NOA Quarterly Meeting – 5 October 2020

The session will start with an opening address by Jo Williams, NOA Lead CEO and Chief Executive of The Royal Orthopaedic Hospital NHSFT.

Analysis and discussion:

• Steph Wilson, NOA Performance Insight Manager from The Robert Jones and Agnes Hunt Orthopaedic Hospital NHSFT joins George Batchelor, Edge Health Ltd to discuss the current status of NOA member Trusts waiting lists. Following on from his report in the HSJ on 10 August 2020 about the regional impact of Covid-19 on elective waiting lists, George has produced a tailored report on orthopaedic waiting lists and the NOA member Trusts.

Representatives from the Royal National Orthopaedic Hospital NHSFT and the Greater Manchester Orthopaedic Alliance present some of their strategies to manage post-pandemic waiting lists.

Lucy Davies, COO at RNOH will review the growth in waiting times at the Trust and the impact of mutual aid in North Central London and the use of the independent sector; and preparation for the second wave. Lucy will be joined by:

• • Amy Steele, Head of Elective Patient Access to talk about RNOH’s approach to resuming elective orthopaedic operating.
  • Debbie Higgs, Divisional Clinical Director will explain the Trust’s strategy towards clinical prioritisation and the surgeon experience of return to elective operating from trauma.
  • John Doyle, Director of Allied Health talks about their first contact practitioner virtual model for triage and for backlog management

Phil Turner, Orthopaedic Surgeon from Stockport NHS FT takes us through the challenges of restarting T&O elective activity within Greater Manchester. Phil will be joined by:

• • • David Johnson, Chair of the Greater Manchester Orthopaedic Alliance and Andrew Tunnicliffe, Associate Director of Surgical and Critical Care at Stockport NHS FT to discuss managing the resources and waiting list at a busy District General Hospital

Rob Hurd will show how the GIRFT recommendations for sharing capacity are being implemented across the North Central London Integrated Care System. Graham Lomax from the London GIRFT Hub is joined by GIRFT Ambassador and Orthopaedic Surgeon, Vinay Takwale to explain these recommendations.

The session will be chaired by David Johnson the Greater Manchester Orthopaedic Alliance.

NOA member trusts share their Outpatient service innovations.

-Simla Ancharaz, Advanced Nurse Practitioner from SWLEOC helped to introduce a digitalised pre-operative assessment tool which has reduced the number of patient visits significantly in line with being 80% virtual. This has also helped speed up the overall patient pathway in terms of removal of delays e.g. patients are one-stopped on the same day of the clinical decision to admit to hospital.