Change from the bottom up Foundation programme sharing event 2013 – Break out presentation Change from the bottom up Dr Asher Steene FY1 Luton and Dunstable Hospital

Overview Patient death – case study Immediate response Further study In-depth response Future work

Case study

Immediate response Early patient return / contact with specialist centre Advice to patients / GP Telephone advice

Further study Support from consultants 24/7 on call cover for bariatrics Freedom to continue project with senior oversight How often does this happen and we don’t hear about it? What happens when the patient calls the obesity centre and speaks to the receptionist/nurse/dietician/secretary

Audit results Follow-up clinic questionnaire Telephone audit

In depth response Triage algorithm/record Patient information material

Future work Re-audit Roll out LDH system to other hospitals

Thanks Luton and Dunstable Bariatric Centre Louise Moran – Obesity Specialist Nurse The Bariatric consultants for providing oversight and input but also let me get on with running and developing this project day-to-day