Table 2 Participant quotes: ALONG the care pathway
Theme | ALONG The care pathway | Pseudonym, PPT role & pseudonym of hospital |
|---|---|---|
1. Pre-operative assessment and care Admission: | “Our fascia iliaca block trolley is good. We were having problems where our equipment was all over the place and we were taking an awful lot of time to find the stuff to do the blocks to the extent that people just couldn't be bothered. We're incredibly busy in A&E and the amount of time people were finding trying to get the stuff was an issue. We found that we'd got a trolley that locks and has everything you would need in it. You bring the trolley to the patient to give the block … a number of nurse practitioners have competency packs now.” | Lucy, ED Consultant Springhill |
2: Wards | “if you’ve got a separate ward, you would focus skills. People can find niches and can achieve greater things if you can give them a little bit more responsibility within an area like that and give them some ownership of it … I just think that a lot of these frail NOF patients would be better on a dedicated ward. It means that preoperatively you could make sure that all the appropriate investigations, preoperative things were done, skills of the staff could be enhanced, and post-operatively, if you’re managing relatively fewer patients, you can actually give a slightly more individualised care to the patients” | George, Consultant Orthopaedic Surgeon, Maplegrove |
3. Therapy and rehabilitation | “now, we tend to do a lot more joint assessments and joint working and actually, I think it's better for the patient because it's all much more coordinated. You're getting two separate viewpoints but at the same time and then it's easier to come up with those discharge options and which route is going to be more suitable, or what to try next because it's much more coordinated. I think communication is improved a lot, again, over the past few years to make it work better” | Chloe, Specialist Occupational Therapist, Maplegrove |
4. Discharge | “I like to get patients straight home. So that’s why I’m kind of involved with the therapy led, so we call it therapy led discharge now. So, we talk about their home circumstances, but I mean that’s the key thing to be discussing when the patient comes through the door is, ‘what’s home like? what is it we need to get you back there, and what services and what care have you got?’. So, it’s important to know their baseline so the therapists know what they need to aim for to go home” | Joanne Trauma coordinator, Newbridge |