Conflict of interest: No conflicts of interest.
The effect of a non-surgical orthopaedic physician on wait times to see a paediatric orthopaedic surgeon
Version of Record online: 28 JUL 2014
© 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 51, Issue 2, pages 174–179, February 2015
How to Cite
Bowman, M., Mackey, A., Wilson, N. and Stott, N. S. (2015), The effect of a non-surgical orthopaedic physician on wait times to see a paediatric orthopaedic surgeon. Journal of Paediatrics and Child Health, 51: 174–179. doi: 10.1111/jpc.12696
- Issue online: 9 FEB 2015
- Version of Record online: 28 JUL 2014
- Manuscript Accepted: 22 JUN 2014
- general paediatrics;
- health workforce;
High referral volumes to paediatric orthopaedic surgeons create long clinic waiting lists. The use of extended scope roles for doctors and health professionals is one strategy to address these wait times. We completed a 6-month trial of a non-surgical paediatric orthopaedic physician role (NSP) to help manage non-urgent referrals to our service from local general practitioners (GPs).
For a 6-month period, the majority of non-urgent GP referrals were assessed by a US-trained NSP. Wait times were compared between this period and the same time period in the previous year. Family and referrer satisfaction was determined through postal surveys.
Over the trial period, the NSP saw a total of 155 new patient referrals, which represented 49% of all non-urgent GP referrals for the period. Before the trial, only 75% of non-urgent referrals were seen within 131 days (19 weeks) with 10% waiting more than 215 days (31 weeks). By the end of the trial, 75% of referrals were seen within 55 days (8 weeks) and 90% within 61 days (9 weeks). The most common outcome was discharge with management advice. 12% of patients were referred on to an orthopaedic surgeon but only 1% went on to a surgical wait list. Families and referrers reported high levels of satisfaction and only three patients discharged by the NSP were referred back for orthopaedic surgeon review.
The NSP role was effective at reducing clinic wait times for patients with non-urgent paediatric orthopaedic conditions, while maintaining family and referrer satisfaction.