One-Stop Clinic Utilization in Plastic Surgery: Our Local Experience and the Results of a UK-Wide National Survey

2.50
Hdl Handle:
http://hdl.handle.net/11287/594003
Title:
One-Stop Clinic Utilization in Plastic Surgery: Our Local Experience and the Results of a UK-Wide National Survey
Authors:
Gorman, Mark; Coelho, James; Gujral, Sameer; McKay, A.
Abstract:
Introduction. "See and treat" one-stop clinics (OSCs) are an advocated NHS initiative to modernise care, reducing cancer treatment waiting times. Little studied in plastic surgery, the existing evidence suggests that though they improve care, they are rarely implemented. We present our experience setting up a plastic surgery OSC for minor skin surgery and survey their use across the UK. Methods. The OSC was evaluated by 18-week wait target compliance, measures of departmental capacity, and patient satisfaction. Data was obtained from 32 of the 47 UK plastic surgery departments to investigate the prevalence of OSCs for minor skin cancer surgery. Results. The OSC improved 18-week waiting times, from a noncompliant mean of 80% to a compliant 95% average. Department capacity increased 15%. 95% of patients were highly satisfied with and preferred the OSC to a conventional service. Only 25% of UK plastic surgery units run OSCs, offering varying reasons for not doing so, 42% having not considered their use. Conclusions. OSCs are underutilised within UK plastic surgery, where a significant proportion of units have not even considered their benefit. This is despite associated improvements in waiting times, department capacity, and levels of high patient satisfaction. We offer our considerations and local experience instituting an OSC service.
Citation:
Plast Surg Int. 2015;2015:747961.
Publisher:
Hindawi
Journal:
Plastic surgery international
Issue Date:
26-May-2015
URI:
http://hdl.handle.net/11287/594003
DOI:
10.1155/2015/747961
PubMed ID:
26236502
Additional Links:
http://dx.doi.org/10.1155/2015/747961
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Journal Article
Language:
eng
ISSN:
2090-1461
Appears in Collections:
2015 RD&E publications; Plastic & Reconstructive Surgery

Full metadata record

DC FieldValue Language
dc.contributor.authorGorman, Marken
dc.contributor.authorCoelho, Jamesen
dc.contributor.authorGujral, Sameeren
dc.contributor.authorMcKay, A.en
dc.date.accessioned2016-01-19T12:38:28Zen
dc.date.available2016-01-19T12:38:28Zen
dc.date.issued2015-05-26en
dc.identifier.citationPlast Surg Int. 2015;2015:747961.en
dc.identifier.issn2090-1461en
dc.identifier.pmid26236502en
dc.identifier.doi10.1155/2015/747961en
dc.identifier.urihttp://hdl.handle.net/11287/594003en
dc.description.abstractIntroduction. "See and treat" one-stop clinics (OSCs) are an advocated NHS initiative to modernise care, reducing cancer treatment waiting times. Little studied in plastic surgery, the existing evidence suggests that though they improve care, they are rarely implemented. We present our experience setting up a plastic surgery OSC for minor skin surgery and survey their use across the UK. Methods. The OSC was evaluated by 18-week wait target compliance, measures of departmental capacity, and patient satisfaction. Data was obtained from 32 of the 47 UK plastic surgery departments to investigate the prevalence of OSCs for minor skin cancer surgery. Results. The OSC improved 18-week waiting times, from a noncompliant mean of 80% to a compliant 95% average. Department capacity increased 15%. 95% of patients were highly satisfied with and preferred the OSC to a conventional service. Only 25% of UK plastic surgery units run OSCs, offering varying reasons for not doing so, 42% having not considered their use. Conclusions. OSCs are underutilised within UK plastic surgery, where a significant proportion of units have not even considered their benefit. This is despite associated improvements in waiting times, department capacity, and levels of high patient satisfaction. We offer our considerations and local experience instituting an OSC service.en
dc.language.isoengen
dc.publisherHindawien
dc.relation.urlhttp://dx.doi.org/10.1155/2015/747961en
dc.titleOne-Stop Clinic Utilization in Plastic Surgery: Our Local Experience and the Results of a UK-Wide National Surveyen
dc.typeJournal Articleen
dc.identifier.journalPlastic surgery internationalen
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en

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