The ‛CAMP’ Model – A Surgeon Led Quality Improvement Project for Collaborative Action to Maximize Productivity

Koshy RM*, Fernando T, Ali M, Menon VS

Department of General Surgery, University hospitals of Coventry and Warwickshire NHS Trust, UK

^*Correspondance to: Koshy RM 

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Abstract:

Background: An ever growing and long surgical waiting list is a challenge within the NHS. Long
waiting times can result in complications of the condition, more challenging operations and
additional procedures. All of which implies reduced quality of life for patients and increased strain
on NHS finances. On an average there are about 400 patients on the waiting list with more than half
of them for groin hernia surgeries and Cholecystectomies. The median waiting time in our trust is
26 weeks and three patients every year breach the 52 weeks’ timeline, flagging a never event, with
negative implications for the trust.
Methods: The CAMP model proposed a dedicated pathway with enhanced patient involvement
through patient information sessions and a team building with better staff involvement. The focused
pathway helped improve productivity and enhance patient experience. It helped create a parallel
work stream with experienced non-consultant surgeons, stepping-up to free up consultants to
attend to the pressing cancer and complex cases.
Results: The CAMP resulted in a 40% improvement in efficiency. With better ratio per list/session,
it made care more cost-effective. It also improved the work environment amongst staff and rapport
with patients. The patient-peer support and greater involvement meant better overall experience
too. This supportive environment also has the potential for theme based learning and training.
Conclusion: The 'CAMP' is a transferable and adaptable model. It impacts not just long waiting lists,
but also improves productivity with definite cost benefits, team-building, patient experience and
creates a great opportunity to train too.

Keywords:

Cite the Article:

Koshy RM,Fernando T, Ali M, Menon VS. The ‛CAMP’ Model – A Surgeon Led Quality Improvement Project for Collaborative Action to Maximize Productivity. World J Surg Surgical Res. 2020; 3: 1188..