To approach the challenge, the Medinet team acknowledged the unique setting and conducted a detailed site review to understand the delivery options. The patient list was then considered, to identify any patients who may require additional care and for monitoring and review purposes. Next, all relevant Trust protocols were identified to certify compliance standard would be upheld.
Royal Cornwall Hospitals NHS Trust were involved in every step of the planning process, from collaborating on a multi-specialty strategy through consultation with their clinical teams to develop and introduce new practices on converting more GA cases to LAs where clinically appropriate.
Working with the Trust, Medinet also devised a bespoke travel plan, which was routinely updated, to overcome winter flight restrictions. The model adopted later start and finish times on Saturday and earlier on Sunday specific to time of year.
Starting with Dermatology, before supporting with Ophthalmology and then Urology, Medinet provided a substantive NHS consultant led fully managed service, deployed over weekends in existing theatres, for each specialty, with all clinicians working within the Trust’s space, benefitting from a supervisory governance link.
The plan took a total of 1 week to devise in partnership with the service fully mobilised in just under 3 weeks, with high levels of refinement to meet the changing needs via constant and open communication channels.
“Initially, we used Medinet’s service to support Dermatology with impressive results. They cleared our Dermatology outpatient backlog with excellent patient feedback. The insourcing activity also sustained a positive impact on how we operate Dermatology lists and embedded some valuable improvement in Trust practice.
The next focus was to improve our RTT position in Ophthalmology. We worked very closely with Medinet in planning the operational process and to ensure listed patients would be suitable.
Our more recent focus of collaboration has been Urology.As a key strategic focus to care for these patients, Medinet were able to mobilise in a matter of weeks.”