View 2019 Abstracts

The Mohs Surgery Pathway (MSP) at Sheffield Teaching Hospital’s is an example of successful inter-specialty partnership. Over the course of 8 months, Oculoplastic surgeons reconstructed 19% of cases.

The Friends & Family Test (FTT)1 is now used to determine commissioning. RCOphth recommend annual patient experience data colleection2 . On FTT completion, 100% of patient’s using this service would recommend it.

We highlight a ‘model’ for a successful inter-specialty service.

8 month prospective study determining patient-identified factors to improve patient experience during the MSP. 45 patients completed questionnaires to record pre-, intra- and post-operative experience.

The systems pathway to address the patient experience challenges will be outlined.

Pre-operatively, 100% of the cohort felt involved in their treatment decision, and rated pre-operative information as at least very good. Intra-operatively chair ergonomics were highlighted. Pain during the procedure varied widely with 46% scoring the local anaesthetic injection pain >4/10. Post-operatively, 13% of patients reported a post-operative concern of which 75% were resolved via the helpline.

Use of multiple appointments facilitating manageable information transfer during pre-operative counselling was well received. Comfortable and aesthetic recovery facilities importance was highlighted. Robust pre-operative counselling is important to create appropriate patient expectations. The provision of a helpline run by a lead specialty facilitates an effective support avenue.