Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care?
|
|
- Marybeth Gibbs
- 6 years ago
- Views:
Transcription
1 Targets, flow, exit block, stranded patients, red2green. What s any of this got to do with good patient care? Lee Dowson Divisional Director of Medicine Royal Wolverhampton NHS Trust Clinical Associate Emergency Care Improvement Program (ECIP)
2 Question If your relative was in the emergency department in your hospital with a significant medical problem would you feel the need to phone a friend to ensure they got the best care?
3 Flow, occupancy and mortality
4
5 Risks associated with crowded hospitals Full hospitals lead to poor outcomes Crowding in ED is associated with a 43% increase in mortality Outlying is associated with an increase in mortality Bed occupancy > 92.5% is associated with an increase in mortality
6 Risks associated with hospital admission Hospital Acquired Infections Deconditioning 10 days in hospital leads to 10 years of muscle wasting #EndPJparalysis #Last1000days
7 Solutions reduce demand Public health and General Practice Advance care planning and work with nursing homes Self management, case management Admission avoidance telephone advice, rapid response, HOT clinics, step up beds Ambulatory emergency care (AEC)
8 Solutions increase capacity The right bed base? Increase capacity Increase the number of hospital beds No funds and no staff Improve efficiency
9
10 Typical patient inpatient journey
11 Principles for improving internal capacity Early senior decision making Admit only patients whose care can t be delivered using an ambulatory approach Develop an intolerance of waiting and identify the commonest barriers Parallel processes Break down silos (pathways and culture) Innovate, PDSA, share Make it easier to do the right thing
12 Tools for improving internal processes Red2Green SAFER Stranded patient reviews Internal professional standards 6A s audits Ward round checklists
13 Theory of constraints
14 Red and Green Bed Days Visual management system to identify and address wasted time in a patients journey Short term - Todays work today Remove constraints from the system Easier to do the right thing Acute and community inpatients Not suitable for high turnover units eg ED, Assessment Units
15 A Red Day adds no value to a patient No senior review takes place The medical care plan lacks a consultant approved EDD There is no consultant approved physiological and functional clinical criteria for discharge (CCD) A planned investigation/assessment/procedure or therapy doesn't take place The patient is in receipt of care that doesn t require a hospital bed Patient is medically fit for discharge but doesn t go home
16
17 Green Day A patient receives value adding acute care progressing towards discharge Everything planned or requested gets done A patient receives care that can only be delivered in a hospital bed A GREEN day is of value for a patient
18
19 The Process Must be standardised within your trust Start the board round/huddle with all patients marked Red If an action occurs that progresses the patients care = Green Take immediate action to convert Red2Green Todays work today Escalate unresolved issues Collate Red reasons to identify common system constraints This is not a performance management tool. Red days are opportunities to improve care for patients
20 Arrow Park Effect on early discharges
21 SAFER Patient Flow Bundle The patient flow bundle is similar to a clinical care bundle. It is a combined set of simple rules for adult inpatient wards to improve patient flow and prevent unnecessary waiting for patients. If we routinely undertake all the elements of the SAFER patient flow bundle we will improve the journey our patient s experience when they are admitted to our hospital.
22 The Patient Flow Bundle - SAFER S - Senior Review before midday A - All patients will have an Expected Discharge Date F - Flow of patients will commence at the earliest opportunity (by 10am) Golden patient E Early discharge, 33% of our patients will be discharged from base inpatient wards before midday. R Review, a weekly systematic review of patients with extended lengths of stay ( > 7 days)
23 Patient Benefits Improved care co-ordination Key points Clinically owned Well planned, informed and timely discharge Less likely to be outliers May need local adaptations Consistent approach for greatest benefit Care delivered in less crowded wards and departments Joint working Management team Other directorates Community partners Social services
24 AMU discharges EDD
25
26 Stranded patients Patients who have been in hospital 7 days or more Most will be waiting unnecessarily due to internal and external delays have exceeded their EDD Some will be waiting for interventions that are inappropriate or no longer necessary waiting for interventions that could be performed as an outpatient waiting for social interventions which they will not qualify for What could have been done in the first few days to prevent this patient becoming stranded. Consider peer review and super huddles Collate constraints to inform service developments and D2A processes
27 Take home messages Hospital overcrowding is everyone s problem Improving efficiency is the best option for improving patient experience and outcome in the short-medium term Without clinical leadership the situation will not improve There are tools which have worked in UK hospitals and if implemented will improve outcomes directly and indirectly There is an urgent need for evidence based innovation and research into non-elective care systems (QIP) Improvement requires partnership working
28
29
The SAFER Bundle Supported by #Red2Green Our Journey
University Hospitals of North Midlands (UHNM) Background The SAFER Bundle Supported by #Red2Green Our Journey At UHNM, we started our SAFER implementation journey in November 2016. We had previously introduced
More informationWhat good looks like in the emergency pathway
What good looks like in the emergency pathway @ECISTNetwork @PeteGordon68 I m going to cover Safer Faster Better The evidence Myths What we ve found over 150 engagements Why we need simple rules We recommend
More informationUrgent & Emergency Care Strategy Update
RCCG/GB/17/144 Urgent & Emergency Care Strategy Update 1. Introduction The purpose of this paper is to provide assurance on the effective delivery to date of our urgent and emergency care strategy within
More informationSame day emergency care: clinical definition, patient selection and metrics
Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.
