Table 4 Tasks undertaken by clinical and administrative staff for patients at moderate risk of ovarian or breast ovarian cancer

From: A micro costing of NHS cancer genetic services

 

Task

Time (min)

Staff

Resources

1.

Record receipt of referral letter

1.0

Administrative assistant (CR31/05)

Office

2.

Input client details to database and issue family history questionnaire

3.5

Administrative assistant (CR31/05)

Office

3.

Record return of family history and update database

2.0

Administrative assistant (CR31/05)

Office

4.

Input family history into computer

3.0–7.5

Team leader (NPUV/04)

Office

5.

Obtain permission to access relatives' medical records

3.0–7.5

Team leader (NPUV/04)

Office

6.

Obtain records

3.0

Coordinator (CR31/03)

Office

7.

Check medical records

4.0–7.5

Team leader (NPUV/04)

Office

8.

Review family history

4.0–15.0

Team leader (NPUV/04) and service and practice development coordinator (NP51/05) and consultant in cancer genetics (MC21/02) and consultant in cancer genetics (MC21/04)

Offices and Seminar room

10.

Letter and booklet to patient and letter to referrer

10.0

Administrative assistant (CR31/03)

Office

11.

Counselling session

50.0–60.0

Team leader (NPUV/04) or service and practice development coordinator (NP51/05) or consultant in cancer genetics (MC21/02)

Offices and counselling room

12.

Refer to Breast Test Wales and/or gynaecologist/surgeon if appropriate

10.0

Team leader (NPUV/04) or service and practice development coordinator (NP51/05) or consultant in cancer genetics (MC21/02)

Office

13.

Fill in database

5.0

Coordinator (CR31/03)

Office

 

Communal facilities

64–97.5a

  
  1. Communal facilities include phlebotomy room (take blood), waiting room, toilets and hallways.
  2. aTotal time devoted to a single patient by one or more members of staff minus overlap with other patients. There are no laboratory inputs for this event pathway.