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Inspired by Disneyland: Worthwhile waiting in Cambridgeshire
What we did
We combined ideas from the literature on the psychology of waiting and pre-habilitation to
inform our project. We have offered regular Health Coaching appointments to people on
waiting lists for knee and hip surgery. The support we offer includes one-to-one
consultations, advice and regular updates by phone and email. In addition, we work with local
social prescribers to give people the opportunity to engage in a wide range of events and
activities provided by our partner organisations. These include all kinds of activities such as
nature walks and mindful movement sessions, emotional wellbeing and debt advice. The aim
is that people arrive at their clinical appointment in the best possible physical and mental health.
The difference
we are making
People report feeling happy to
have regular contact with our
team, and enjoy the activities our
partner organisations provide.
We are in the early days of the
programme so do not yet have
our own data, but evidence from
similar interventions shows
patients are happier and
healthier, and that they visit their
GPs less frequently
See attachment and contact Will for all enquiries.
Thank you Sarah for posting your idea. I love how we can be inspired by fields outside of health and care to find innovative solutions.
Tagging others here who will be interested too
Users tagged:
Reply 2
Really interesting, thanks for sharing. What was the demand for this and resource required to deliver. Would als be interested in how you are looking to measure impact on the health and wellbeing of your cohort
Reply 0
Thanks massively for sharing. Really interesting. What's your demand, and capacity required to deliver. Also interested on how your planning to measure impact on the health and wellbeing of those engaging
Reply 0
Thanks @WillBailey. Really interesting work and thanks for the rapid response. I am sure there will be lots of interest in this from the community. Sharing ideas such as this is absolutely what we are looking for. Also key principles that can be adapted and adopted by other systems
Have you explored other points of access as well as GP. I am thinking from local secondary care providers too
Reply 1
Love this idea, prehab and health coaching are really important. Coaching is vital to help manage people's expectations of their own recovery, understand what recovery means to them, and to help them understand what they'll need to do after their operation to help themselves.
Reply 4
Thanks so much for sharing this project Sarah - what a fantastic idea.
Reply 1
Thanks so much for posting Sarah; the service sounds amazing. I particular like the positive psychology approach and how we can change perception of waiting from a wholly negative experience to one where patients can use the opportunity of services such as this to improve or maintain their health and wellbeing. It would be interesting to see how people who go through this feel about staying active once they've had their surgery.
Reply 1
I would be keen to hear what metrics you have in mind regarding evaluation.? It also sounds like a good amount of the initial set up costs which were around evidence, would not be needed if scaled elsewhere potentially making it even cheaper to put in place??? nice read about 'the acceptance of people waiting' too. The integration with ARRS roles is that systematic step that can make a difference as well as working with the local acute trust.
Reply 1
Could we pull other ideas posted into this one and them work as a group together to build this solvation.
Reply 1
This sounds like a fantastic idea! Using Health Coaches and supporting the mental health needs of this patient group are so important.
Through a clinical partnership between The Royal National Orthopaedic Hospital Trust and the Royal Free London NHS Foundation Trust, and wider collaboration with the Enfield ICP, Barnet, Enfield and Haringay Mental Health NHS Trust and North Middlesex University Hospital NHS Trust, we are planning something similar for patients with long waits for hip or knee joint replacement surgery.
We understand that these patients have an increased risk of clinical deterioration whilst waiting for surgery. By offering 1:1 or group pre-habilitation, we are aiming to help support and empower the patient so that they are physically and emotionally ready for surgery. Additional benefits may also include reduced post-operative complications and improved post-operative recovery.
Our MDT approach will aim to utilise the best of physiotherapy, dietetics, psychology, OT and social prescribing.
We have no data yet as we are only in the early pilot/planning stage.
Reply 0
We could learn more by looking at Greater Manchester https://whileyouwait.org.uk/
Reply 0