Broken bone? You could be treated ‘at home’ under new plan

The team behind the plan. Left to right: Ward matron Tracy Maddison, consultant Richard Jeavons, registrar Jonathan O'Hare and nursing sister Gill Brown.
The team behind the plan. Left to right: Ward matron Tracy Maddison, consultant Richard Jeavons, registrar Jonathan O'Hare and nursing sister Gill Brown.

Virtual clinics for patients with suspected fractures are set to be launched at a health trust.

The new initiative is on the way within the next month at the North Tees and Hartlepool NHS Foundation Trust.

It will benefit patients who will be getting the right treatment in the right place. Staff will benefit by having more time to treat patients and the trust will make very clear financial savings by improving appointment start times, reducing travel costs for staff and so on

Richard Jeavons

It means patients can manage their broken bones safely at home while helping to cut clinic waiting times for people who need to return to hospital.

At the moment, patients who are suffering from suspected fractures attend urgent or emergency care for an x-ray and initial treatment.

If there is a break, the patient returns to the fracture clinic the next day where they will have an assessment. It will decide if they need specialist treatment or can be discharged.

But the new virtual fracture clinic means patients with certain conditions can be sent home from urgent or emergency care with information leaflets and advice from specially-trained staff.

They will then receive a telephone call from a member of the orthopaedic team who has reviewed their scans.

The team member will discuss with them whether they need to come in for further treatment or whether they can manage the injury at home.

Patients who are recommended for treatment at home will still be able to come in for an appointment if they choose.

They will also have the option of calling a dedicated helpline for patients if they have any queries or concerns.

The new virtual fracture clinics will start on Monday, September 17.

Richard Jeavons is consultant orthopaedic surgeon who runs clinics in orthopaedic outpatient departments at both the University Hospital of Hartlepool and University Hospital of North Tees.

He said: “There is a lot of demand for appointments in the fracture clinic. Patients can often face long waits before they are seen by a clinician, who may only need to give advice on how the patient can care for the fracture themselves at home.

“The virtual will be just as safe and effective for patients while also helping reduce demand on hospital services.”

Another big plus, said Mr Jeavons, is the huge benefit of managing treatment safely and effectively at home “considering the pain and mobility problems patients are likely to be experiencing.

“It will benefit patients who will be getting the right treatment in the right place. Staff will benefit by having more time to treat patients and the trust will make very clear financial savings by improving appointment start times, reducing travel costs for staff and so on.”

The programme was first piloted by Glasgow Royal Infirmary, which saw a significant reduction in footfall to the fracture clinic while maintaining recovery times.

The programme has since been adopted by several NHS trusts throughout the country.