 Roshini Sanders3 1Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, Scotland, UK; 2School of Medicine, University of St Andrews, St Andrews, Scotland, UK; 3Department of Ophthalmology, Queen Margaret Hospital, Dunfermline, Fife, UKCorrespondence: Kim Lawrence Ah-SeePrincess Alexandra Eye Pavilion, Edinburgh, Scotland, United KingdomEmail kim.ah-see@nhslothian.scot.nhs.ukObjective: The demand for cataract surgery in Fife (a well-defined region in southeast Scotland) was steadily increasing over 15 years. Cataract surgery was therefore being outsourced to meet demand with consequences on list mix, training needs, patient experience and staff morale. We aimed to redesign our services to meet local demand, retain a patient-centered service and continue to fulfil training needs.Methods: We quantified cataract surgery delivery over an 18-month period: before, during and after redesign of services. We studied numbers of operations, trainee cases and number of outsourced cases. We also considered the economic implications of the redesign.Results: We studied three periods (each of six months duration): before redesign (BR), redesign period (RP) and post-redesign (PR). Data were collected on total operation numbers, number of cases performed by trainees, and numbers performed out with normal working hours (weekend lists) and external providers. An economic analysis examined the cost of outsourcing cataracts during BR and RP and the costs of the redesign, including building, equipment and additional nursing staff.Conclusion: Regional fulfilment of cataract surgery provision remains a continuous challenge within the NHS. We show that with minimal investment, smart redesign process and collaborative working, increased local provision is possible while fulfilling trainee needs and achieving the necessary clinical audits and national standards.Keywords: cataract surgery, healthcare policy, training, service provisionAh-See KLBlaikie ABoyle NFoulds JWheeldon CWilson PStyles CSutherland SSanders RDove Medical Pressarticlecataract surgeryhealthcare policytrainingservice provision OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 289-297 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery healthcare policy training service provision Ophthalmology RE1-994
spellingShingle	cataract surgery healthcare policy training service provision Ophthalmology RE1-994 Ah-See KL Blaikie A Boyle N Foulds J Wheeldon C Wilson P Styles C Sutherland S Sanders R Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
description	Kim Lawrence Ah-See,1 Andrew Blaikie,2 Natalie Boyle,3 Jonathan Foulds,3 Catherine Wheeldon,3 Peter Wilson,3 Caroline Styles,3 Shona Sutherland,3 Roshini Sanders3 1Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, Scotland, UK; 2School of Medicine, University of St Andrews, St Andrews, Scotland, UK; 3Department of Ophthalmology, Queen Margaret Hospital, Dunfermline, Fife, UKCorrespondence: Kim Lawrence Ah-SeePrincess Alexandra Eye Pavilion, Edinburgh, Scotland, United KingdomEmail kim.ah-see@nhslothian.scot.nhs.ukObjective: The demand for cataract surgery in Fife (a well-defined region in southeast Scotland) was steadily increasing over 15 years. Cataract surgery was therefore being outsourced to meet demand with consequences on list mix, training needs, patient experience and staff morale. We aimed to redesign our services to meet local demand, retain a patient-centered service and continue to fulfil training needs.Methods: We quantified cataract surgery delivery over an 18-month period: before, during and after redesign of services. We studied numbers of operations, trainee cases and number of outsourced cases. We also considered the economic implications of the redesign.Results: We studied three periods (each of six months duration): before redesign (BR), redesign period (RP) and post-redesign (PR). Data were collected on total operation numbers, number of cases performed by trainees, and numbers performed out with normal working hours (weekend lists) and external providers. An economic analysis examined the cost of outsourcing cataracts during BR and RP and the costs of the redesign, including building, equipment and additional nursing staff.Conclusion: Regional fulfilment of cataract surgery provision remains a continuous challenge within the NHS. We show that with minimal investment, smart redesign process and collaborative working, increased local provision is possible while fulfilling trainee needs and achieving the necessary clinical audits and national standards.Keywords: cataract surgery, healthcare policy, training, service provision
format	article
author	Ah-See KL Blaikie A Boyle N Foulds J Wheeldon C Wilson P Styles C Sutherland S Sanders R
author_facet	Ah-See KL Blaikie A Boyle N Foulds J Wheeldon C Wilson P Styles C Sutherland S Sanders R
author_sort	Ah-See KL
title	Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
title_short	Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
title_full	Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
title_fullStr	Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
title_full_unstemmed	Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care
title_sort	cataract surgery redesign: meeting increasing demand, training, audit and patient-centered care
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/fb44e9967f0d4ab7acf80a2133687bae
work_keys_str_mv	AT ahseekl cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT blaikiea cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT boylen cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT fouldsj cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT wheeldonc cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT wilsonp cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT stylesc cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT sutherlands cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare AT sandersr cataractsurgeryredesignmeetingincreasingdemandtrainingauditandpatientcenteredcare
_version_	1718393718898163712

Cataract Surgery Redesign: Meeting Increasing Demand, Training, Audit and Patient-Centered Care

Ejemplares similares