Pleural Services

1. Which trust do you work for?

2. How many Respiratory Consultants work in your trust?

3. Is there a clearly defined pleural lead for your trust?

If yes does this individual have dedicated time in their job plan for this role?

If yes how many PA’s?

4. How would you categorise the pleural service in your trust according to accompanying schematic?

5. Do you think a higher level of service is needed / appropriate for your trust and patient population?

If yes, then what specific aspects of proposed service provision would you need to get to your desired level?

6. If yes to Q4, what category would you aim for?

7. How achievable do you think such service development would be within next 2 years?

8. What do you think would be the barriers to such development?

9. Do you have a specific agreed clinical pathway for the out of hours management for a pneumothorax?

10. Do you have a specific agreed clinical pathway for the out of hours management for a pleural effusion?

11. Within your trust during the working day Monday to Friday do you have reliable access to individuals on site able to perform, thoracic ultrasound to assist in the prompt investigation and management of pleural disease?

-If “Yes”,
Please select all that apply:

11. Details:

-If “No”,
Is there access to an on-call individual who can come to the bedside to perform intervention who can come to the bedside to perform intervention ?

12. Within your trust during the working day Saturday to Sunday do you have reliable access to individuals on site able to perform, thoracic ultrasound to assist in the prompt investigation and management of pleural disease?

-If “Yes”,
Please select all that apply:

12. Details:

13. Within your trust outside the working hours including overnight Monday to Sunday do you have reliable access to individuals on site able to perform, thoracic ultrasound to assist in the prompt investigation and management of pleural disease?

-If “Yes”,
Please select all that apply:

13. Details:

14. Within your trust during the working day at weekends do you have reliable access to individuals on call able to come to the bedside to perform, thoracic ultrasound to assist in the prompt investigation and management of pleural disease in an emergency?

-If “Yes”,
Please select all that apply:

14. Details:

15. Within your trust outside the working day, including overnight, Monday to Sunday do you have reliable access to individuals on call able to come to the bedside to perform thoracic ultrasound to assist in the prompt investigation and management of pleural disease in an emergency?

-If “Yes”,
Please select all that apply:

15. Details:

16. Within your trust during the working day Monday to Friday do you have reliable access to individuals on site able to perform the following pleural procedures?

16. → Diagnostic pleural aspiration

16. -If “Yes”,
Please select the individual(s) available:

16. (D) Details:

16. -If “No”,
Is there access to an on-call individual who can come to the bedside to perform intervention who can come to the bedside to perform intervention ?

16. → Therapeutic pleural aspiration

16. -If “Yes”,
Please select the individual(s) available:

16. (T) Details:

16. -If “No”,
Is there access to an on-call individual who can come to the bedside to perform intervention who can come to the bedside to perform intervention ?

16. → Seldinger chest drain insertion

16. -If “Yes”,
Please select the individual(s) available:

16 (S) Details:

16. -If “No”,
Is there access to an on-call individual who can come to the bedside to perform intervention who can come to the bedside to perform intervention ?

16. → Large bore (surgical)  chest drain insertion

16. -If “Yes”,
Please select the individual(s) available:

16. (L) Details:

16. -If “No”,
Is there access to an on-call individual who can come to the bedside to perform intervention who can come to the bedside to perform intervention ?

17. Within your trust during the working day Saturday to Sunday do you have reliable access to individuals on site able to perform the following pleural procedures?

17. → Diagnostic pleural aspiration

17. -“If Yes”,
Please select the individual(s) available:

17. (D) Details:

17. → Therapeutic pleural aspiration

17. -If “Yes”,
Please select the individual(s) available:

17. (T) Details:

17. → Seldinger chest drain insertion

17. -If “Yes”,
Please select the individual(s) available:

17. (S) Details:

17. → Large bore (surgical) chest drain insertion

17. -If “Yes”,
Please select the individual(s) available:

17. (L) Details:

18. Within the trust outside working hours including overnight (Monday to Sunday) do you have reliable access to individuals on site able to perform the following pleural procedures?

18. → Diagnostic pleural aspiration

18. -If “Yes”,
Please select the individual(s) available:

18. (D) Details:

18. → Therapeutic pleural aspiration

18. -If “Yes”,
Please select from the individual(s) available:

18. (T) Details:

18. → Seldinger chest drain insertion

18. -If “Yes”,
Please select the individual(s) available:

18. (S) Details:

18. → Large bore (surgical) chest drain insertion

18. -If “Yes”,
Please select the individual(s) available:

18. (L) Details:

19. Within your trust during the working day at weekends do you have reliable access to individuals on call able to come to the bedside to perform the following pleural procedures?

19. → Diagnostic pleural aspiration

19. -If “Yes”,
Please select the individual(s) available:

19. (D) Details:

19. → Therapeutic pleural aspiration

19. -If “Yes”,
Please select the individual(s) available:

19. (T) Details:

19. → Seldinger chest drain insertion

19. -If “Yes”,
Please select the individual(s) available:

19. (S) Details:

19. → Large bore (surgical) chest drain insertion

19. -If “Yes”,
Please select the individual(s) available:

19. (L) Details:

20. Within your trust outside the working day, including overnight, Monday to Sunday do you always have reliable access to individuals on call able to come to the bedside to perform the following pleural procedures?

20. → Diagnostic pleural aspiration

20. -If “Yes”,
Please select the individual(s) available:

20. (D) Details:

20. → Therapeutic pleural aspiration

20. – If “Yes”,
Please select the individual(s) available:

20. (T) Details:

20. → Seldinger chest drain insertion

20. -If “Yes”,
Please select the individual(s) available:

20. (S) Details:

20. → Large bore (surgical) chest drain insertion

20. -If “Yes”,
Please select the individual(s) available:

20. (L) Details:

21. Have there been concerns raised about patient safety in relation to pleural procedures within your trust within the last:

If yes, please give details:

22. Has provision of thoracic ultrasound been on your trust risk register?

23. Has provision of pleural intervention been on your trust risk register?

24. Have there been any specific patient safety incidents in your trust in relation to thoracic ultrasound / pleural procedures within the last:

If yes please give details:

25. Do you have any other concerns about provision of thoracic ultrasound / pleural procedures within your trust?