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Humber Acute Services Programme - Ear, Nose & Throat - Reviewing the temporary changes made to ENT Elective Inpatient Services

Started: 07 June 2021 00:01 - Closed: 28 June 2021 23:59

Started: 07 June 2021 00:01 Closed: 28 June 2021 23:59
Status: CLOSED
Updated on 09 June 2022

We Asked

Between June and July 2021, questionnaires were posted to 105 patients who had been identified as being impacted by the temporary changes made to ENT in-patient services in July 2017. 

101 patients identified accessed ENT inpatient services as an elective patient meaning their treatment was scheduled in advance and not a medical emergency. 5 patients identified accessed ENT care an a non-elective patient meaning their condition was unexpected and classed as a medical emergency. 

Participants were encouraged to share their experiences so we could understand if the temporary changes had a positive or negative impact on their patient journey, quality of care and outcomes.

We received no responses from impacted non-elective patients and 10 responses from impacted elective patients. 

You Said

You were satisfied with the care you received..
The majority of respondents were extremely satisfied with the quality of care they received, saying the care was efficient, the staff were friendly and caring, they felt well informed and they were provided with clear explanations of any procedures. Respondents also said that they were happy with the care they received after their treatment/procedure, saying they were kept comfortable, their pain was well managed and the treatment/procedure achieved the results they were hoping for. 

Travel times have increased for some of you...
There was a 50/50 spilt between respondents having to travel 30-45 minutes and 45-60 minutes to Diana, Princess of Wales Hospital in Grimsby, the longest journey times reported from respondents living around Scunthorpe. The majority of respondents told us they travelled to hospital in their own car. The lack of available parking at Diana, Princess of Wales Hospital, Grimsby was flagged as an issue for some respondents. 

We Did

Next, we will:

The feedback captured during this engagement exercise from both patients and staff will be shared with the Surgery Health Group Board and Trust Management Board within Northern Lincolnshire and Goole NHS Foundation Trust for approval.

This will also be shared with the Humber Acute Services Programme’s ENT Steering group, Interim Clinical Plan group, Joint Development Board and Committees in Common for information and action.

Externally, this will be shared with the North and North East Lincolnshire’s Primary and Secondary care Interface group.

The feedback captured during this engagement exercise will be reviewed and considered against our evaluation criteria to help inform any proposal(s) for service redesign/reconfiguration, including whether these temporary changes are to be made permanent. 

Please click the document links below to read the feedback reports from both staff and patients. 

Introduction

To maintain a safe and high-quality Ear Nose and Throat service (ENT), in September 2017 temporary changes were made to the delivery of Ear Nose and Throat (ENT) elective inpatient care (care and treatment that is planned in advance and where a patient is admitted into hospital).

ENT services at Northern Lincolnshire and Goole NHS Foundation Trust (NLaG) have been in a state of fragility for many years with continuous staffing challenges. These workforce challenges are not unique to the Humber area, and nationally there is a shortage of speciality doctors and nurses. 

From the 1st September 2017 all elective inpatient ENT care would only be provided at Diana Princess of Wales Hospital in Grimsby and no longer provided at Scunthorpe General Hospital. By providing elective ENT care on only one hospital site, allowed the ENT department to make the best use of the workforce available. 

Pre-assessment and follow-up appointments continue to be provided locally at Scunthorpe General Hospital, meaning patients from North Lincolnshire and East Riding of Yorkshire only have to travel to Diana Princess of Wales Hospital in Grimsby once for their operation or procedure.

 

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