1. 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

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

3. Case study

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

6. 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

7. Audit results
Follow-up clinic questionnaire
Telephone audit

8. In depth response
Triage algorithm/record
Patient information material

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

14. 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