More informationUrgent Care Short Term Actions to Improve Performance
To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch
More informationCUH Project Flow enews October 2017
Issue 1 enews October 2017 Welcome to our first CUH Project Flow enewsletter Ever wanted to know the answers to the following questions: - Where did the interest in Project Flow arise from? - What does
More informationManaging Acute Care for People across the Health Care System - Is more capacity the answer?
Managing Acute Care for People across the Health Care System - Is more capacity the answer? Dr Ian Sturgess Partner, NHS Interim Management and Support National Clinical Lead for Urgent and Emergency Care,
More informationDo Multi Agency Discharge Events (MADEs) and Stranded Patient reviews have an impact?
NHS England NHS Improvement Healthy London Partnership Do Multi Agency Discharge Events (MADEs) and Stranded Patient reviews have an impact? 13 March 2018 This session will cover 1. What are MADEs and
More informationMental Health Short Stay
Mental Health Directorate Central Adelaide Local Health Network Mental Health Short Stay Model of Care January 2016 Extracted from Improving Unplanned Emergency Access pathways (IUEAP) Model of Care: Mental
More informationDecember 2015 Edition
December 2015 Edition Glen Burley, ECIP SRO, CEO of South Warwickshire Foundation Trust Welcome to our third edition of the ECIP newsletter. As well as the ECIP systems which are taking part in the programme,
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
More informationNorthumbria Whole System Review 22 nd to 25 th November 2016
Northumbria Whole System Review 22 nd to 25 th November 2016 Introduction The Emergency Care Improvement Team would like to thank the leaders of the health system and network for inviting us to review
More informationLondon s Mental Health Discharge Top Tips. LONDON Urgent and Emergency Care Improvement Collaborative
London s Mental Health Discharge Top Tips LONDON Urgent and Emergency Care Improvement Collaborative November 2017 1 Introduction These Top Tips commenced their journey at the Pan London Reducing delays
More informationAmbulatory Emergency Care The Logical Way to Go
Ambulatory Emergency Care The Logical Way to Go Ambulatory Emergency Care The Logical Way to Go The Queens Medical Centre (QMC) is part of the Nottingham University Hospitals NHS Trust, one of the largest
More informationHospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care
Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique
More informationSeven Day Services Clinical Standards September 2017
Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationUnscheduled care Urgent and Emergency Care
Unscheduled care Urgent and Emergency Care Professor Derek Bell Acute Medicine Director NIHR CLAHRC for NW London Imperial College London Chelsea and Westminster Hospital Value as the overarching, unifying
More informationQuick guide: planning for increased seasonal demand in respiratory illness
Quick guide: planning for increased seasonal demand in respiratory illness Published by NHS England and NHS Improvement December 2017 The British Thoracic Society is pleased to endorse this quick guide,
More information2018 Optional Special Interest Groups
2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve
More informationImproving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationOnline library of Quality, Service Improvement and Redesign tools. Discharge planning. collaboration trust respect innovation courage compassion
Online library of Quality, Service Improvement and Redesign tools Discharge planning collaboration trust respect innovation courage compassion Discharge planning What is it? A specific targeted discharge
More informationPaper 14. Trust Board DECISION NOTE. Recommendation
Paper 14 Recommendation DECISION NOTE Reporting to: Trust Board is asked to note the: Trust Board Positive engagement of our senior staff in ALT training The step change in the activity of the KPO kaizen
More informationSouth Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust
South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS
More informationDIVISION OF EMERGENCY MEDICINE DEPARTMENT OF ACUTE MEDICINE
DIVISION OF EMERGENCY MEDICINE DEPARTMENT OF ACUTE MEDICINE Ambulatory Care Unit Standard Operational Policy Document Control Reference No: First published: November 2014 Version: 004 Current Version Published:
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
More informationFinal Version Simple Guide to the Care Act and Delayed Transfers of Care (DTOC) SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC)
