I think as physios, we all think this way but if we consider the research,
there is nothing really to say that taking more time equals better
treatment.
I suppose it will be inevitable that DRG's and case mix will be the ultimate
decider on work ratios.
Anna Lee
-----Original Message-----
From: kevin reese <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Friday, 1 January 1999 1:23
Subject: Re: Physio Caseloads.
>Dear Tracey
>
>I would recommend a look at Joyce William's work, a management consultant
on
>this very issue.
>
>Without trying to parrot phrase, we use a simple statistic. Depending on
>experience and complexity of caseload minimum and maximum for an
>uninterupted month, in out patients, would be between 40 and 60 new
patients
>per month. Many consider excess of this would seriously affect the quality
>of the work undertaken. I work on half hour slots, new and follow up, and
>hit this total comfortably.
>
>I do not categorise the patients, eg complexity or spine etc, prior to
>assessment, as I find the reliability of the in coming diagnosis rarely
>matches my own.
>
>When I ocassionally see a private patient I can spend anything up to 1, and
>1/2 hours with a patient.
>
>
>With the severe weighting list problems in the NHS I understand the
>pressures of through put. I have always been worried at compromising
quality
>due to this pressure, which is political problem, ie lack of physio's, not
a
>physiotherapy problem.
>
>I often wonder if when people place pressure on us to change our treatment
>protocols to increase through put, if they due the same for other
clinicians
>eg orthopaedic surgeons. I am sure it would be a national scandal if
>managers said to a surgeon, compromise quality and do 2 x the THR's you are
>already doing. So why do we tolerate it?
>
>We will be ultimately held responsible for our clinical actions, therefore
I
>feel it we should make up our own individual judgements as to how many NP's
>we see and at what time intervals.
>
>Anyway after that short rant I hope this information is of use to you
>Kind Regards Kevin
>-----Original Message-----
>From: tracey cosgrove <[log in to unmask]>
>To: PHYSIO <[log in to unmask]>
>Date: 31 December 1998 02:31
>Subject: Fw: Physio Caseloads.
>
>
>>
>>
>>--------
>>>From: [log in to unmask]
>>>To: [log in to unmask]
>>>Subject: Fw: Physio Caseloads.
>>>Date: December 30, 1998
>>>
>>>
>>>-----Original Message-----
>>>From: Chris Gould <[log in to unmask]>
>>>To: Physio Discussion <[log in to unmask]>
>>>Date: 30 December 1998 10:47
>>>Subject: Physio Caseloads.
>>>
>>>
>>>Hello everyone, I've read your discussions with interest. There's
>>>something that's been bothering me for a while so I thought I'd mention
>>>it and see what people thought. I'm a senior 1 physio working in
>>>out-patients in an NHS hospital. I've noticed during my travels that
>>>there aren't any real guidelines as to the numbers of new patients it is
>>>realistic and maintainable to see per month for each given grade. As far
>>>as I can see this varies in number and in the way new patients are
>>>booked in from hospital to hospital.
>>>Some people are given targets per month, or allocated a number of new
>>>patients per month. Others have their diary filled depending on what
>>>space they have. My point is that where I work there are several
>>>hospitals in fairly close proximity, all different trusts, all operating
>>>different ways of booking in new patients for out-patient staff. The
>>>amounts of new patients seen, the time allocated for each initail
>>>assessment and subsequent treatment session varies greatly within this
>>>region, and no one seems to know what the right numbers are. Could
>>>people describe (Briefly, unlike myself) how their clinics run, the time
>>>allocations and the numbers of new patients that the different grades of
>>>physio's are expected to see per month. This would be very helpful.
>>>
>>>Happy New Year Everyone !
>>>
>>
>>
>
>
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