key: cord-0833663-0uwsto7a
authors: McCann, Conor; Hayes, John; Hutton, Rachael; Dooher, Maeve; Abogunrin, Funsho; Gray, Sam; McKnight, John; Duggan, Brian
title: Abstract 28 Successful green pathways for elective urology surgery during the COVID-19 pandemic in an acute NHS hospital in Northern Ireland
date: 2021-09-30
journal: European Urology Open Science
DOI: 10.1016/s2666-1683(21)00194-4
sha: 6d137e6675b57a2037e81ae1f4f8036ed28e9103
doc_id: 833663
cord_uid: 0uwsto7a

nan

referrals urology OPD has led to long waiting lists which can interfere in a timely diagnosis for many patients, with many subsequent consequences 1 . Methods: A urology consultant assesses referrals in a 'virtual' clinic, employing methods such as letters, imaging and bloods results, with charts being reviewed where indicated. Outcomes recorded were; discharged, return for face-to-face OPD, referral to a nurse led lower urinary tracts symptoms (LUTs) clinic, phone review, chart review required or referred to stone surveillance clinic. Results: There were 2073 patients assessed. The majority of patients had previously been seen by a non-consultant hospital doctor. 727 (35%) of patients were directly discharged with a letter of advice. 405 (19.5%) of patients required further face-to-face OPD review. 267(13%) were suitable for stone surveillance clinic. 279 (13.5%) were referred to a nurse led LUTs clinic, 65% of these were suitable for discharge. 172 (8%) were suitable for phone review. 223 (11%) of patients had insufficient clinical information and required a chart review. In total, 1444 patients were suitable for a virtual review. The potential savings from this form of virtual OPD review was €92,242. Conclusion: A 'virtual' review clinic is an efficient model to assess and make decisions on patient care. It reduces the numbers of face-to-face reviews and is both clinically and cost effective. Assessment of patient satisfaction with this model of care would be important. Introduction: Fungal colonisation of urine is a frequently encountered entity, but little is published on Candidaemia in a urological setting 1 . We aimed to assess the frequency of Candidaemia in the nosocomial environment and whether an association existed with urology patients. Conclusion: Our experience of the green elective pathway in urology has been positive, helping to treat high risk patients from across Northern Ireland. Maintaining elective services at the Ulster Hospital has also helped maintain some post-graduate surgical training. The adaptability of resources, robust patient risk assessment and greater inter-trust cooperation have helped ensure the safe resumption of elective operating during these extraordinary times.

Managing elective surgery during the surges and continuing pressures of COVID-19. Royal College of Surgeons