Changing general surgery procedures could improve care for patients and save the NHS millions

The Getting it Right First Time (GIRFT) programme has completed a review of general surgery and stated that the NHS could see a significant reduction in the amount of people unnecessarily admitted for emergency general surgery if more acute hospitals introduced consultant-led surgical assessments at their ‘front door’.

Analysis by the GIRFT team shows this change could lead to up to 30% fewer general surgery emergency admissions a year where no operation is delivered, and could cut the NHS’s annual cost for this (£361million) by £108m.

CLAHRC North Thames is evaluating the planned changes to orthopaedics, to identify lessons to inform future efforts to improve the organisation and delivery of services.

New King’s Fund report on the GIRFT programme

A new report from healthcare think tank the King’s Fund sets out progress in delivering the Getting It Right First Time (GIRFT) programme deliver improvements in quality and reductions in the cost of orthopaedic care in England.

Tackling variations in clinical care Assessing the Getting It Right First Time (GIRFT) programme gives an overview of the programme, how clinicians have responded and what it has already highlighted in terms of variations of care across the NHS.

 

 

 

 

 

The CLAHRC is carrying out an evaluation of the planned changes to orthopaedics, to identify lessons to inform future efforts to improve the organisation and delivery of services.

Ruth Plackett

Ruth’s PhD is exploring whether using new educational technologies, such as online simulation, can improve the teaching of clinical reasoning skills for medical students. Ruth, along with her supervisors and medical experts has developed an electronic clinical reasoning educational simulation tool (eCREST). ECREST shows patients in general practice, all patients presenting with vague, non-specific respiratory symptoms, which could be indicative of serious conditions that are often missed in primary, such as lung cancer. This will allow students to practise gathering information from a patient, interpret that information and make informed decisions on diagnosis and management. Ruth is currently conducting a feasibility randomised controlled trial at three medical schools, to see whether it can improve clinical reasoning skills, and a qualitative think aloud interview study, to explore how eCREST can help students to learn clinical reasoning skills. This PhD aims to improve future doctors’ awareness of the presentation of potentially serious conditions, such as lung cancer in primary care, to help reduce future diagnostic errors.

Dr Charlotte Woodhead

Charlotte completed her PhD at the Institute of Psychiatry, King’s College London, exploring the mental health of women in the UK Armed Forces. Her research and interests since then have focused on local health inequalities; for example, in sexual minority mental health; in the physical health of patients with serious mental illnesses; and, in the residential mobility of individuals with common mental disorders. Charlotte is currently a Research Associate working as an ‘embedded researcher’ within Haringey Council, as part of a research initiative organised by the NIHR CLAHRC North Thames to develop an evaluation framework for the provision of welfare advice hubs in primary care.

Dipesh Patel

Dipesh Patel is a post-doctoral Advanced Orthoptist working at Moorfields Eye Hospital. His one-year CLAHRC HEE NCEL fellowship will be spent investigating factors affecting treatment outcomes in children with amblyopia (lazy eye).

Dipesh has been an Orthoptist for 10 years, and has previously researched visual field testing in children with glaucoma and neuro-ophthalmic disease.