CHI update on Scoliosis Co-Design 10 Point Action Plan 2019

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Children’s Health Ireland (CHI) Publishes update on Scoliosis Co-Design 10 Point Action Plan 2019

Continuing the development of a sustainable and equitable service for children with scoliosis

An update on a 10-point plan by the Scoliosis Co-Design Group to further reduce the waiting lists of children needing surgery for scoliosis has seen great improvements since 2018. Key elements of the plan has included the appointment of 20 more staff in various posts to improve children's access to both assessment and treatment of scoliosis.  The following improvements have been progressed over the last year:

  • Additional Multidisciplinary Team staff appointments have been made across CHI increasing support to the service which will facilitate a more holistic patient and family centred approached to care for this patient group.
  • Protocol for transition of adolescent scoliosis complete
  • Provisional timeline for full opening of Theatre 8 in CHI at Crumlin for Q4 2019
  • 88% of the HSE funded posts, as per 2018 National Service Plan, are in place with the remaining posts at various stages of recruitment process. 60 additional posts were approved, recruitment is currently in progress for the remaining 7 posts.
  • Service quality now supported by the newly appointed audit Clinical Nurse Specialist (CNS)
  • Pre-operative assessment service has been established across site in CHI for scoliosis patients
  • Day of surgery admission and accelerated discharge protocol in operation to support safe recovery and reduce length of stay
  • Future Clinical Operating Model for CHI Orthopaedics signed off by clinical integration group in May 2019
  • Improved data collection within CHI Temple Street with the appointment of a new data manger and audit CNS
  • Work is being progressed on establishing a spinal register for CHI

Across CHI a total of 418 surgical procedures were performed in 2018, compared with 371 in 2017.  This is a 13% increase in activity across CHI. Crumlin successfully completed 126 spinal fusions surpass its HSE target of 120 in 2018.  This is a 46% increase on spinal fusion activity compared to 2017.  There were 25 spinal fusions completed at Temple Street with 50 completed in Cappagh National Orthopaedic Hospital.  .  An additional 800 OPD appointments were given to orthopaedic patients in CHI at Crumlin in 2018 compared to 2017 which led to a 31% reduction in the overall orthopaedic outpatient waiting list.

Click here to download Update on 10 point plan for Scoliosis