The British Voice Association

 

Feature article from 'Communicating Voice'

 

Voice Clinic Survey 04

A summary of the significant results of the 2004 Voice Clinic survey. Completed questionnaires were received from 56 clinics

 We asked: Which professions work in your clinic?

 You said:   In a majority of clinics (75%) both SLTs and ENT consultants are present.

Graph - Professions working in the clinic
 

 We asked: Does your clinic have an attendance protocol?

 You said:   A protocol existed in 27% of clinics.
 

 We asked: What is the average waiting time?

 You said:   There was significant divergence in waiting times, varying between 0 to 20 weeks.


 

 We asked: Is there a fast-track process for urgent referrals?

 You said: You said: a majority of clinics (61%) have a fast-track process.
 

 We asked: Who performs nasendoscopy in the clinic?

 You said: In the majority of clinics (75%), nasendoscopy was performed only
 by ENT consultants.


 

 We asked: Is there a parallel SLT-led clinic?

 You said:    No in 80% of clinics.
 

 We asked: Who performs the diagnosis?

 You said:   In only 23% of clinics was the diagnosis jointly made with the
 ENT consultant and SLT.


 

 We asked: Has the clinic been involved in any audits in the past year
 or will it be during the coming year?

 You said:   Half of clinics had and half had not.


 

 We asked: What are the strengths of your clinic?

 You said:

 –  Multi-disciplinary working & learning

 –  Improved diagnosis & clearer management/ treatment plans

 –  Good access to equipment

 –  Improved patient compliance

 –  Objective measures recorded

 –  Instant feedback to patient on state of larynx

 –  SLT role clearer to patients

 –  Opportunities for peer support & guidance/training for junior staff, students, etc

 –  Longer time spent with patients
 

 We asked: What are the weaknesses of your clinic?

 You said:

–  Patients not always prepared for clinic set-up & procedures

–  Inappropriate referrals

–  Lack of ENT staff, psychology input & appropriate equipment

–  Overbooked clinics, lack of time & time consuming admin

–  Clinics held too infrequently

–  Poor multi-disciplinary team working