Planned Care Trauma and Orthopaedics Work Plan

Support Trauma and Orthopaedic Speciality Delivery Group (SDG) to deliver national improvement initiatives. 

Design and implement consensus driven national clinical pathways. 

Develop and implement Trauma and Orthopaedic SDG work plans focused on high impact opportunities (including ACRT, PIR, ERAS and same-day surgery) whilst reducing unwarranted variation. 

Support implementation of Orthopaedic Plan actions. 

Support Boards to protect planned care capacity and increase theatre productivity, specifically for Orthopaedics. 

Review and implement opportunities to reduce procedures of low clinical value through evidence-based research. 

Engage with workforce planning to identify and implement opportunities to ensure effective use of workforce, including alternative workforce models. 

Provide local support to Boards including highlighting improvement opportunities, reducing variation, protecting planned care and reducing procedures of low clinical value 

Discuss findings of peer review visits with Boards and engage with them to ensure follow-up actions are implemented. 

Ongoing engagement with CfSD Champions/ SDG representatives to support implementation of CfSD work streams at Board level. 

Hold monthly Board improvement and support meetings. 

Organise and participate in national events (physical and virtual) to promote and drive improvement across NHS Scotland. 

Improve data and reporting, and support national audits to drive improvement 

Develop and implement a governance process for Scottish National Audit Programme (SNAP) to monitor outcomes and outliers. 

Develop research in both Scottish Arthroplasty Project (SAP) and Scottish Hip Fracture Audit (SHFA) to drive standards of care and improve clinical outcomes. 

Publish SHFA and SAP annual reports. 

Engage with academia to model Demand Capacity Activity Queue (DCAQ) of Orthopaedic services. 

Monitor National Treatment Centre (NTC) use. 

Engage with workforce planning to develop clinical teams and support service delivery for frailty, trauma, and elective patients.