Enter and view: Croydon University Hospital – Orthotics Department

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Summary of report content

Healthwatch Croydon had heard of a high number of people were having problems with booking appointments at Orthotics Department and decided to do an Enter and View visit. The Orthotics department provides a triage service so patients and outpatients are referred to the correct area. This process assesses the urgency for an appointment and the type of appointment required. Staff were observed dealing with patients in a friendly and professional manner. Patients did not wait long for their appointments. Information was available on the department Complaints Procedure and the NHS friends and family test. Overall, positive feedback was received from outpatients regarding the appointment booking system and interaction and treatment from staff. Internally, the overall impression is the department provides a good service which was commented on by outpatients. A member of staff fed back that they felt under pressure with the current work load. Positives • Outpatients commented staff are excellent and that they also receive a brilliant service • Outpatients very satisfied with the treatment they receive • Outpatients felt staff listen to them and understood their needs • Outpatients stated that it was easy to call to book or change an appointment • Patients did not have to wait long for their appointment • Staff made outpatients feel welcome and dealt with any enquiries in a friendly manner The stock cupboard was nearly full from floor to ceiling height and the majority of shelves were packed with equipment. From observation the Authorised Representatives were unaware of how staff store or collect equipment above height level so that items are able to be lifted down safely i.e. item weight should be considered. Recommendations • Feedback from Admin staff is that they spend the majority of their time ordering items and dealing with deliveries for other departments e.g. plaster room, physiotherapy etc. These items are then stored in their stock cupboard awaiting collection. Therefore, this takes time away from the core functions of their job role within the Orthotics Department and puts additional stress on staff. • To look at alternative methods for other departments to order their own equipment and deal with their deliveries plus storing their items within their own area. This will reduce the pressure on the Orthotics Department. Also, there should be a means of identifying ways of supporting the individual with their health and wellbeing. • To get the hot water tap repaired to prevent an injury. Service provider response Orthotics Department feedback: Orthotics is looking at a computerised system that orders stock items automatically when it reaches low levels. Management are considering moving the Orthotics Department next to the Physiotherapy Department within a larger area. If a member of staff is feeling stressed they are referred to Occupational Health for support. Works department has resolved the hot tap issue. Actions taken by the Orthotics department: • Stock not required removed. • Shelves clear to bring stock down. • New orthotist will have more capacity to see and issue items already received and so clear the stock.

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General details

Report title 
Enter and view: Croydon University Hospital – Orthotics Department
Local Healthwatch 
Healthwatch Croydon
Date of publication 
Tuesday, 24 November, 2015
Date evidence capture began 
Tuesday, 24 November, 2015
Date evidence capture finished 
Tuesday, 24 November, 2015
Type of report 
Enter and view
Key themes 
Access
Administration
Booking appointments
Health and safety
Healthwatch reference number 
Rep-5385

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Outpatients

Details of people who shared their views

Number of people who shared their views 
9
Age group 
All
Gender 
All
Ethnicity 
All
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
Nurses

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.