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PKB can support supports trusts' elective recovery plans for Waiting List Validation (WLV) with our understanding that WLV is about capturing more and better data about patients waiting on lists. PKB PKB’s questionnaire functionality gives trusts, the ability tool allows trusts to technically validate the waiting lists, focusing on a patient's status, identifying any inaccuracies, such as patients who have moved out of the area, duplicated records, or patients already on a treatment pathway.
The trust team can remove removes any patient no longer needed on the list, thereby ensuring the waiting list is accurate and up to date and allowing other patients waiting to be treated quicker by utilising appointment slots in the trust and surrounding hospitals. PKB validates regularly patients on waiting lists
Trusts can validate patients regularly using the questionnaire tool, checking if they still need to be on the list, who can travel to other surrounding hospitals for their appointment and who is available at short notice if there are DNAs, ultimately reducing the overall list.
Current Problems
Long waiting list
No process to discuss any changes to patients patient's condition
Unknown deterioration resulting in emergency admissions
Resulting in more money and time being wasted
Bad patients and clinical teams experience
Patients are not always fit for surgery
No education or support for patients
Paper and phone-based approaches are not fit for purpose
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Recently completed a trial implementing tailored Waiting List Validation Questionnaires being sent to patients via PKB across 14 clinical specialities. With patient response rates of 50-80%, they achieved an immediate 6% reduction in the waiting list and an estimated £14,000 saving in clinical costs if the patients who were discharged had missed appointments. With proven positive impact, this is now being expanded across more specialities, integrating automation for more effective pathway management.
94% asked to remain on the waiting list
48% of patient responses were via PKB
386 completed within 2 hours
Speed and also the ability to change the questionnaire
Longer-term waiting list management, giving patients information at every stage
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As part of a nationwide programme, UHNM is using PKB APIs to trigger the sending of questionnaires to patients, gathering BMI stats from patients awaiting surgery. They use this data to decide whether their surgery is still okay to proceed, or whether patients need to be put on a weight management programme or delay their surgery.
Hywel Dda University Health Board
Have implemented a pre-habilitation programme for those awaiting orthopaedic surgery. Patients are given a personalised care plan 8 weeks ahead of their surgery, with week-by-week guidance to prepare for their procedure and the rehabilitation afterwards. The health board is now looking to spread this to support more individuals on the waiting list, and across more therapeutic areas. Read more about the HDUHB virtual orthopaedic prehabilitation programme here in NHS England's digital playbook.
Hull University Teaching Hospital
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Key features
There are key PKB features all services validating waiting lists can use to capture data. A list of them is below.
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Patients have access to message their healthcare team (saving time on the phone)
The Admin team can triage messages. Either resolving or passing onto another speciality team
Universal Messaging is the ability for patients to message clinical and non-clinical teams
Team-based messaging allows teams to automatically receive secure messages and consultations as a group rather than as individuals
Library
Waiting well Well resources
Online patient leaflets
Support group information
Videos
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Reduce the number of missed appointments (DNA) for the rheumatology team by Sept 2023 (12 months post team go live) from (current missed appointments) to ( %) by sending all appointment letters and appointment details into PKB instead of by post. Current missed appointment rates are (%). 12 months post go live, the team compared missed appointment rates of patients with and without a PKB record. It is a local NHS priority to reduce missed appointments to save money.
Case studies
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Non face to face delivery of IBD services using PKB
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Further information
Digital support at every stage of the pathway, how PKB can support trusts with their elective care pathways
Hull University Teaching Hospitals NHS Trust's journey with PKB is utilising PKB to capture data ahead of appointments, freeing up capacity. This is being implemented across their surgical pathways.