SIMPLE GUIDE TO THE CARE ACT AND DELAYED TRANSFERS OF CARE (DTOC) 1. UNDERPINNING PRINCIPLES Across the whole system, our common aims are to: Improve services for patients by avoiding situations where,
More informationBOARD OF DIRECTORS. Sue Watkinson Chief Operating Officer
Affiliated Teaching Hospital BOARD OF DIRECTORS 28 TH SEPTEMBER 2012 AGENDA ITEM: 11.1 TITLE: INTENSIVE SUPPORT TEAM REPORT PURPOSE: The Board of Directors is presented with the report from the Intensive
More informationSecure care services: Medium secure services for men and women at Ardenleigh, Reaside Clinic and Tamarind Centre
Birmingham and Solihull Mental Health NHS Foundation Trust Secure care services: Medium secure services for men and women at Ardenleigh, Reaside Clinic and Tamarind Centre Secure care services Commissioners
More informationTier 4 Review Findings
Tier 4 Review Findings Margaret Murphy 5 November 2014 Commissioning Tier 4 CAMHS Services Following passage of HSC Act responsibility for commissioning tier 4 CAMHS inpatient services and some highly
More informationNHSi June 2016)and integrated business plan completed (submitted to TDA in February 2014) NHSi Plan submitted 2016.
1604 Executive 18/06/2014 1603 Executive 18/06/2014 Finance - Fin. Management 1491 Responsiveness 29/08/2013 ED - Adult Involvement of Service Users 11//2017 Failure to maintain Emergency Department performance
More informationStandard of Care for MTC inpatients
Standard of Care for MTC inpatients The following document is intended to summarise the model of care for patients admitted under the care of the Leeds Major Trauma System. It will outline expected duties
More informationChoice on Discharge Policy
Choice on Discharge Policy Reference No: P_CIG_19 Version 1 Ratified by: LCHS Trust Board Date ratified: 13 th September 2016 Name of originator / author: Sarah McKown Name of responsible committee / Individual
More informationThe Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme
The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme The Improvement Academy (IA) is one of the leading quality and safety improvement networks in the UK. The IA works across
More informationEMERGENCY PRESSURES ESCALATION PROCEDURES
OP48 EMERGENCY PRESSURES ESCALATION PROCEDURES INITIATED BY: Director of Therapies & Health Sciences / Chief Operating Officer APPROVED BY: Executive Board DATE APPROVED: 21 September 2016 VERSION: 3 OPERATIONAL
More informationFramework for NHS provider and commissioner involvement in: Maximising the appropriate use of care homes
Publications Gateway reference number: 07483 Framework for NHS provider and commissioner involvement in: Maximising the appropriate use of care homes Cohort caring in Therapy-Led Units for inpatients ready/safe
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationNHS Greater Glasgow and Clyde Alison Noonan
NHS Board Contact Email NHS Greater Glasgow and Clyde Alison Noonan alison.noonan@ggc.scot.nhs.uk Title Category Background/ context Problem Effective Discharge Planning and the Introduction of Delegated
More informationNumerator. Denominator Rationale for inclusion
Goal number Goal name Indicator number Indicator name Goal weighting (% of CQUIN scheme Indicator weighting (% of goal Description of indicator Numerator Denominator Rationale for inclusion Data source
More informationImproving medical handover at the weekend: a quality improvement project
BMJ Quality Improvement Reports 2015; u207153.w2899 doi: 10.1136/bmjquality.u207153.w2899 Improving medical handover at the weekend: a quality improvement project Emma Michael, Chandni Patel Broomfield
More informationA mechanism for measuring and improving patient experience on an acute medical unit
A mechanism for measuring and improving patient experience on an acute medical unit This Future Hospital Programme case study comes from Grantham and District Hospital, part of the United Lincolnshire
More informationImprove, Inspire, Innovate Quality Improvement Plan
Improve, Inspire, Innovate Quality Improvement Plan 1 QIP Final version 20170706 Contents Background & Summary Page 3 Who is Responsible? Page 4 How will we communicate our progress to you? Page 4 Chair
More informationBoarding Impact on patients, hospitals and healthcare systems
Boarding Impact on patients, hospitals and healthcare systems Dan Beckett Consultant Acute Physician NHSFV National Clinical Lead Whole System Patient Flow Project Scottish Government May 2014 Important
More informationCUH Looking beyond the hospital for solutions
CUH Looking beyond the hospital for solutions ED More than a hospital department Room with a view. Avilene Casey Executive Performance Improvement Lead (USC) HSE. Length of stay reduction equates to extra
