Dermatology Case Study in the South-West
The Details
Growing backlog
At the Trust, Dermatology Minor Ops procedures experienced significant growth, exacerbated through the persistence of Consultant vacancies. The backlog indicated 1,500 patients were waiting more than they should at the time, with the forecast to increase to reach almost 2,500 by March 2023 if nothing would change.
Flexibility
The Trust initially targeted the backlog of Minor Ops for 18 Week Support services but later switched their focus on 2 Week Wait minor op cases due to frequent patient cancellations and DNA instances.
Extra Capacity
After the initial launch, we were running at least four Minor Ops lists every weekend with an average of 15 patients per list.
Clinical Excellence & Efficiency
On each list we maximised both clinical excellence and the number of patients who could be safely treated. We have increased throuput per list by 50% comparing to the average number of patients the Trust was seeing per list.
Our Results
By March 2023, the Trust’s waiting list had 1,400 patients, which was significantly lower than the initial projection of 2,500.
Considering the impact on waiting list, the Trust extended 18 Week Support partnership until November 2023, reducing the wait list to only 900 patients.
-40%
Reduction of weeks waiting list
+50%
Increase in activity levels
99.9%
Patient satisfaction score
Meet Our Clinical Leads for Dermatology
Dr Ian Logan
Clinical Lead for DermatologyDr Ian Logan is a Consultant Dermatologist and Dermatological Surgeon at the London North West University Healthcare NHS Trust. In addition to his role in the dermatology clinical leadership team for 18 Week Support, Ian is chair of the clinical governance committee. His areas of expertise and interest include skin cancer management, adult general dermatology, skin surgery, dermatopathology, and quality improvement.
Josephine Millett
Dermatology Lead NurseJosephine began her career in dermatology as a newly qualified nurse in 2011. Since then she has held senior and specialist nurse roles both in the NHS and the private sector. She loves working in Dermatology, supporting people with the treatment and management of their skin condition in a variety of different ways, be it medically, surgically, using light based therapies or patient education and empowerment. In management positions she works with the wider management team to provide the best service possible for patients and develop nursing staff to be confident and competent in their work.
Testimonial
General Manager, NHS TrustThe professionalism and quality provided by 18 Week Support is what sets them apart from previous insourcing providers we have worked with. The patients have all had a positive experience and good outcomes.
NHS Trust General Manager
