| Process |
| Information giving - Patients |
Information sheets include:
- Diet
- BMA
- BFB
- Irrigation
- SNS
- STARR
- Posterior repair
|
- 1 mark per Patient Information item
MAX SCORE: 5
|
| Information giving - Staff |
Unit protocol algorithm:
- Constipation
- Incontinence
- Pelvic Pain Management
|
- 2 for Constipation
- 2 for Incontinence
- 1 for Pain Management
MAX SCORE: 5
|
| Information gathering |
Unit protocol algorithm:
- Constipation
- Incontinence
- Pelvic Pain Management
|
- 4 for assessment of all new
- 1 for follow up
MAX SCORE: 5
|
| MDT Representation |
Recommended clinician roles:
- Colorectal Surgeons
- Urogynaecologist
- Radiologists
- Nurse specialist
- Clinical Scientist
- Trainees
- Physiotherapist
- Gastroenterologist
- Psychologist
- Pain specialist
- Research fellow/nurses
|
- 2 for each Colorectal Surgeon, Urogynaecologist, Radiologist, Nurse specialist or Clinical Scientist
- 1 for each (max 2) Trainee, Physiotherapist, Gastroenterologist, Psychologist, Pain specialist, Research fellow/nurses
MAX SCORE: 10
- 1 for each TPFS membership
MAX SCORE: 5
|
| MDT Meeting Frequency |
Frequency of MDT meeting |
- 4 for Monthly
- 1 for More frequently
MAX SCORE: 5
|
| Patient Selection* |
Discussion of ALL patients considering surgery:
- Continence (e.g. SNS)
- Prolapse (IRP and ERP)
- Stomas
- Colectomy
|
Fail if not all patients considering surgery discussed
- 5 for Terms of Reference
- 5 for Numbers provided
- 5 for Recent outcomes
MAX SCORE: 15
|
| Administration |
Documentation of meetings:
- Register of Attendees
- AGM minutes
|
- 4 for Register
- 1 for AGM minutes
MAX SCORE: 5
|
|
Access to regional MDTs*
|
Multi-trust or regional MDTs for complex cases |
- 3 for access to multi-trust or regional MDTs
- 2 for examples
MAX SCORE: 5
|
| Personnel |
| Lead |
- Job plan PAs for PF
- Average no. of pelvic floor ops per week
- Range of procedures performed
- Involvement in training
- National involvement in pelvic floor topics
|
- 4 for >/= 1PA for PF
- 2 for >1 PF op per week
- 1 for range PF operations
- 2 marks for training
- 1 for national involvement
MAX SCORE: 10
|
| Other consultants |
- Job plan PAs for PF
- Average no. PF ops per week
- Range of procedures performed
- Involvement in training
- National involvement in PF topics
|
- 1 for >/= 1PA for PF
- 1 for >1 PF op per week
- 1 for range PF operations
- 1 for training
- 1 for national involvement
MAX SCORE: 5
|
| Allied Health Professionals (AHPs) |
- Continence Nurses
- GI physiologists
- Physiotherapists
|
- 1 mark per AHP, max 4
- 1 mark for evidence of CPD
MAX SCORE: 5
|
| Procedures |
| Unit throughput data* |
- 12-month data for:
- New OPD referrals
- ARP/ BFB
- Surgical Activity
|
- 1 for OPD
- 1 for ARP
- 1 for BFB
- 2 for Operations
MAX SCORE: 5
|
| Auditable outcomes* |
- 12 months M&M
- Mesh complications reported MHRA
- Patient Reported Outcomes
- Severity scores
- QoL scores
|
Fail if not reported MHRA
- 5 for M&M reviewed in PF MDT and recorded monthly
- 2 for Annual PF M&M review
- 3 for M&M reviewed as part of all dept procedures only
- 5 for PROMS recorded
MAX SCORE: 15
|
| Auditable outcomes 2* |
LVMR database use |
Fail if prolapse procedures not entered on database
MAX SCORE: 5
|
| Auditable outcomes 3* |
Recurrence data for external rectal prolapse |
- 3 for data available
- 2 for data reviewed
MAX SCORE: 5
|
| Research* |
Engagement in R&D |
- 3 for local audits
- 2 for national recruitment
MAX SCORE: 5
|
| Pelvic floor training* |
- Evidence of training surgical trainees
- Evidence of AHP training
|
Surgical Training:
- 2 for suitable clinics
- 2 for training lists
- 1 for access courses
- Pelvic floor fellows
- 2 for logbook of lists
- 2 for logbook of sessions attended
- 1 for access to course
Training sessions to AHPs:
- 1 for each session (max 5)
MAX SCORE: 15
|