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More informationProcess Redesign in Ambulatory Emergency Care Utilising Point of Care Testing
Phillip Weihser BSc. PGCert. MSc. Divisional Operation Manager James Paget University Hospital Great Yarmouth, United Kingdom Process Redesign in Ambulatory Emergency Care Utilising Point of Care Testing
More informationDischarge from hospital
Page 1 of 9 Discharge from hospital for patients, carers and relative Introduction Welcome to our Trust. This leaflet is about planning to leave hospital (also known as discharge from hospital). Please
More informationQuality Improvement Scorecard December 2017
Mortality: HSMR Performance improved in August Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR (weekend)
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST BOARD OF DIRECTORS. Emergency Department Progress Report
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Date of meeting: 27 June Title / Subject: Status Purpose: Report of: Prepared by: BOARD OF DIRECTORS Public To update the Board of actions being
More informationQuality Improvement Scorecard November 2017
Mortality: HSMR Performance remained below target in July Nat NB: Each month is a 12 month rolling value. I.e. Mar-16 reports the monthly average of Apr-15 to Mar-16. Mortality: HSMR (weekday) vs. HSMR
More informationOur Achievements. CQC Inspection 2016
Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,
More informationStandardised handover protocol: increasing safety awareness
Standardised handover protocol: increasing safety awareness This Future Hospital Programme case study details how Dr Shirine Boardman from Grantham and District Hospital, United Lincolnshire Hospitals
More informationAdult Discharge Policy
Adult Discharge Policy This document is uncontrolled once printed. Please check on the Trust s Intranet site for the most up to date version. Version: 2 Ratified by: Trust Patient Safety and Quality Committee
More informationImproving Unplanned Emergency Access Pathways (IUEAP)
Central Adelaide LHN Mental Health Directorate Improving Unplanned Emergency Access Pathways (IUEAP) Consultation Paper May 2015 Acronyms C3: Ward C3 at the current Royal Adelaide Hospital. Central Adelaide
More informationLooking at Patient Flow in Hours and Days
This presenter has nothing to disclose Looking at Patient Flow in Hours and Days Getting Patients to the Right Level of Care at the Right Time October 23, 2014 Session Objectives Understand the differences
More informationDischarge to Assess Standards for Greater Manchester
Discharge to Assess Standards for Greater Manchester 1 Contents 1. Introduction... 3 2. Definition of Discharge to Assess... 3 3. Discharge to Assess Pathways... 4 4. Greater Manchester Standards for Discharge
More informationA safe system framework for recognising and responding to children at risk of deterioration. July 2016
A safe system framework for recognising and responding to children at risk of deterioration July 2016 Background Research shows that failure to recognise and treat patients whose condition is deteriorating
More informationAddressing ambulance handover delays: actions for local accident and emergency delivery boards
Addressing ambulance handover delays: actions for local accident and emergency delivery boards Published by NHS England and NHS Improvement November 2017 Contents Foreword... 2 Actions to be taken now,
More informationAmbulatory Emergency Care Watford sees Impact of Ambulatory Emergency Care within a Fortnight. West Hertfordshire Hospitals NHS Trust
Ambulatory Emergency Care Watford sees Impact of Ambulatory Emergency Care within a Fortnight West Hertfordshire Hospitals NHS Trust Watford Sees Impact of Ambulatory Emergency Care within a Fortnight
More informationPlanning guidance National Breaking the Cycle Initiative April 2015
Background Planning guidance National Breaking the Cycle Initiative April 2015 The aim of Breaking the Cycle initiatives is to rapidly improve patient flow to produce a step-change in performance, safety
More informationCatheter Associated Urinary Tract Infection Reduction using Daily Management Systems. OHSU Performance Excellence
Catheter Associated Urinary Tract Infection Reduction using Daily Management Systems OHSU Performance Excellence DATE : April 1 8, 2 0 1 6 PRE SENTE D B Y: Nancy McCully MSN, MBA, RN, CCRN, Marge Willis
More informationDeveloping a care bundle for stroke. Hazel Fraser Stroke Co-ordinator NHS Fife September 2011
Developing a care bundle for stroke Hazel Fraser Stroke Co-ordinator NHS Fife September 2011 Aim to cover Background Scottish Patient Safety Programme Care bundles PDSA Challenges faced Is it working?
