SWL eRS/PSO Steering Group St George’s Brief 07 Feb 2018/ Brad McGraw

We’ve pushed back our PSO date to 31 June 100% of our New, Consultant Led, OPD clinic appointments will be linked to an NHS e-Referral Service Description by March. We expect utilization to increase to a safe level by the end of June. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

Joint Trust/CCG PSO Plan 07 FRB Wandsworth & Merton CCG’s came together with NHSD, Trust Execs and OPD Transformation mid January 2018 eRS Steering Group is now driving eRS PSO plan & considering development of eRS A&G use at STG.

Slot Availability Over 70% eligible appointments are currently linked 42% of our specialties have over 80% of their appointment slots linked. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

Slot Availability TRUSTWIDE 777 1101 70.6% Treatment Function in Descending Order of State of eRS Readiness eRS Services Linked to Clinics Number of Appointment Types eRS Readiness UPPER GASTROINTESTINAL SURGERY 15 100.00% RESPIRATORY PHYSIOLOGY 1 ORTHODONTICS 3 ORAL SURGERY 4 GERIATRIC MEDICINE 6 CLINICAL GENETICS CARDIAC SURGERY 8 ENDOCRINOLOGY 25 26 96.15% NEPHROLOGY 16 17 94.12% CARDIOLOGY 39 42 92.86% PAIN MANAGEMENT 11 12 91.67% ENT 33 36 GYNAECOLOGY 64 72 88.89% GYNAECOLOGICAL ONCOLOGY 14 85.71% DIABETIC MEDICINE 18 21 RHEUMATOLOGY 50 84.00% PAEDIATRIC RESPIRATORY MEDICINE 10 83.33% INFECTIOUS DISEASES 5 PAEDIATRIC SURGERY 9 81.82% PAEDIATRICS 31 80.65% SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

Slot Availability A comprehensive e-referral pathway report is maintained to ensure that the Trust can maintain 100% availability as clinics change. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

Slot Availability 46% of our Specialties have between 50-80% of appointment slots available to an e-Referral Service. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

Slot Availability VASCULAR SURGERY 14 18 77.78% TRANSPLANTATION SURGERY 6 8 75.00% OBSTETRICS 3 4 TRAUMA & ORTHOPAEDICS 73 98 74.49% GASTROENTEROLOGY 29 39 74.36% PAEDIATRIC CLINICAL HAEMATOLOGY 5 7 71.43% AUDIOLOGICAL MEDICINE 34 48 70.83% COLORECTAL SURGERY 21 31 67.74% NEUROSURGERY 66.67% HEPATOLOGY 10 15 RESPIRATORY MEDICINE 32 49 65.31% PLASTIC SURGERY 23 65.22% CLINICAL HAEMATOLOGY 13 61.90% BREAST SURGERY 17 58.82% NEUROLOGY 51 87 58.62% MAXILLO-FACIAL SURGERY 40 57.50% DERMATOLOGY 33 60 55.00% UROLOGY 41 51.22% PAEDIATRIC UROLOGY 12 50.00% PAEDIATRIC NEUROLOGY 1 2 PAEDIATRIC EPILEPSY PAEDIATRIC ENDOCRINOLOGY SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

PSO Trajectory Milestones 19 FEB 18: 80% of appointments linked to eRS 26 FEB 18: 90% 31 MAR 18: 100% SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

PSO Trajectory Milestones A Training schedule will be submitted and agreed by the end of the month. Training will be rolled out to staff by 02 April. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

PSO Trajectory Milestones A joint Comms/Marketing Strategy between the Trust & our CCG’s will be fully developed by 28 FEB. Regular Service Updates e-Referral Pathway resources Mostly Web based, with attendance at some Primary Care events. SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust

PSO Trajectory Milestones All Other PSO Project milestones are complete or on track. 100% Slot Availability 31 March 80% eRS Utilisation by 31 June PSO Implementation 01 July SWL eRS/PSO Steering Group / St George’s University Hospitals NHS Foundation Trust