Dr Gareth James ASPC lead on Audit

Patient Centred Skin Audit 2 Questionnaires 1) On the Day The first questionnaire you ask the patient to complete on the day of their surgery itself. 2) Post Op The second you should try to get a month or two later. Either SAE, or as its so short get a nurse/HCA/secretary/student to follow up and phone your patients, or an email link.

Patient Centred Skin Audit– On the day Questionnaire

Patient Centred Skin Audit – Post Op Questionnaire

Patient Centred Skin Audit The audit runs yearly : 1st Jan – 31st December. I will ask for the AVERAGE score for each question the following April. Then hopefully present/produce any results at the following conference

Patient Centred Skin Audit 2018 Audit cycle 1st January -31st December 2018 I had data from 6 practices Previous years 3,6 This means we have data on 2141 Skin operations Previous years 359, 2787 operations

Patient Centred Skin Audit What percentage Returns rates are you getting? On the Day: Average 77% Previous years %: 84, 20 Why not higher? don’t let them leave the building until its done! Post op: Average 46% Previous years %: 68, 39 Remember - you can just get someone to phone them and do the form….

Patient Centred Skin Audit On the day Average scores for the below questions: rated 1 (excellent) to 5 (poor) 1. How good was the information leaflet sent to you prior to your appointment to prepare you for today’s operation? Average Score 1.3 Previous years: 1.1, 1.4 2. How did you rate the Doctor's manner and communication during the operation? Average Score 1.0 Previous years: 1.0, 1.0

Patient Centred Skin Audit – On the Day Average scores for the below questions: rated 1 (excellent) to 5 (poor) 3. How would you describe the level of pain you felt during the operation? Average Score 1.2 Previous years: 1.3, 1.3 4. What was your overall impression of having your Carpal Tunnel Operation undertaken here at this Clinic? Average Score 1.1 Previous years: 1.0 , 1.1 5. How many said VERY LIKELY to: How likely are you to recommend our clinic to friends or family if they needed similar care or treatment? Average percentage 92% Previous years %: 95, 97

Patient Centred Skin Audit – On the Day

Patient Centred Skin Audit – Post OP Average scores for the below questions: rated 1 (excellent) to 5 (poor) 9. How good was the information in the Post-Op Advice leaflet in preparing you for any post operative issues? Average Score 1.3 Previous years: 1.1 , 1.2 10. How happy are you with the end result? Average Score 1.2 Previous years: 1.1 , 1.1 13. Overall please rate your overall satisfaction with our service Average Score 1.1 Previous years: 1.1 , 1.1

Patient Centred Skin Audit – Post OP 11 Patient Centred Skin Audit – Post OP 11. Did you require any ANTIBIOTICS resulting from your Operation? Average of 2% patients needed antibiotics Previous years: 1.1, 2.3 31% of antibiotics were given by the Surgeon Previous years%:100, 28 12. Did you have to seek any medical advice (urgent or routine )for any reasons other than an infection?

Patient Centred Skin Audit – Post OP 11 Patient Centred Skin Audit – Post OP 11. Did you require any ANTIBIOTICS resulting from your Operation? Average of 2% patients needed antibiotics Previous years: 1.1, 2.3 31% of antibiotics were given by the Surgeon Previous years%:100, 28 12. Did you have to seek any medical advice (urgent or routine )for any reasons other than an infection? BIG FAT ZERO!

Patient Centred Skin Audit – Post OP

Patient Centred Skin Audit Audit cycle 1st Jan -31st December 2019 It’s not too late to start using the Audit tool to start collecting for this years audit that runs from 1st January 2019 until 31st December 2019 I’ll collect next year to present at the 2020 conference Email me and I’ll send you all the bumpf you need to set it up Collect the data whilst you go along – as I have now set up an Excel sheet that will do all the work for you and even will fill out your return audit sheet for you – all you’ll need then is transpose your completed audit sheets figures into a SurveyMonkey weblink

Patient Centred Skin Audit Audit cycle 1st Jan -31st December 2019 It’s not too late to start using the Audit tool to start collecting for this years audit that runs from 1st January 2019 until 31st December 2019 I’ll collect next year to present at the 2020 conference Email me and I’ll send you all the bumpf you need to set it up Collect the data whilst you go along – as I have now set up an Excel sheet that will do all the work for you and even will fill out your return audit sheet for you – all you’ll need then is transpose your completed audit sheets figures into a SurveyMonkey weblink

Patient Centred Skin Audit 2019 CHANGES Q12 Patient Centred Skin Audit 2019 CHANGES Q12. was expanded from Did you have to seek any medical advice (urgent or routine) for any reasons other than an infection? into: Q12a. Did you have to seek any medical advice from your Skin Surgery team or your GP (urgent or routine) for any reasons other than an infection? Q12b. Did any complication following your skin surgery require you see a Consultant at a Hospital? If Yes to either of these questions please inform us why, and what treatment you received from them?

Patient Centred Skin Audit 2019 Q12 Patient Centred Skin Audit 2019 Q12. was expanded from Did you have to seek any medical advice (urgent or routine) for any reasons other than an infection? into: Q12a. Did you have to seek any medical advice from your SKIN Surgery team or your GP (urgent or routine) for any reasons other than an infection? Q12b. Did any complication following your SKIN surgery require you see a Consultant at a Hospital? If Yes to either of these questions please inform us why, and what treatment you received from them? Oops….Please note the versions you have for 2019 say ‘Hand’ not SKIN on this question – apologies! Amended version on ASPC members site

Patient Centred Skin Audit 2019 Q12 Patient Centred Skin Audit 2019 Q12. was expanded from Did you have to seek any medical advice (urgent or routine) for any reasons other than an infection? into: Q12a. Did you have to seek any medical advice from your SKIN Surgery team or your GP (urgent or routine) for any reasons other than an infection? Q12b. Did any complication following your SKIN surgery require you see a Consultant at a Hospital? If Yes to either of these questions please inform us why, and what treatment you received from them? Oops….Please note the versions you have for 2019 say ‘Hand’ not SKIN on this question – apologies! Amended version on ASPC members site PLUS new marking score……

2019 Patient Centred Skin Audit The scoring system has also changed, so don’t use your 2018 question sheets!!!!!   The skin surgery questionnaires originated at the same time as the Hand surgery scores. I followed the example of the main validated Hand Health tool that had the higher number as the worse condition, and put these in the 2 questionnaires. But, rightly, this didn’t sit well. So like CTS I have reversed this for the ASPC questions So for 2019 onwards the scoring system, is that ‘Very Good’ equals now a score of 5 and not a score of just 1 (as last 2 years) , with ‘Very Poor’ accordingly now being scored as 1       Therefore your average scores should now be close to 5 - the higher the better TELL ME IF YOUR DOING IT WRONG!!! I have adapted the automatic score sheet for 2019 to reflect this, so again don’t use anything prior to 2019