GP Zone Staff Zone

Elective care programme

Definition and scope of programme

Definition: Elective care is planned care. The patient journey usually begins in primary care and can begin with a diagnostic procedure, before entering the secondary care system for either an opinion, diagnosis, treatment or procedure. This may also involve seeing clinicians in an intermediate community care setting. The patient should progress along a planned pathway where they are able to make decisions about their treatment.

Scope: The elective care programme covers the portfolio of projects across 41 specialties, such as ophthalmology, that seek to change some element of planned care or diagnostics. It is inclusive of the “end-to-end” journey /pathway of a patient from the initial appointment with their primary care practitioner (GP, Dentist, Optometrist) about a particular complaint / symptom through services provided in primary, community and secondary care settings as necessary until the complaint / symptom is resolved or treatment is identified as being urgent (unscheduled) or a long term condition. 


To optimise health outcomes for patients that have planned care by developing cost effective models of care based on integrated end to end pathways that can, where appropriate, deliver care closer to home, empower and enable patients to self manage, emphasise primary care prevention, eliminate waste and makes optimum use of new techniques and technologies.

A copy of the programme definition document can be accessed here.

Elective care team

  • Nicola Hughes, Programme Lead
  • Rob White, Clinical Lead
  • Shipra Rao, Clinical Lead
  • Kathryn Medcalf, Clinical Lead
  • Jane Brenton, Clinical Lead
  • Colin Roberts, Programme Manager
  • Tamsin Jones, Project Manager
  • Nigel D'Arcy, Project Manager
  • Anna White, Project Assistant

Elective care projects

The elective care programme is currently looking at quality and improvement projects across a range of specialties including:

  • New to follow up ratio
  • Audiology
  • Orthopaedic Services Review
  • Pathology
  • Ophthalmology
  • Repatriation of plastics
  • Cardiology

Referral Management Service

The elective care programme works closely with the Referral Management Service (RMS). The RMS manages referrals for 58 GP practices across Cornwall with the exception of practices in the East of Cornwall who use our sister service known as the Devon Referral Support Services (DRSS). 

Further details of the RMS can be found here.

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