Service contribution and cost-effectiveness of specialist registrars in NHS trusts: a survey and costing analysis

Dafydd, Derfel Ap; Baskaradas, Aroon; Bobdiwala, S.; Anwar, Muhammad Saleem; Abrahams, Rachel; Jeremy, Levy

doi:10.7861/clinmedicine.16-3-235

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…It is important to ensure the consultant surgeons, and their patients, feel confident enough in remote clinics to support trainees within the clinic's community of practice. Since surgical trainees typically complete an average of three clinics per week [8], there is also an evident service provision element to be considered if virtual clinics become the norm. Through multi-layered support, we can provide optimal patientcentred care.…”

Section: Discussionmentioning

confidence: 99%

Virtual consultations: delivering outpatient clinics in paediatric surgery during the COVID-19 pandemic

et al. 2020

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Background The COVID-19 pandemic has resulted in many changes to clinical practice, including the introduction of remote clinics. Those familiar with remote clinics have reported benefits to their use, such as patient satisfaction and cost benefits; however, ongoing challenges exist, including delivering optimal patient-centred care. As a tertiary paediatric surgery unit in the UK, completing remote clinics was a new experience for most of our surgical team. We completed a service evaluation early into the COVID-19 pandemic aiming to define and address issues when delivering remote clinics in paediatric surgery. Remote clinics were observed (telephone and video), with follow-up calls to families following the consultations. Results Eight paediatric surgeons were observed during their remote clinics (telephone n = 6, video n = 2). Surgeons new to remote clinics felt their consultations took longer and were reluctant to discharge patients. The calls did not always occur at the appointed time, causing some upset by parents. Prescription provision and outpatient investigations led to some uncertainty within the surgical team. Families (n = 11) were called following their child’s appointment to determine how our remote clinics could be optimised. The parents all liked remote clinics, either as an intermediate until a face-to-face consultation or for continued care if appropriate. Our findings, combined by discussions with relevant managers and departments, led to the introduction of recommendations for the surgical team. An information sheet was introduced for the families attending remote clinics, which encouraged them to take notes before and during their consultations. Conclusions There must be strong support from management and appropriate departments for successful integration of remote clinics. Surgical trainees and their training should be considered when implementing remote clinics. Our learning from the pandemic may support those considering integrating remote clinics in the future.

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Section: Discussionmentioning

confidence: 99%