Service Reviews = Positive Changes

Examples of positive changes that can come out of a Quality Health Review:

• Putting in place clear systems for managing waiting lists by named individuals.
• Collecting different data to establish changes in demand and ability to supply.
• Clear understandings of the need for tracking data to control delivery of equipment to patients through the ordering process.
• The need for clear outcome measures and implementation of clinical guidelines.
• The need to help GPs implement good practice guidelines on call-in and monitoring of at-risk patients.
• Assessment of how many staff are needed to perform functions, and the balance between clinical and administrative staff.
• Changing administrative practices to eliminate "constructed" and artificial waiting lists.
• Identification of "hidden" waiting lists not visible to managers because of poor data collection, but highly visible to patients.
• Specific quality improvement plans to implement national clinical guidelines and frameworks.
• Recommendations for the introduction of new standards for provision of cosmeses and complex limb fittings.
• Reorganisation of work to eliminate wasteful journeys and domiciliary visits.
• Work balancing to ensure clinicians undertake their appropriate share of particular procedures.
• Analysis of costs between two services producing the same output and being undertaken on the same site, "unknown" to management.
• Specific Quality Improvement Plans in place to help improve quality of service.