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PKB 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’s questionnaire tool allows trusts to technically validate a patient's status technically, 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 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.
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Contacting patients to see if they still need the op , via an automated questionnaire
APIs to trigger sending and extracting back to PAS/EPR/Dashboard
Questionnaires issued at various times of a patient’s pathway (confirming they still need an appointment)
Remove people who can be removed
Collect data to determine if someone's position on the list has changed (i.e. have they deteriorated)
Ability to collect better data about who is best to offer the last min cancellations
Collect data about who is willing to travel to other locations so they can be seen quickly
Give trusts the ability to contact their waiting patients more often, improving patient experience as they know they haven't forgotten and don't need to chase
Empowering staff to use digital solutions, increasing resilience and adaptability
Digital workflows that are scalable around all specialities
The digital solution for all NHS elective recovery pathways, further info here.
Waitlist management for Emeet and Greet, Waiting well, WLV and digital decision support tool care plans
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Completed a trial implementing tailored Waiting List Validation Questionnaires 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. To read the full case study, click here.
6% of patients requested to be removed from the waiting list, resulting in improved efficiency and reduced backlog.
Estimated cost savings of £14,000 in clinical expenses for a small cohort by avoiding unnecessary Did Not Attends (DNAs).
94% asked of patients requested to remain on the waiting list
48% of patient responses were via PKB
Speed and the ability to change the questionnaire
Longer-term waiting list management, giving patients information at every stage, ensuring appropriate prioritisation and care delivery - of the patient responses received, 48% were submitted via PKB, with 47% completed within 2 hours. This rapid response time provided the Trust with a real-time snapshot of the waiting list, which is essential for effective management in the face of constant changes.
Example Questionnaire
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University Hospitals of North Midlands
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 must be put on a weight management programme or delay their surgery.
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Have implemented a pre-habilitation programme for those awaiting orthopaedic surgery. Patients are given a personalised care plan 8 weeks ahead of before 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.
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Patients can initiate a questionnaire by clicking Start Questionnaire on their homepage or directly within the NHS App. Once completed, the questionnaire can be sent to a professional or team.
Teams using the questionnaire tool can ensure the outcome of clinical reviews is recorded, and the patient has a copy. Teams can also identify patients suitable for virtual appointments or PIFU.
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By the end of 2023, organisations will be able to use PKB’s new advanced questionnaire functionality, ; the features include:
Scoring and calculations
Branching, allowing patients to complete the parts of the questionnaire that are relevant to them
Coded fields , questionnaires can be mapped to clinical codes
Patients can save drafts
Send questionnaires to patients who aren’t registered or already in your team
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PKB care plans can be used at every stage of a patient's condition journey, below . Below are some of the care plan templates being used and templates that can be created.
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Patients will be added to the team (set periods) and sent a Questionnaire asking if they are still wanting want their appointment. Once the response is collected by the Trust, they can Validate their waiting list and either discharge the patient from the PKB team or keep the patient in this team, sending a waiting list validation Questionnaire as needed and in line with NHSE guidelines. For those patients not registered in PKB, the Trust will send a digital letter to the patient's PKB record or SMS to encourage them to register for PKB and complete the waiting QA.
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Digital support at every stage of the pathway, how PKB can support trusts with their elective care pathways
Mid Yorkshire Teaching NHS Trust uses Patients Know Best for Waiting List Validation case study
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
The Rheumatology Team is seeing cost benefits in using PKB to streamline processes, saving admin time and money
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