1. 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

2. 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

3. 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

5. 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