RECALLSThe Why?, What?, How?

of a Systems Approach

Hein le Roux

WHY?

Why is it important?

Treating to target to reduce complications: Type 2 diabetes

Every 1% reduction in A1C levels was associated with a decrease in the risk of long-term complications1

What?What are we going to do?

Use standardised recalls!!!

No direction = chaos

Spaghetti junction

The Goal = synergy

How?

How are we going to do it?

A robust system:

• 1. Valid register / database

• 2. Agree criteria: what? how often?

• 3. Agree recall codes

• 4. Train staff to run the system

• 5. Integrate with pathology

• 6. Train GPs in recall hygiene

• 7. Audit system effectiveness