Making sure patients experience a smooth
journey of care through our services and beyond remains a challenge
for the whole local health and social care system
Demand for all of our services is high all year and
one of our biggest challenges is discharging patients who no longer
need to be cared for in a large acute hospital, so we can make
space for those who do.
More of our emergency patients now need to be
admitted onto a hospital ward. In March our team in the Emergency
Department saw around 237 patients a day, with around one in three
needing to be admitted into hospital.
Since January we have:
- Launched our Home
for Lunch campaign which asks local people for their support in
helping patients leave hospital in a timely, well-planned and
supported way when they are well enough.
- Created a new section on our website about leaving
hospital which provides local people with a whole range of
information about what to think about before coming into hospital
and free local support services available.
- Reviewed our internal escalation policy and introduced a full
hospital protocol in response to a high number of patients needing
to be admitted into hospital, to ensure consistency in how we
manage patient flow through our services.
- Been working with our partners and local media to encourage
actions which are likely to help prevent potentially avoidable
attendances and admissions. These include staying well, seeking
advice as soon as you feel unwell and looking out for the elderly
and those with long terms conditions.
- Made changes to the way the team works in the Emergency
Department, to help ensure patients receive an initial assessment
within 15 minutes of arrival. This helps us to ensure that patients
are seen in order of urgency and are as comfortable as possible
- Introduced an additional senior nurse coordinator in the
Emergency Department to oversee and prioritise patient care and
- Expanded our training so more staff can work in our specialist
children's area in the Emergency Department.
- Extended the opening hours of our new expanded Ambulatory Care
and Triage Unit which is now open 24/7, seven days a
- Introduced new nursing documentation in the Emergency
Department to help ensure consistency in recording information and
give nursing staff more time with patients.
- Introduced personal alarms and an additional security presence
in the Emergency Department to further protect staff.
Over the next couple of months we will
- Recruiting to fill additional nursing and specialist children's
- Introducing an additional senior matron to the nursing team in
the Emergency Department.