“GATU” a Successful Working Model Martyn Underwood
Ambulatory Gynae Why develop it Patient and Trust benefits Who does it The facilities What we can offer How are the procedures done The evidence Other news “GATU” a Successful Working Model
Why develop it? Patient safety Patient demand Increasing obesity rates and other comorbidities Develop a quicker turn around for patients Less reliance on DSU & in patient beds Less cancellations (no GATU lists have been cancelled since we started this service) “GATU” a Successful Working Model
Patient benefits Safety Lees complications Less HAI Less VTE Less time off work No need for pre-op, GA, family member to recover Shorter wait to treatment times Quick return to “normal activities” Less restrictions on return to work and driving Shorter length of stay All done with oral/PR analgesia +/- cervical block Patient satisfaction Patient can “be part” of the treatment – they can see and have explained what is going on “GATU” a Successful Working Model
Trust benefits Beds Quicker throughput Less staff Less clinic attendances ? Saves money – kit is more expensive generally Best practice tariffs “GATU” a Successful Working Model
Who does it? GATU procedures Mr Underwood = Lead Clinician Mr Biswas Mr Bentick Colposcopy Mr Underwood = Lead clinician Dr Blackmore Dr Panikkar Mr Reed Dr Sahu Sr Goodall “GATU” a Successful Working Model
What can we offer Hysteroscopy Hysteroscopic endometrial polypectomy Endometrial ablation Hysteroscopic Sterilisation IUS / IUCD retrieval / insertion Vulval biopsy & excision Colposcopy Cystoscopy* “GATU” a Successful Working Model
How are the procedures done All in out patients – PRH All with oral / suppository analgesia +/- cervical block E&D as normal Home between 10mins and an hour “GATU” a Successful Working Model
NovaSure Hysteroscopic Views Pre-ablationPost ablation “GATU” a Successful Working Model
Essure “GATU” a Successful Working Model
The evidence Patient satisfaction Friends and family test – excellent results on recent review Audits Feedback Significant reduction in patients needing a GA for these minor procedures No lists cancelled! DSU lists dropped No major complications Superior amenorrhoea rates to other techniques demonstrated for ablation Centre of Excellence / Referral Centre “GATU” a Successful Working Model
Other news Colposcopy Busiest unit in West Mids QA very happy Publications Research “GATU” a Successful Working Model
Other projects “GATU” a Successful Working Model
Thank you for listening! Any Questions? “GATU” a Successful Working Model SaTH O&G Consultants