The ‘Consultation Communication’ Proforma: enhancing effective communication between Outpatients and Intermediate Care

Introduction

The Norman Power Centre (NPC) is a 32 bedded Intermediate Care Unit, run by an acute hospital trust in Birmingham, UK, for patients who require ongoing 24 hour care, rehabilitation or further assessment, but do not need to be in an acute hospital setting. These frail patients attend numerous outpatient hospital appointments, but rarely do staff receive communication back from these outpatient reviews. This can lead to delays in implementing specialist management plans, with potential for adverse outcomes for patients and increased staff workload in seeking out the required information. A ‘Consultation Communication’ proforma was designed, to be filled in at the appointment and brought back to NPC with the patient.

Method

Patients and escorts took proformas to outpatient appointments between March and June 2022. The information on the forms was then analysed to assess completeness and usefulness.

Results

Appointments were in surgical and medical specialities, as well as imaging in 3 hospitals within 1 trust. Proformas were taken to 19/20 appointments. 100% of these were at least partially completed, with only 2 forms being largely incomplete. 17/19 provided information about the assessment carried out. 12/19 included recommendations relevant to admission at NPC. 13/19 had information on medication changes. 14/19 stated whether follow up was required. 8 out of 9 required follow-ups had specific details included. 13/19 had the professional’s details, 11 with contact numbers. Of those without details, 2 were imaging appointments where contact details were not relevant.

Conclusions

This easy to implement, simple intervention, with an excellent engagement rate from both NPC and outpatient appointment staff, has led to improved continuity of care for patients. The proforma has scope to be improved based on staff feedback, and its use could be expanded across other off-site facilities such as community hospitals or care homes.