BMJ Open Qual 2018;7:e000280. doi: 10.1136/bmjoq-2017-000280
- This quality improvement project (The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust) focused on sending fast-track colorectal GP referrals through a straight-to-colonoscopy telephone assessment clinic (TAC).
- The results showed an improvement from GP referral to colonoscopy. Both PDSA cycle 1 and PDSA cycle 2 showed an average of 24 days, a reduction of 6 days. A temporary full-time TAC nurse appointment (PDSA cycle 3) showed a reduction of the average from referral to colonoscopy to 19 days and a reduction in the variation. The TAC role is now a permanent position.