Source · GIRFT National Specialty Report
ENT
Published 1 July 2019
ENT
GIRFT Programme National Specialty Report on ENT (ear nose and throat)
Summary
23 recommendations
19 addressees
1 of 23 linked to a body
Recommendations
Rec 1
Providers; GIRFT; NHS Improvement; BADS; ENT UK; BAPO; BAETS; NHS Improvement Pricing …
Increase the use of day case across ENT.
Rec 2
Providers; GIRFT; NHS Improvement; Commissioners; STPs; ICSs
Reduce the number of non-elective spells (admissions) where no procedure takes place.
Rec 3
ENT UK; GIRFT; NHS Improvement; NHS England; Providers; Commissioners; STPs; HEE
Formalise networks for out-of-hours provision.
Rec 4
BADS
Increase the day case target for paediatric tonsillectomy to 80% - the top quartile rate of GIRFT providers.
Rec 5
BAPO; BADS
Develop guidance on day case treatment of obstructive sleep apnoea (OSA).
Rec 6
GIRFT; Providers; ENT UK; NHS England; NHS Digital
Reduce readmission rates following tonsillectomy.
Rec 7
Providers; GIRFT
Reduce day of surgery cancellations.
Rec 8
GIRFT; ENT UK; Providers; Commissioners
Maximise the use of appropriate aural care services for the post-operative care of ear surgery and in chronic disease management.
Rec 9
GIRFT; Providers; Commissioners
Maximise the use of appropriate audiology services for follow-up after grommet insertion.
Rec 10
Providers; GIRFT
Reduce new to follow-up ratios, making optimal use of clinical out-patient resource.
Rec 11
Providers
Enable reporting of patients who are waiting for a date for their follow-up appointment so this can be considered alongside follow-up data.
Rec 12
Providers; Commissioners; NHS England
Commissioners, GPs and providers to work collaboratively to ensure that the Evidence Based Interventions guidance is implemented.
Rec 13
Commissioners; GIRFT
Prior-approval policies should be implemented proportionately and only audited retrospectively.
Rec 14
NHS England
Review the implications and validity of referral restrictions, such as those imposed on pinnaplasty referrals by some commissioners.
Full addressee: NHS England
Rec 15
GIRFT; Trusts; STPs
Improve procurement of devices and consumables through cost and pricing transparency, aggregation and consolidation, and by sharing best practice.
Rec 16
NHS England; GIRFT; ENT UK
Consider including Patient Reported Outcome Metrics (PROMs) for ENT surgery in the national PROMS programme or other established national audit.
Rec 17
NHS England; GIRFT; ENT UK; BAHNO; BAOMS
Consider including Patient Reported Outcome Metrics (PROMs) for head and neck cancer surgery in the national PROMS programme, or other established national audit.
Rec 18
NHS Improvement; NCIP; GIRFT; ENT UK; NHS England
Continue to support the development of surgical outcome metrics.
Rec 19
Providers; Commissioners; GIRFT; NHS Digital; NHS Improvement Pricing Team; National Casemix Office …
Implement practices to ensure accurate coding.
Rec 20
Providers
Clinicians and costing teams should work together to ensure the methods used to apportion and allocate costs used in the Patient Level Information and Costing System (PLICS) are in line with costing standards and accurately reflect resources used.
Rec 21
GIRFT; Providers
Use PLICS data to investigate and review unwarranted variation and costs.
Rec 22
Providers; GIRFT
Review Model Hospital theatre data to help understand and maximise theatre productivity.
Rec 23
Providers
Implement the GIRFT 5 point plan for reducing litigation costs.