The Cardiff Shine Project: Wider Financial Benefits TCRE in Outpatients The Cardiff Shine Project: Wider Financial Benefits Cardiff and Vale University Health Board Gynaecology Dept Richard Penketh Cardiff Shine Team WOGS March 2012

Cost analysis: Wider implications If 150 cases moved from GA to outpatients = saving of -£96,000 2002 survey 39,597 procedures 90% done under GA If 25% moved to outpatients = saving of -£6 million -key drivers for cost saving from shine is the reduced staffing cost versus single use equipment in the versascopes costs In additioon to the const savings the opportunity cost of releasing 100 hours of operating theatre time = £160,000 per year Reduced outsourcing

Cardiff Shine Hysteroscopy Project: Main Conclusions Improved patient pathway Release of precious theatre resources Potential to achieve significant savings Motivated, satisfied staff team Now need to spread the message Workshop Cardiff 2012 Insert Photo of Shine team here We have therefore gently rocked the foundations on which many outpatient operative clinics are based by proving that it is possible to undertake resection of fibroids and polyps in outpatients under local anaesthetic following dilatation of the cervix to 8-10 mm, and using glycine for uterine distension. The financial benefits are obvious Spread the message strategy - workshop with consultant business manager and outpatient nurse

The Team and Support Gynaecology, Cardiff & Vale UHB Funded by The Health Foundation “Shine Award 2010” Pat Tamplin Directorate Manager Andrea Aquilina, Directorate Manager Brenda Rees Clinical Governance Joy Whitlock, Quality Improvement Cedar, Cardiff & Vale UHB Dr Grace Carolan-Rees, Cedar Director Dr Judith White, Senior Researcher, Cedar Andrew Cleves, Senior Researcher, Cedar The Health Foundation Mike Firn, Springfield Consultancy Karl Storz UK and Germany Gynaecology, Cardiff & Vale UHB Richard Penketh, Consultant Liz Bruen, Gynaecology Nurse Practitioner Sarah Hill, Senior Staff Nurse Asmita Patwardhan, Consultant Mr Peter Lindsay, Consultant Mr Anthony Griffiths, Consultant Sarah Rees, Gynaecology Nurse Practitioner Laura Groves, Clinic Manager Gynaecology Carolyn Alport, Ward Sister Diane Nicholas, Outpatient Sister Kevin Dunster, Medical Records