PKB Features

Key PKB features all orthopaedic services can use with their patients to support them while they wait, both preop and post-operatively.   A list of them is below.

Messaging 

• 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 questionnaires as a group rather than as individuals

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Library

• Central trust organisation library for advice, services and information

• Disease and condition information with advice and resources

• Treatment plans, for example, a rehab program with videos and advice a patient needs to watch and read each week

• Rehabilitation information

• Advice on Living well, including exercise, healthy eating, quitting smoking and alcohol recommendations

• Details and links to National and local support groups and website

• Professional alliance information

• Treatment options for orthopaedic conditions and pain management

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Care Plans

Care plan templates can be used to standardise the way that information is shared with a patient following their surgical procedure. Plans can educate patients on the procedure they have had,  as well as providing follow up advice, guidance and support. Teams can create interactive procedure-specific care plans or generalised plans to support all patients who have undergone a procedure.

Care plans can include

• Educational materials such as embedded images and videos

• Generic resources, organisation-specific resources or tailored personal videos 

• PDFs/Documents

• Resource library signposting patients towards useful resources and services

• Prompts patients to track progress post-procedure

• Include tailored symptom tracker and measurements (both manual and via integrated apps, devices and wearables).

• Pre-emptive advice, including a Red/Amber/Green status, provides comprehensive support and what to do if they have any concerns

• Allow patients to self-assess and self-manage their health and care

Care Plan Example

NHS APP

Patients are able to access care plans directly from within the NHS App via the care planning jump off point (specific to PKB), as well as via any web-enabled device.

Figure 2 - patient’s journey to access these care plans directly within the NHS App for the first time (including the second image showing the initial linkage of a patient’s NHS App and PKB account) 

Questionnaires 

Patients can initiate a questionnaire by clicking Start Consultation 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.

Questionnaire templates

• Patient Reported Outcomes (PROMS)

• WLV questionnaire example

• Capturing Digital Outcome Measures

• Post operative/ enhance recovery program questionnaire

Add and View Data

Patients can automatically be added to the correct team through an integrated demographics feed, whereby these resources will be readily available without any manual intervention required by professionals. This demographics feed integration would take approximately 8 weeks to establish for a new organisation. 

• Patients can view hospitals and GP data  where an integration with PKB has been set up

• Data can include blood tests, x-ray reports, clinic and appointment letters, appointments and discharge summaries 

• Patients can add information themselves, including operations and conditions

• Patients can track key measurements and add any symptoms related to their orthopaedic condition

Reduce waiting list for the ………… team by December 2023 (... months post admin team go live) from (current waiting list times) to ( %) by validating all patients on the waiting for appointments by sending them a digital questionnaire through PKB instead of by post or not at all.  Current waiting list rates are (%). …. months post-going live, the team compared the waiting list of patients with and without a PKB record. It is a local NHS priority to reduce waiting lists to save money.

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-going 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.

Further Information

• Example care plans can be found on PKB’s care planning toolkit, including examples for enhanced recovery after surgery, prehabilitation ahead of an orthopaedic procedure and shared decision-making ahead of a procedure 

• Peri-operative care plans templates: examples of pre-op, consent, minor procedures and post-op templates created and used by teams

• Consent Care Plan Templates: informed consent care plan examples

• Shared decision tool care plan: PKB has converted these decision support tools into digital, editable and shareable care plans

• Elective Recovery: how PKB can digitally support teams and patients at every stage of the pathway

• Surgery teams: workflow and content

• Mr Dave Duffy explains how and why he uses PKB to send patients personalised videos post-surgery

• Using PKB in a Perioperative Pathway: PKB PUG event video showcasing how three Trusts use PKB in their peri op pathway