Learning points

  • It can be challenging to develop and implement a new service requiring agreement and collaboration from various stakeholders.
  • The CAS model has provided improved performance target attainment and delivered a financial saving. Whilst there are administrative costs involved, it is clear that CAS offers value for money.
  • CAS has also provided a platform through which providers can have clinical discussions with CCGs.
  • Initially we underestimated the amount of administrative time / work required - the appointment of a full time administrator made the process much easier to manage.
  • We also found that limiting the triage process to 2 or 3 consultants provided a more consistent approach and allowed for easier and more meaningful comparisons between these consultants. We now have 6 monthly review of triage outcomes and discuss differences (between ourselves and with the wider GI team) to ensure that we are being consistent and complying with any available guidance.
     

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