Traditional Process

There are several problems with the traditional model of care:

  • There is often not enough time to spend managing complex cases
  • There are many patients who do not require review as they have simple, stable, self-limiting injuries that are already resolvingOld Process - New Page
  • Immoblisation in plaster and backslabs leads to inevitable appointments for removal, whereas the use of modern splintage allows functional rehabilitation and self-care once the initial pain and swelling subsides
  • “Paternal” model of care where patient’s ability to recognise resolution was removed
  • Training opportunities are reduced by the need to see overbooked clinics
  • Patients are brought back for unneccessary review appointments in many cases, rather than taking responsibility and getting in touch if resolution does not proceed as expected
  • Often there is a need to re-referral to a sub-specialist for an opinion, with a further arrangement for admission for definitive management. This process can lead to multiple attendances and delay in management.
  • Early attendances at fracture clinic are a point where pain and immobility is usually at its most severe.