use of the Epilepsy Pathway used in an Accident & Emergency Department (AED) at a local Trust
Epilepsy is a common neurological disorder characterised by recurring seizures. Different types of epilepsy have different causes. Accurate estimates of incidence and prevalence are difficult to achieve because identifying people who may have epilepsy is difficult. Epilepsy has been estimated to affect between 362,000 and 415,000 people in England. In addition, there will be further individuals, estimated to be 5–30%, so amounting to up to another 124,500 people, who have been diagnosed with epilepsy, but in whom the diagnosis is incorrect. (NICE CG)
Epilepsy is common and each presentation to AED represents a “failure” in control. Anecdotally it is known that care of epilepsy is variable and that there are many patients who are unknown to the specialists and who have not had the opportunity to be optimally controlled. Whilst there are many research studies in epilepsy that have summarised much of the evidence regarding treatment options for patients, little is known about the organisation and delivery of epilepsy care across the UK.
National Institute of Clinical Excellence (NICE) has produced Clinical Guidelines which state that…
This involved mapping out the patient journey, the relevant procedures and administrative processes from the time the patient is admitted to AED to being discharged. Process mapping allows you to follow the process through from start to finish. The map shows how things are and what happens, rather than what should happen. Process mapping provides an opportunity for multidisciplinary involvement. This helps anyone involved see other peoples views and roles therefore it gives everyone a chance to understand the issues and so reduces resistance to change proposals. However what people say they do and what they actually do can be quite…