PACE 2024 Form B - Weekly POA overview

Before completing...

Please ensure you have all the information to hand before attempting to complete this form.
If required, you can save this form for later completion using the option above or at the bottom of this form.

Site Details

Note:
All Trusts and Hospitals/Sites that have registered (based on information from the local leads) should be available in the drop-down menus below.
If you are unable to find the correct trust OR the correct hospital/site (also check without 'The'), please select 'Other' for both fields and enter free-text.

Trust name

If 'Other', please specify Trust name:

Hospital/site name

If 'Other', please specify Hospital/site name:

Date of completion

Pre-assessment capacity and utilisation

All initial reviews of patients in preassessment during audit week (i.e. total capacity)*

(*do not include appointments solely for investigations, e.g. phlebotomy)

Completed initial/virtual telephone reviews

Completed initial in person appointments

Initial appointments cancelled/deferred by patient and not otherwise used (including DNAs)

Initial appointments cancelled by preassessment service and not otherwise used

Available appointments for new POA patients not accounted for above (i.e. unused appointments)

Number of dedicated anaesthetic POA sessions