Booking the Prostate Cancer Patients Journey

Gail McPhail Urology Clinical Nurse Specialist Linda Bycroft Cancer Services Collaborative Project Facilitator Mike James Consultant Urologist 91 days for Routine Out patient appointment ~ 30% Process Mapping Trans-rectal ultrasound & biopsy clinic •Adhoc Clinics •No certainty or choice •Patients wait 14 – 365 working days •Patients in clinic for up to 4 hours •Antibiotics given in clinic during counselling •Patients arrive all together at start of clinic with no set appointment time Flow-rate Clinic Minimum 49 days – Maximum 484 days Referral Consultant Appointment for Results First Out-patient appointment with Consultant 14 days for Urgent & Two Week Wait ~ 70% 21 – 28 days Nurse-led Prostate Assessment Clinic (ProAC) Trans-rectal ultrasound & biopsy clinic •Regular Clinics x one weekly •15 minutes Appointment Slots •Patient arrives having taken prophylactic Antibiotics one hour before •Maximum time in clinic now one hour •New Patient Information Leaflet •Patients leave clinic with booked follow-up appointment Minimum 28 days – Maximum 51 days Referral First Out-patient appointment with Consultant •Patient receives choice of Booked Appointment within 20 days •Patient receives individual appointment time •Patient leaves clinic with prophylactic Antibiotics •Waiting times monitored by team Consultant Appointment for Results 10 days Redesign Process Three Main Challenges Three Main Achievements •Collection of data to support redesign •Turn-a-round time for specimens •Resistance to change •Reduction in Waits and Delays •Giving Patients certainty & choice •Pre-packed Antibiotics Plans for the Future: • Nurse-led TRUSS & Biopsy sessions • Continual Patient involvement in change • Continual Evaluation of change • Dedicated Results Clinic • Information leaflet to incorporate Consent • Integrated Care Pathway for Prostate Cancer Patients Contact Details: Chesterfield & North Derbyshire Royal Hospital NHS Trust Calow, CHESTERFIELD S44 5BL Tel: 01246 552664