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A funding model for a psychological service to plastic and reconstructive surgery in UK practice

Clarke, A; Lester, KJ; Withey, SJ; Butler, PE; (2005) A funding model for a psychological service to plastic and reconstructive surgery in UK practice. British Journal of Plastic Surgery , 58 (5) 708 - 713.

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Abstract

Appearance related distress in both clinical and general populations is associated with the increasing identification of surgery as a solution, leading to referrals for cosmetic surgery and pressure on NHS resources. Cosmetic surgery guidelines are designed to control this growing demand, but lack a sound evidence base. Where exceptions are provided on the basis of psychological need, this may recruit patients inappropriately into a surgical pathway, and creates a demand for psychological assessment which transfers the resource problem from one service to another. The model described below evaluates the impact of a designated psychology service to a plastic surgery unit. Developing an operational framework for delivering cosmetic guidelines, which assesses patients using clearly defined and measurable outcomes, has significantly reduced numbers of patients proceeding to the NHS waiting list and provided a systematic audit process. The associated cost savings have provided a way of funding a psychologist within the plastic surgery service so that psychological assessment becomes routine, alternative methods of treatment are easily available and all patients have access to psychological input as part of the routine standard of care

Type:Article
Title:A funding model for a psychological service to plastic and reconstructive surgery in UK practice
Additional information:WoS ID: 000230541700019 DA - 20050704IS - 0007-1226 (Print)LA - engPT - Journal ArticleSB - IM
Keywords:diagnosis, economics, Financing, Government, Great Britain, Health Care Rationing, Health Services Research, Humans, methods, Models, Organizational, organization & administration, Patient Selection, Practice Guidelines, psychology, Psychology, Clinical, Psychometrics, Reconstructive Surgical Procedures, Referral and Consultation, State Medicine, Stress, Psychological, surgery, Surgery, Plastic, Unnecessary Procedures, London, Practice Guidelines as Topic
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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