Redesign of a consultant led prosthetic clinic.
The writer’s department operates a consultant led clinic once a week on a Friday. Its purpose is to provide an interdisciplinary team assessment for new patients being referred into the service, whilst also providing consultant/prosthetist review appointments for established patients.
The current clinic process has evolved to have an inefficient patient flow resulting in delays to the patient, variation in waiting time and appointment duration with its accompanying assessment form having a low completion rate
The HSE change model was chosen to restructure the clinic. During the initiation and planning stage an Interdisciplinary assessment form was designed through a collaborative approach and the clinic process redesigned into parallel clinics within the department. Following a presentation outlining the rationale for change and the new clinic structure proposal the project went live on the 25th April.
Results from the first two clinics showed that assessment form completion rate increased and waiting times reduced which was in line with what was expected. The appointment duration increased which was not intended
The assessment form will continue to be developed to provide a quicker population method based on best practice and historical input.