Electronic Clinic Booking System by Claire Hoe https://padlet.com/claire_hoe/ECB_problem_aims Project Aims Workshop 1 en-us 2021-11-30 18:52:53 UTC 2025-06-10 14:39:26 UTC hello@padlet.com Orange forms go missing https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926991173 Patients take them away
Consultants take them away]]> 2021-12-03 09:27:48 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926991173 Filling in orange forms - not always done correctly, boxes not ticked https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926993606 can't decipher handwriting]]> 2021-12-03 09:29:46 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926993606 Will try to do the RTT pathway, but cannot be done as it has been ended or the orange form hasn't been processed https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926994315 2021-12-03 09:30:21 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926994315 Consultants want to be able to see the triage data during the patient appointment https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926995062 2021-12-03 09:30:56 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926995062 Some nurses are very resistant to an electronic system: want to retain paper https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926995869 2021-12-03 09:31:29 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926995869 Suggest focusing on Med Surge; will provide biggest win https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996137 2021-12-03 09:31:42 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996137 Patients take orange forms away / don't leave at reception https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996413 2021-12-03 09:31:56 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996413 Orange forms can take a month to six weeks to reach reception https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996653 2021-12-03 09:32:08 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996653 Stakeholder Engagement https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996797 2021-12-03 09:32:15 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926996797 Could focus on ENT as a discreet area, consultant is engaged and supportive https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926997008 2021-12-03 09:32:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926997008 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926998594 Discrete area with consultant buy in - eg ENT

]]> 2021-12-03 09:33:48 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1926998594 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927000617 Discrete area / speciality
wch second site]]> 2021-12-03 09:35:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927000617 Suggest Workington as second site; mix of clinics, but still a discreet area https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927001281 2021-12-03 09:35:58 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927001281 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927002401 Workington to start with mixed clinic]]> 2021-12-03 09:36:41 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927002401 Penrith has acute clinics run by community staff. New to processes. https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927003217 2021-12-03 09:37:14 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927003217 Need to take time to understand Penrith clinics before deciding where to put them in the roll out plan. Maybe a good idea to bring them on early, as consultant may easily outcome own appointments and remove need to transfer forms to CIC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927006012 2021-12-03 09:39:22 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927006012 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927007998 missing orange forms delay in orange forms returning ]]> 2021-12-03 09:40:47 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927007998 Emergency appointments don't have orange forms - have to generate one for them. https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927008399 2021-12-03 09:41:06 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927008399 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927009278 ophthalmology have more emergency appointments ]]> 2021-12-03 09:41:47 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927009278 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927010875 hand writing on Orange forms can be difficult to read]]> 2021-12-03 09:42:53 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927010875 Don't know who has completed an orange form claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927011376 not meeting health record standards]]> 2021-12-03 09:43:15 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927011376 Daily audits: 10 to 15 thousand pieces of paper per month counted by hand https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927013268 2021-12-03 09:44:37 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927013268 Not obvious which pathway a patient is on claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927014313 2021-12-03 09:45:19 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927014313 Difficulty in demonstrating where the gaps in the system are, as in forms not completed, or not delivered to reception for inputting https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927019889 2021-12-03 09:48:32 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927019889 Complex room usage - a clinic might need multiple rooms for a single clinic appointment, such as breast screening can need 3 different rooms for a single clinic https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927023067 2021-12-03 09:50:53 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927023067 Rooms appear to be empty but they are booked as the secondary / support rooms for the clinic that needs multiple rooms https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927023669 2021-12-03 09:51:14 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927023669 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927024319 visiting consultants using a room no charge ]]> 2021-12-03 09:51:39 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927024319 Newcastle / other orgs / visiting consultants use clinic rooms for non-NCIC patients and NCIC patients https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927025371 2021-12-03 09:52:29 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927025371 CCG commissioning and ability to charge room usage correctly https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927025785 2021-12-03 09:52:47 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927025785 Lee Scott working on SLA for private patients https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927026151 2021-12-03 09:52:59 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927026151 Consultants running private clinics outside NHS hours using clinic rooms claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927028164 2021-12-03 09:54:34 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927028164 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927029320 private patients /cat 2 seen out of nhs time 
still needs that room runs private clinic but no charge for room.
insurance company will send a referral consultant will use a clinic room we don't charge for room hire]]> 2021-12-03 09:55:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927029320 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927033959 responsible for booking room and finance for charging ]]> 2021-12-03 09:59:01 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927033959 Who is responsible for charging claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927034499 2021-12-03 09:59:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927034499 Who books room? Need to ensure nursing staff know and have people available to cover claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927035327 2021-12-03 10:00:05 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927035327 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927036630 book the room when booking the clinic's ??]]> 2021-12-03 10:01:12 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927036630 Room bookings need connecting to staff rotas so that nurses available claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927036749 2021-12-03 10:01:18 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927036749 need to talk to contact centre to discuss who liaises with nurses when clinics are booked claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927038157 Gill Coward
Zoe Errington]]> 2021-12-03 10:02:29 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927038157 Will need a business continuity plan and SOP for emergency / late changes to clinics https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927039896 2021-12-03 10:04:00 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927039896 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927041054 cashing up of clinics is a problem ]]> 2021-12-03 10:05:03 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927041054 Cashing up clinics claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927041289 currently done by receptionist]]> 2021-12-03 10:05:14 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927041289 Patients are not always shown as attended - will continue to show as booked. Impacts on DNA numbers https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927043604 2021-12-03 10:07:10 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927043604 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927044044 attending clinic the consultant attend patients this makes a difference when cashing up clinics ]]> 2021-12-03 10:07:35 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927044044 Telephone clinics are not always held in a booked room - meaning no list of patients for clinics that do not have a room booked. https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927044155 2021-12-03 10:07:40 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927044155 Cardiology / vascular clinics putting patients on after the date / non-scheduled appointments https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048006 2021-12-03 10:10:28 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048006 Lots of additions to clinics the day before, but not added to clinics on PAS claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048317 How are emergency or extra patients added to clinics?]]> 2021-12-03 10:10:43 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048317 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048361 non schedule appointments are put on the system as hopa's - no orange forms not on PAS - daily basis]]> 2021-12-03 10:10:45 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927048361 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927051415 data quality of demographics]]> 2021-12-03 10:13:17 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927051415 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927061761 other system tied in together]]> 2021-12-03 10:21:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927061761 Need to speak to lead for Attend Anywhere contract review to discuss links between systems / projects https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927063380 2021-12-03 10:22:49 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927063380 eTrauma system - 6 month trial. Business case being processed, need to ask James McCourt if being extended https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927064087 2021-12-03 10:23:24 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927064087 eTrauma need to add to Orth fracture clinic for next day, booked by receptionists not contact centre claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927067582 2021-12-03 10:25:56 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927067582 https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927072003 without having someone filling out pieces of paper which rooms are free ]]> 2021-12-03 10:29:39 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927072003 See all clinics in which rooms claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927072215 Patients & consultants
Direct patients - patient experience better

