1. Delivery of 18 Week RTT Standard: Audiology Alex Bowerman & Angela Bonomy

2. “ a whole journey waiting time target of 18 weeks from general practitioner referral to treatment…… by December 2011” Cabinet Secretary for Health and Wellbeing, Scottish Parliament – Official Report, 28 June 2007

3. A wealthier and fairer Scotland – faster access to hospital treatment means fewer people unable to work, and better equity of access not dependent on where you live or on patients ability to pay for private healthcare. A healthier Scotland – there is significant evidence that waiting long periods for even “routine” treatment leads to poorer outcomes and higher morbidity. The 18 week standard will help to sustain a better quality of life for patients. A safer and stronger Scotland – stronger local healthcare, helping communities to flourish, reversing the poor health record of Scotland. A smarter Scotland – retaining and attracting skilled healthcare professionals to NHS Scotland, a healthcare system which will be in the international top-league of healthcare systems. A greener Scotland – driving out duplication and waste and making better use of Scotland’s healthcare resources.

4. Better Health, Better Care

5. Delivery of 18 Weeks : All Specialties Programme Board Delivery Teams –Operational Delivery Team –Emergency Access Delivery Team –Diagnostic Delivery Team –Information Delivery Team Improvement and Support Team Access Support Team –Task and Finish Groups Boards’ Delivery & Improvement Infrastructures

6. Access Support Team Measurement and Monitoring of national waiting times Delivery Proofing Allocation of funding Strategic and tactical approach to delivery of 18 weeks

7. Task & Finish Groups Orthopaedics – 33% of >12 weeks Plastic Surgery – 4 centres, significant differences Audiology (and ENT) – new target, long waits Neurological Services – non-admitted pathways Dental specialties – eg orthodontics,1 0 /2 0 mix

8. Workstrands Measurement and Definitions Demand/Capacity/Activity/Queue Demand side solutions Performance Management Service Redesign & Transformation Culture/Change Workforce Communication

9. Delivery Approach Stakeholder Engagement Managing Waiting Times & Lists Emphasis on sustainability Pathway development Streamlined with redesign and transformation Whole systems philosophy