More informationThe new CQC approach to hospital inspection. Ann Ford Head of Hospital Inspection (North West) June 2014
The new CQC approach to hospital inspection Ann Ford Head of Hospital Inspection (North West) June 2014 1 Our purpose and role Our purpose We make sure health and social care services provide people with
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationUtilisation Management
Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating
More informationNorth West London Accident and Emergency Performance Report for the winter of 2016/17. North West London Joint Health Overview and Scrutiny Committee
North West London Accident and Emergency Performance Report for the winter of 2016/17 North West London Joint Health Overview and Scrutiny Committee 20 April 2017 1 This paper will summarise the performance
More informationOverview. Dr Stephen Gulliford & AKI Specialist Nurse Suzanne Wilson Page 1
Improving Patient Safety and Reducing Harm through the Development of an Acute Kidney Injury Specialist Service at Wrightington, Wigan and Leigh NHS Foundation Trust Overview Acute Kidney Injury (AKI)
More informationSBAR Communication Tool. Anne Marie Oglesby RGN., MSc. Health Care (Risk Management & Quality) Clinical Risk Advisor, Clinical Indemnity Scheme
SBAR Communication Tool Anne Marie Oglesby RGN., MSc. Health Care (Risk Management & Quality) Clinical Risk Advisor, Clinical Indemnity Scheme Background Communication Tools What is SBAR SBAR in action
More informationThe Symphony Programme an example from the UK of integrated working between primary and secondary care. Jeremy Martin, Symphony Programme Director
The Symphony Programme an example from the UK of integrated working between primary and secondary care Jeremy Martin, Symphony Programme Director About South Somerset 135,000 population, older age profile
More informationMoving to 7 Day Services. Kerry Gant, Head of Finance Change Team/Debbie Freake, Executive Director of Strategy
Report to Trust Board of Directors Date of Meeting: 24 March 2015 Enclosure Number: 12 Title of Report: Author: Executive Lead: Responsible Sub- Committee (if appropriate): Executive Summary: Moving to
More informationWolverhampton CCG Commissioning Intentions
Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child
More informationCriteria Led Discharge Pilot NHS Grampian. Whole System Patient Flow Improvement Programme
Criteria Led Discharge Pilot NHS Grampian Whole System Patient Flow Improvement Programme 1 Process How did we do it Determine Need, identify opportunity Day of care audits, number of potential areas for
More informationContinuous Value Improvement in Health Care
webinar summary Continuous Value Improvement in Health Care Featuring Kedar Mate Chief Innovation and Education Officer Institute for Healthcare Improvement October 26, 2017 sponsored by webinar summary
More informationSouthern Adelaide Local Health Network CLINICAL RECONFIGURATION. February 2016
CLINICAL RECONFIGURATION February 2016 Acknowledgement of Country > We would like to acknowledge that this land we meet on today is the traditional land of the Kaurna people, and that we respect their
More informationBack to basics proves a winning formula in Dorset
Ambulatory Emergency Care Back to basics proves a winning formula in Dorset Learn from the past but focus on the future - how taking its AEC service back to the basics, and combining that with a pragmatic
More informationOur Journey to Discharge to Assess (D2A)
Our Journey to Discharge to Assess (D2A) Jane Ives Director of Operations South Warwickshire NHS Foundation Trust Wendy Lane Senior Partner Transformation & Innovation Arden Commissioning Support Zoe Bogg
More informationCoordinated cancer care: better for patients, more efficient. Background
the voice of NHS leadership briefing June 2010 Issue 203 Coordinated cancer care: Key points There are two million people with cancer in the UK. It is suggested that by 2030 there will be over four million
More informationTackling Emergency Department Crowding
The Royal College of Emergency Medicine Tackling Emergency Department Crowding Safe Efficient Effective Care Service Design and Delivery Introduction I welcome the publication of this toolkit and strongly
More informationReport to the Board of Directors 2015/16
Attachment 9 Report to the Board of Directors 2015/16 Date of meeting 18 Subject Report of Prepared by Seven Day Services Medical Director Ashling Rivá, Project Manager Previously considered by Transformation
