The Big Physio Survey - Example of Manager

Keywords

Clinical activity in MSK, Targets, out patients, mentoring, service improvement, quantity

Who or what is my case report based on?

My case study is based on the expected activity of a physiotherapy MSK outpatient department. The clinical team is expected to achieve the equivalent of 15 new patients a week per whole time to fulfil our contract with our CCG. The calculation is based on 40 weeks a year as it takes into account annual leave, training, sickness etc. and then divided by 12 to give a monthly figure of 50 per WTE

What is the physiotherapy event or episode of care?

I presented the data to the team leads for the previous 12 months.

What were the aims of the physiotherapy event or episode of care?

The main aim was to ensure that we achieve the activity for the year. In this competitive market we need to ensure that we fulfil our contract with the CCG. I wanted to bring this to the team early in the year to allow the team to plan from the beginning rather than trying to catch up at the end.

What did I do?

I correlated the data from our reporting system and showed the team what we had achieved for the previous year and compared it with expectations. We then discussed the accuracy of the data to ensure that we felt comfortable using it and then looked at where we had great practice and where we had not met the target. We then explored some reasons for not reaching target and why other members of the team had exceeded target and put a plan in place to ensure we reach our expected activity for next year

What was the outcome or effect?

The team hadn’t realised that there was a difference in performance between team members. The outcome was to look at possible reasons for the difference. Some examples are: One member of the team had a much higher new to follow up ratio so the ESP’s agreed to do some mentoring work with that individual to explore clinical reasoning . Another team member had less new patient slots than they should have due to a change in their working pattern i.e working hours over 4 days not 5 and not adjusting the new patient slots to account for this change

Why did I do this?

I did it to ensure the team leaders are involved and responsible for all aspects of their team and to allow them to work together using all their skills collectively. I also did it to ensure that we achieve the quantity out puts as well as the quality outputs