Tackling Dermatology Backlogs at Bridgewater Community HealthcareThe Challenge Like many NHS providers, BCH faced rising demand, workforce shortages, and increasing dermatology waiting lists. Two pressures were particularly urgent: Routine backlog: A waiting list of 600 patients requiring surgery, including 300 who had waited more than 18 weeks. Cancer performance: The need to maintain two-week wait
Clearing ENT Backlogs at Hull University Teaching Hospitals NHS TrustThe Challenge The Trust was managing a high volume of ENT referrals, with adult and paediatric patients awaiting their first outpatient appointment. Many required audiology and further diagnostics, which added to capacity pressures. The Trust needed additional support to meet demand, reduce waiting times, and maintain
Tackling gastroenterology backlogs at United Lincolnshire Teaching Hospitals NHS TrustThe Challenge ULHT faced increasing pressure across gastroenterology outpatient pathways, with significant numbers of long-wait patients and limited internal capacity to expand weekday clinics. Workforce shortages, particularly among specialist nurses and consultants, further constrained delivery options. To address these challenges, the Trust sought an experienced partner
Clinical effectiveness means ensuring that all aspects of service delivery are designed to provide the best outcomes for patients. This is achieved by ensuring that the right care is delivered to the right person at the right time they are in need and in the correct setting.
A patient’s information should always be up to date and correct on any systems used. It should also be confidential through correct storage and management of data.
Risk Management involves having robust systems in place to understand, monitor and minimise the risks to patients and staff and to learn from mistakes. When things go wrong in the delivery of care, our staff teams should feel safe admitting it and be able to learn and share what they have learnt, which embeds change in practice.
Communication with patients and the public is essential to gain insight on the quality of care we deliver, and any possible problems that can result. Public involvement is equally as important to ensure that patient and public feedback is used to improve services into day-to-day practice for better patient outcomes.
This encompasses the provision of appropriate support to enable staff to be competent in doing their jobs and to develop their skills so that they are up to date. Professional development needs to continue through lifelong learning.
This ensures the organisation recruits highly skilled staff and aligns them with the correct job roles. Staff are supported in professional development and to gain and improve their skills.
The aim of the audit process is to ensure that clinical practice is continuously monitored and that deficiencies in relation to set standards of care are remedied. Research goes alongside audits to pioneer best practice improvements.