]]> 2021-12-03 10:29:50 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927072215 Patient data better claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927073928 Kiosks will highlight if data is incorrect and will be able to confirm
No shouting across the atrium

]]> 2021-12-03 10:31:08 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927073928 Data quality improvements; patient can check own data via kiosks https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927074317 2021-12-03 10:31:29 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927074317 Cashing up clinics - know if patients have attended/not straight away claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927074478 Consultants add outcomes
Patient experience much better - quicker notification of needing another apt]]> 2021-12-03 10:31:37 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927074478 Know patients have attended; secretaries can see patients have attended so know there should be / may be a dictation https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927075305 2021-12-03 10:32:16 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927075305 patient experience improved: outcomes done quicker, meaning follow up appointments are booked quicker - vast improvement https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927076257 2021-12-03 10:33:04 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927076257 Will as many receptionists be required? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927077087 Change in processes

]]> 2021-12-03 10:33:51 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927077087 Data quality improve claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927078703 2021-12-03 10:35:05 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927078703 Timeliness improve claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927079042 2021-12-03 10:35:12 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927079042 Once consultant has outcomed, receptionists will still need to book next apt claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927081023 Need to ensure data outcomes are transposed into PAS - 2 way interface
Steve Dobie's team involvement]]> 2021-12-03 10:36:56 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927081023 Make sure everyone talks to each other! claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927081537 Standardised way of managing clinics where possible - eg room bookings and outcomes]]> 2021-12-03 10:37:24 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927081537 Responsibilities are defined and owned claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927082580 2021-12-03 10:38:18 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927082580 Audits - more data available within system than counting forms claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927083821 Can check what is being done by consultants

]]> 2021-12-03 10:39:22 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927083821 Where is staff time going to be refocused? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927084529 2021-12-03 10:39:55 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927084529 Training - reception, nurses and consultants claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927088249 Explore site visits to other Trusts where currently in use
Access to User groups]]> 2021-12-03 10:43:00 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927088249 Need SOP for long term planned changes to rooms/clinics claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927089439 2021-12-03 10:44:11 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927089439 Need consultant buy-in - SSO really important claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927089981 2021-12-03 10:44:44 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927089981 need to future proof to tie in with other systems - historical digitised records, CRIS, ICE, new EPR etc. claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927091261 2021-12-03 10:45:50 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927091261 Clinical Governance approval claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927092162 2021-12-03 10:46:35 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927092162 Care for staff - avoid mistrust, speak to other trusts so can provide a better idea of how it works claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927093385 Benefits seen by other trusts to be included in early coms to staff]]> 2021-12-03 10:47:41 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927093385 Orange form works to a degree claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927095029 issues with paper, human error, actually completing/returning]]> 2021-12-03 10:49:02 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927095029 Room bookings - reception never been involved claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927096657 reception never been involved
Have to ask within clinics
Currently no central booking
For each clinic:
need Nurse staffing
Medical records
Contact centre ring patient

]]> 2021-12-03 10:50:27 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927096657 Process for tying in nursing cover with room bookings claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927097899 need to fully understand how this currently works for each clinic
Just because a room is empty doesn't mean a clinic can occur as may not have staff available]]> 2021-12-03 10:51:35 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927097899 Consultant buy-in claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927101493 Have previously tried digital orange forms and request return via email, and was refused due to time it takes to switch between systems
Need to fully understand the benefits for consultants]]> 2021-12-03 10:54:52 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927101493 Coding of orange forms - different coding version being used, may be out of date claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927107870 2021-12-03 11:00:26 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1927107870 1. What area are we focusing on? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990791526 2022-01-13 16:51:31 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990791526 2. What are the issues / barriers to success? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990791841 2022-01-13 16:51:40 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990791841 3. What will we see if we fix it? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990792147 2022-01-13 16:51:50 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990792147 4. What has to change in order to see that happen? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990792499 2022-01-13 16:52:00 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990792499 5. What will we have to do to make those changes? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990793058 What will we have to do to make those changes?]]> 2022-01-13 16:52:15 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990793058 6. Why haven’t we already fixed it? claire_hoe https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990793409 2022-01-13 16:52:24 UTC https://padlet.com/claire_hoe/ECB_problem_aims/wish/1990793409