ESTRO 2025 - Abstract Book

S4308

RTT - Service evaluation, quality assurance and risk management

ESTRO 2025

To complement the audit, a focus group provided richer context. Collaborating with the Irish Wheelchair Association, we recruited wheelchair users with experience navigating healthcare environments. The study design includes guiding participants through the department to engage in discussions exploring challenges in accessing, navigating, and utilizing spaces such as the CT scanner, toilets, and treatment units. We ask that feedback extended beyond structural compliance, addressing softer aspects of accessibility such as the perceived inclusivity of staff interactions and the overall atmosphere. Results: While the department's modern infrastructure largely met accessibility standards, areas for refinement emerged, such as enhanced signage and optimized equipment placement. Some recommended design features where initially in place, but touch free versions were implemented during the Covid-19 pandemic such as foot operated bins. Key findings from the project emphasized the importance of seamless transitions between parking, reception, and treatment spaces, accessible and intuitive emergency protocols, and the availability of adequately trained staff for mobility support. Participants also highlighted the need for proactive communication from staff to ensure dignity and independence during treatment. Recommendations derived from this assessment include enhancing staff training on disability etiquette, implementing user-informed signage, and investing in accessible technology, such as adjustable treatment couches. The study underscores the value of involving wheelchair users in the continuous improvement of healthcare spaces, advocating a shift from meeting minimum standards to achieving patient-centered excellence. Conclusion: This Patient and Public Involvement initiative not only identified actionable improvements but also fostered a culture of inclusivity within the department, aligning with contemporary healthcare equity goals. The methodology and outcomes serve as a model for similar assessments, reinforcing the importance of co-creating accessible environments with those they serve. Future initiatives will expand the reach of this study, integrating larger sample sizes and longitudinal tracking of implemented changes.

Keywords: wheelchair accessibility, PPI, disability