Lynne Leyshon Divisional General Manager Womens Childrens Diagnostic

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Lynne LeyshonDivisional General ManagerWomens
Childrens Diagnostic Therapies DivisionSouth
Devon Healthcare NHS Foundation Trust
Making the Difference Real in Gynaecology
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South Devon Healthcare NHS Foundation
Trust

• Medium sized DGH
• Catchment area 300 sq miles
• Resident population 270,000
• Holiday visitors in summer 100,000
• Headcount 06/07 3,666
• Operating income 168m
• No. of beds 450

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South Devon..

• 24 inpatient Gynae beds
• 7 Obs/Gynae Consultants
• 6,500 Gynae Referrals pa

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18 week RTT in Gynaecology

• Backlog of waiters gt 12 weeks
• Average wait 20 wks IP/DC 15wks OP
• Special case status in Trust
• Clinics overbooked
• Fire fighting
• STRESS
• Consultant tensions

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Summer Burst

• Clinical Leadership
• Marketing Pitch
• Time out
• Threat of losing market share
• Visioning
• Individual buy in

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Challenges

• Theatre scheduling
• ONE BAD APPLE
• Sustainability
• Conversion rate
• Follow up management
• Patient information
• Patient expectation

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Average Capacity Over 8 Week Period
Average Referrals Over 8 Week Period
Starting Point Target We Wanted To Reach
Additional Capacity Needed
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GynaecologyWaiting Lists
April 2007
October 2007
Outpatient 18 Reduction in Waiting List
Size 60 Reduction in Maximum Waiting
Time 14 Increase in Referrals (Apr-Jul 06 to
Apr-Jul 07) Inpatient 52 Reduction in
Waiting List Size 45 Reduction in Maximum
Waiting Time Day Surgery 52 Reduction in
Waiting List 45 Reduction in Maximum Waiting
Time
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What worked well

• No premium rate
• Summer capacity
• Extended day
• Generic referrals
• Flexible job planning
• Consultant / Nursing buy in
• Experienced Admin team
• Real time data
• Patient Experience

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What now?

• Schedulers
• No delays achiever
• Flexi PAs
• Flexi theatre schedules
• Right TRaC
• Celebrate success
• Keep going beyond 18 weeks