More informationEM challenges Actions to Address Beyond Keogh. Dr Cliff Mann FRCP FRCEM President of the Royal College of Emergency Medicine
EM challenges Actions to Address Beyond Keogh Dr Cliff Mann FRCP FRCEM President of the Royal College of Emergency Medicine 5 things CEM are doing: 5 things we need others to do: Establishing transferable
More informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationPhil Luke, Divisional Director for Operations. Peter Adey, Director of Operations. Peter Adey, Director of Operations
Agenda item: 8.1, Public Board meeting Date: 30 th November 2016 Title: 2016/17 Operational Capacity and Resilience Plan Prepared by: Phil Luke, Divisional Director for Operations Presented by: Peter Adey,
More informationThe Manchester Model
The Manchester Model Dr Mark Holland Consultant Physician in Acute Medicine versus Miss Clare Mason Consultant General & Colorectal Surgeon Conflicts of Interest None Mash-Up High End Healthy Dialogue
More informationNew Model of Care The Southwest Secure Network
New Model of Care The Southwest Secure Network Phase One Pilot Presented by Anne Forbes, Jason Fee and Patrick Neville New Care Models ambition - Patrick Neville The Mental Health Taskforce report set
More informationWorcestershire Acute Hospitals NHS Trust
Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Quality Report Charles Hastings Way Worcester WR5 1DD Tel: 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit: 12,
More informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationIntegrated respiratory action network for patients with COPD
Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory
More informationAMP Health and Social Care Professional Implementation Group Update
AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation
More informationUtilising Clinical Redesign To Improve Service Delivery - Our Medical Journey So Far
Utilising Clinical Redesign To Improve Service Delivery - Our Medical Journey So Far Presentation Sydney 16 September 2015 Presenters Dr. Nicole Hancock Head of Department of General Medicine and the Assessment
More informationTEES, ESK & WEAR VALLEYS NHS FOUNDATION TRUST: DEVELOPING A MODEL LINE FOR RECOVERY- FOCUSED CARE
TEES, ESK & WEAR VALLEYS NHS FOUNDATION TRUST: DEVELOPING A MODEL LINE FOR RECOVERY- FOCUSED CARE Summary Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) adapted the model line concept from industry
More informationQUALITY REPORT. Part A Patient Experience
QUALITY REPORT Part A Patient Experience 1 Number of complaints Complaints and Patient Advice and Liaison Report 40 Total number of complaints received 30 20 10 Number of complaints received Trendline
More informationPaediatric Assessment Unit (PAU) Workshop
Healthy London Partnership Children & Young People s Programme Paediatric Assessment Unit (PAU) Workshop 4 th March 2016 01 Professor Russell Viner Clinical Director Healthy London Partnership Children
More informationClinical Reconfiguration Service Plan
Clinical Reconfiguration Service Plan Southern Adelaide Local Health Network February 2016 Contents 1. Executive Summary... 3 2. Introduction... 4 3. Purpose... 4 4. Length of stay reduction strategies...
More informationSign up to Safety Drivers and Measurement
Sign up to Safety Drivers and Measurement Expert Partner Nicola Davey Topics for today Driver diagrams Linking improvement aims to strategic objectives Generating simple improvement measures Measures
More informationCriteria Led Discharge Pilot NHS Ayrshire and Arran Lorna Loudon, Linsey Stobo, Fraser Doris Implementing CLD in Scotland
Criteria Led Discharge Pilot NHS Ayrshire and Arran Lorna Loudon, Linsey Stobo, Fraser Doris Implementing CLD in Scotland 18.3.15 Whole System Patient Flow Improvement Programme 1 Background Project Team
More informationCCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3
CCG name: Case study title: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Patient Navigation (PatNav) CCG case study number: Does the case study provide core evidence?
More informationQuality Improvement Plans (QIP): Progress Report for the 2016/17 QIP
Quality Improvement Plans (QIP): Progress Report for the QIP Medication Reconciliation ID Measure/Indicator from as stated on QIP 2017 1 Best possible medication history(bpmh) completion: The total number
More informationPORTSMOUTH HOSPITALS NHS TRUST URGENT CARE QUALITY IMPROVEMENT PLAN. (June 2016)
PORTSMOUTH HOSPITALS NHS TRUST URGENT CARE QUALITY IMPROVEMENT PLAN (June ) TABLE OF CONTENTS FOREWORD FROM THE CHIEF EXECUTIVE... 3 BOARD GOVERNANCE AND ASSURANCE... 5 CULTURE, LEADERSHIP AND STAFF ENGAGEMENT...
More information