Transcript Physiotherapy and Specialisation

Implementing Self Referral
for Allied Health Professions
Scotland June 10th 2010
Self Referral (SR)
Self referral is a system of access that allows
patients to refer themselves to a healthcare
provider (AHP) directly, without having to see or
be prompted by another Health Care Practitioner .
This relates to telephone, electronic technology or
face to face services
Objectives
• Understand the political, social and economic context of
self referral for the AHPs
• Identify and discuss strategies to address practical issues,
which influence the acceptance of self referral in the
workplace
• Practice using a national performance tool that can
demonstrate the value and impact of self referral
• Be confident in using referral management systems that
challenge current service delivery and assess innovative
ideas
• Identify key steps to implementation self referral in your
area
SR Benefits for NHS patients
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present sooner
high levels of patient satisfaction
more backs and necks
wait less
more autonomous
off work less
more complete Rx
same outcomes
Holdsworth LK, Webster VS, McFadyen AK. Are Patients who Refer Themselves to Physiotherapy Different from those Referred by GPs?: Results of a
National Trial Physiotherapy 92 PP 26-33 March 2006
Self Referral pilots to musculoskeltal physiotherapy and the implications for improving access to other AHP services. DH Report 2008
SR Benefits - for service
• no floodgates
• fewer DNAs
• less prescribing, investigations and
secondary referral
• time savings for GPs and patients
• cost effective
Implications and
recommendations
“GPs waste their time managing patients with low
back pain.Self referral does not increase demand.
Patients access services quickly and are more
likely to complete their treatment. In the long
term, self referral is more cost effective”
Alan Johnson, CHPO Conference October 2008
Making the case for self
referral
• Practice using a national tool that can support
innovative ideas
• Be able to articulate how a national data
collection tool can demonstrate the value and
impact of self referral
• Identify your own key steps towards
implementation
Value of self referral
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Valued by patients, GPs and therapists
Is safe
Is feasible in the NHS
Is cheaper than other types of access
Does not increase demand
Values patients’ time
Is supported by published work
Does not attract patients from the private sector
.
Apply the seven dimensions of
performance tool to self referral
–If self referral is really successful,
what would you expect to observe
in the potential things to measure
in clinical effectiveness, cost and
patient centredness?
–What data do you already have
access to, or data that is easy and
natural to obtain, which would
support your observations?
How does one produce evidence that self referral is
better
•Some observation/measurement to support the
case
–minimum: performance before and after
implementation
•Be practical
–Not aiming to publish a paper in a scientific
journal
–Trying to stretch thinking and make things
better for people, carers and staff
Revisit challenges
Top no. challenges
Implementation Tools
Published literature
www.selfreferralphysioinfo.com
www.csp.org.uk
Making the case -structures a dialogue with stakeholders.
This plan includes being able to assess the new self
referral service against key performance indicators.
Are you ready for self referral checklist
This sets out the key steps which services need to
complete in order to implement self referral effectively.
Implementation tools (cont)
Data collection tool
PowerPoint presentation
This presentation, with accompanying notes, focuses on the
benefits of introducing self referral.
Patient leaflet and poster
iCSP and electronic networks