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High Priority Clients
15
Transcript
High Priority Patients
Examples
- Asthma
- Diabetes
- Heart conditions
- Blood clotting disorders
- Epilepsy
Patients with serious medical issues
BPAS Clinics
Most BPAS clinics are not located in hospitals so are without immediate access to tertiary care
Can you think of any problems with this for patients with serious medical issues?
Question
Specialist Placements (SP) are a dedicated support team dealing with complex medical cases and placement of patients in NHS hospitals
Specialist Placements
Referral route
To access this service, patients must have a consultation with BPAS first
Waiting time for consultation and subsequent hospital wait time can delay patients accessing treatment significantly
Problems
Vulnerable patients may have additional support needs
Safeguarding Patients
Our safeguarding team works to ensure vulnerable patients are protected from abuse or neglect
Safeguarding team
Patients who should be flagged to units as possibly requiring Safeguarding:
- Mental health issues
- Rape
- Domestic abuse/violence
- Sexual exploitation/child protection
- FGM
Who to raise as a Safeguarding concern
Termination of pregnancy for fetal anomaly
TOPFAS
Diagnosis will have come several weeks into (often a much wanted) pregnancy, and can be devastating for both the woman and her partner
TOPFA Patients
Examples include:
- Downs Syndrome
- Edwards Syndrome
- Heart abnormalities
- Spina Bifida
- Anencephaly
Fetal Anomaly
Clients under 18 years of age
- Clients age 13 or under must be safeguarded
- All clients under 18 should be followed up if they cancel their appointment
- Young clients can attend a consultation alone but may need an adult escort for treatment
Young Patients
Not all BPAS clinics can provide treatment for late gestation patients therefore less appointments available
Patients over 18 weeks gestation
What could be the problem with this for late gestation patients?
Question
Accelerated Bookings (AB)
A specialist support team dealing with late gestation patients (over 19 weeks) and other high priority patients who require an accelerated appointment
Accelerated Bookings
Who to refer
High priority patients should be referred to Accelerated Bookings if an appointment can't be found within specified dates (see current AB process for timescales)
- Patients wanting a sooner appointment
- Patients who are going on holiday
- Patients who are distressed
Who not to refer
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