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Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"

Kym Carter Orcid Logo, Hayley Hutchings Orcid Logo, Glyn Elwyn

BMC Health Services Research, Volume: 8, Issue: 1

Swansea University Authors: Kym Carter Orcid Logo, Hayley Hutchings Orcid Logo, Glyn Elwyn

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DOI (Published version): 10.1186/1472-6963-8-20

Abstract

BackgroundThe availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified.MethodsThis retrospective observational study asked 19 endoscopy units to submit copies of all in-house, service-related endoscopy data that had been routinely collecte...

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Published in: BMC Health Services Research
ISSN: 1472-6963
Published: Springer Science and Business Media LLC 2008
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URI: https://cronfa.swan.ac.uk/Record/cronfa58422
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spelling 2021-11-17T14:14:34.6647889 v2 58422 2021-10-20 Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation" 1b1870c5c1ec66eed0bf209e50a6ee25 0000-0003-0691-6282 Kym Carter Kym Carter true false bdf5d5f154d339dd92bb25884b7c3652 0000-0003-4155-1741 Hayley Hutchings Hayley Hutchings true false 4299c3b5e2e1c05e4ff2072b2de45149 Glyn Elwyn Glyn Elwyn true false 2021-10-20 HDAT BackgroundThe availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified.MethodsThis retrospective observational study asked 19 endoscopy units to submit copies of all in-house, service-related endoscopy data that had been routinely collected by the unit – Referral numbers, Activity, Number of patients waiting and Number of lost slots. Nine of the endoscopy units had previously participated in the Modernising Endoscopy Services (MES) project during 2003 to redesign their endoscopy services. These MES sites had access to additional funding and data collection software. The other ten (Control sites) had modernised independently. All data was requested in two phases and corresponded to eight specific time points between January 2003 and April 2006.ResultsOnly eight of 19 endoscopy units submitted routinely collected, service-related data. Another site's data was collected specifically for the study. A further two units claimed to routinely collect service-related data but did not submit any to the study. The remaining eight did not collect any service-related endoscopy data routinely and liaised with their Trust for data. Of the eight sites submitting service-related data, only three were MES project sites. Of these three, the data variables collected were limited and none collected the complete set of endoscopy data variables requested. Of the other five sites, two collected all four endoscopy data types. Data for the three MES project sites went back as far as January 2003, whilst the five Control sites were only able to submit data from December 2003 onwards.ConclusionThere was a lack of service-related endoscopy data routinely collected by the study sites, especially those who had participated in the MES project. Without this data, NHS endoscopy services cannot have a true understanding of their services, cannot identify problems and cannot measure the impact of any changes. With the increasing pressures placed on NHS endoscopy services, the need to effectively inform redesign plans is paramount. We recommend the compulsory collection of service-related endoscopy data by all NHS endoscopy units using a standardised format with rigorous guidelines. Journal Article BMC Health Services Research 8 1 Springer Science and Business Media LLC 1472-6963 Control Site; Intervention Site; Hospital Episode Statistics; Endoscopy Unit; Endoscopy Data 24 1 2008 2008-01-24 10.1186/1472-6963-8-20 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University 2021-11-17T14:14:34.6647889 2021-10-20T10:09:48.8080578 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Kym Carter 0000-0003-0691-6282 1 Hayley Hutchings 0000-0003-4155-1741 2 Glyn Elwyn 3
title Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
spellingShingle Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
Kym Carter
Hayley Hutchings
Glyn Elwyn
title_short Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
title_full Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
title_fullStr Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
title_full_unstemmed Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
title_sort Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
author_id_str_mv 1b1870c5c1ec66eed0bf209e50a6ee25
bdf5d5f154d339dd92bb25884b7c3652
4299c3b5e2e1c05e4ff2072b2de45149
author_id_fullname_str_mv 1b1870c5c1ec66eed0bf209e50a6ee25_***_Kym Carter
bdf5d5f154d339dd92bb25884b7c3652_***_Hayley Hutchings
4299c3b5e2e1c05e4ff2072b2de45149_***_Glyn Elwyn
author Kym Carter
Hayley Hutchings
Glyn Elwyn
author2 Kym Carter
Hayley Hutchings
Glyn Elwyn
format Journal article
container_title BMC Health Services Research
container_volume 8
container_issue 1
publishDate 2008
institution Swansea University
issn 1472-6963
doi_str_mv 10.1186/1472-6963-8-20
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description BackgroundThe availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified.MethodsThis retrospective observational study asked 19 endoscopy units to submit copies of all in-house, service-related endoscopy data that had been routinely collected by the unit – Referral numbers, Activity, Number of patients waiting and Number of lost slots. Nine of the endoscopy units had previously participated in the Modernising Endoscopy Services (MES) project during 2003 to redesign their endoscopy services. These MES sites had access to additional funding and data collection software. The other ten (Control sites) had modernised independently. All data was requested in two phases and corresponded to eight specific time points between January 2003 and April 2006.ResultsOnly eight of 19 endoscopy units submitted routinely collected, service-related data. Another site's data was collected specifically for the study. A further two units claimed to routinely collect service-related data but did not submit any to the study. The remaining eight did not collect any service-related endoscopy data routinely and liaised with their Trust for data. Of the eight sites submitting service-related data, only three were MES project sites. Of these three, the data variables collected were limited and none collected the complete set of endoscopy data variables requested. Of the other five sites, two collected all four endoscopy data types. Data for the three MES project sites went back as far as January 2003, whilst the five Control sites were only able to submit data from December 2003 onwards.ConclusionThere was a lack of service-related endoscopy data routinely collected by the study sites, especially those who had participated in the MES project. Without this data, NHS endoscopy services cannot have a true understanding of their services, cannot identify problems and cannot measure the impact of any changes. With the increasing pressures placed on NHS endoscopy services, the need to effectively inform redesign plans is paramount. We recommend the compulsory collection of service-related endoscopy data by all NHS endoscopy units using a standardised format with rigorous guidelines.
published_date 2008-01-24T04:14:56Z
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