Sage Journals: Discover world-class research

Abstract

Objective:

The objective of this study was to review the effectiveness and safety of a one stop urology clinic led by a consultant diagnostic urologist.

Methods:

Data were collected prospectively on all patients seen by a single consultant diagnostic urologist from February 2007 to February 2008. In 2013, patient records were reviewed and cross-referenced to identify if any patients had been re-referred to the urology service and why.

Results:

From 889 referrals, 799 patients attended, of these 689 (86%) were discharged after a single visit with 110 (14%) booked follow-up appointments. Ninety patients were re-referred, only two of these had a significant diagnosis. Thirty-four (38%) had a new referral reason.

Conclusion:

The one stop method of consultation is effective and efficient across a range of presenting complaints in urology. It is safe for patients and leads to a high discharge rate with a low re-referral rate without missing clinically significant diagnoses.

Keywords

One stop clinic effective urology services

Get full access to this article

View all access options for this article.

References

Handbook to the NHS Constitution 2013. http://www.nhs.uk/choiceinthenhs/rightsandpledges/nhsconstitution/documents/2013/handbook-to-the-nhs-constitution.pdf (2013, accessed 7 March 2016).

Coull

Rottenberg

Rankin

. Assessing the feasibility of a one-stop approach to diagnosis for urological patients. Ann R Coll Surg Engl 2009; 91: 305–309.

Barrass

BJR

Wood

. The new standard of care in urology outpatients? A one-stop clinic improves efficiency and quality. J Clin Urol 2013; 6: 408–413.

Eltahir

Jibril

Squair

. The accuracy of “one-stop” diagnosis for 1110 patients presenting to a symptomatic breast clinic. J R Coll Surgeons Edinburgh 1999; 44: 4.

Johnson

Kalairajah

Moonot

. Fast-track assessment clinic: selection of patients for a one-stop hip assessment clinic. Ann R Coll Surg Engl 2008; 90: 208–212.

Reid

David

Nicholl

. A one-stop carpal tunnel clinic. Ann R Coll Surg Engl 2009; 91: 301–304.

Campo

Meier

Dhont

. Implementation of hysteroscopy in an infertility clinic: the one-stop uterine diagnosis and treatment. Facts Views Vis Obgyn 2014; 6: 235–239.

Institute of Medicine. Committee on Quality of Heath Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.