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News and updates

Elective Access Policy for BHRUT

20 July 2021

Dear colleagues,  

The Trust will be working in partnership with CCG colleagues to review and update the Elective Access Policy for BHRUT.

The Access policy sets out the ways in which the Trust ensures that patients who are referred to BHRUT have fair and equitable access to services and that services themselves have a clear understanding of their roles and responsibilities in line with national performance standards for both elective care and cancer.

This is a great opportunity to ensure that the new access policy reflects a number of new initiatives and innovations that the Trust is adopting since two waves of the Covid pandemic, which will surely help our patients to achieve easier access to our specialities. These will include:

  • Faster detection of cancer that supports earlier diagnoses
  • Using advice and guidance referrals that can help patients without needing to attend a clinic appointment
  • Patient initiated follow up (PIFU) that helps empower follow up patients (non RTT) to quickly access services when they become symptomatic
  • Triaging referrals promptly to ensure patients are seen by the right speciality consultant for their condition the first time round and ensuring the patients have completed any necessary tests to improve the clinic experience
  • Health Inequalities: recognising the different types of population the Trust serves and ensuring patients accessing elective services from different backgrounds are treated fairly and are not disadvantaged by operational systems and processes
  • Recognising covid is staying with us for the time being and therefore providing clarity to our patients in how the Trust will continue providing safe elective services

We will be launching a steering group which will be chaired by John Hambidge (Consultant Orthopaedic surgeon) and supported through a core team of representatives from Trust divisions, Trust support services, CCG and patient advocate groups who will be reviewing and updating the access policy which is expected to be completed by end of October 2021.

The group will be discussing sections of the policy in line with the estimated timeline below:

Policy section for discussion

To be sent out via email for comments

Meeting for discussion and approval


8th July

21st July

Cancer part 1

22nd July

4th August

Cancer part 2

5th August

18th August

Non-admitted Pathway (Outpatients)

19th August

1st September


2nd September

15th September

Admitted Pathway

16th September

29th September

Sections 5-11

30th September

13th October

We encourage any feedback or suggestions for the steering group to consider for the Access Policy, therefore please do contact either Anil Vara ( or Becky Barry ( if you have any comments, or if you want to be part of the discussion.

Many thanks

Anil Vara (BHRUT) and Rebecca Barry (NEL CCGs)

© 2022 NHS Barking and Dagenham Clinical Commissioning Group.

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