MEDICINE AND EMERGENCY CARE TRANSFORMATION PROGRAMME
Workstream 1:
ED Processes and Improvements
Our achievements so far
•Initial Assessment time significantly reduced. Workforce increased to support patients being processed more quickly
•Left without being seen – hitting target of 100% to support the safeguarding of children
•Re-launching of the fit to sit area which includes main waiting room
•Ringfencing a side room for immunocompromised patients which improves the ability to manage patients in a more safe and e ective manner
•Higher clinical oversight with trained healthcare professionals available within the waiting room
What’s next?
•Embedding of O oad to Assess (OTA) to improve patient outcomes and quality of care
•Workforce review to support minors performance
•Increasing workforce within CYPU to support the Initial assessment compliance
•Ongoing work to support improvements in the administration of time critical medications
•Further development of Urgent Treatment Centre (UTC) services
Our Vision: To provide excellent care for the communities we serve
MEDICINE AND EMERGENCY CARE
TRANSFORMATION PROGRAMME
Workstream 2: Culture and Communications
Our achievements so far
•ED and Medicine Behaviour Framework developed
•Zero Tolerance Process developed and launched
•Implementing a process to help reduce missed sta breaks
•Launch of ED and Medicine Wrap for sta information
•Regular rostering reviews to ensure fair allocation of shifts
What’s next?
•Embedding of ED and Medicine Behaviour Framework to help improve culture and communications
•Promotion of leadership programmes and civility workshops
•Embedding of Accountability guidance
•Promotion of hot debrief training to support sta following traumatic events
MEDICINE AND EMERGENCY CARE TRANSFORMATION PROGRAMME
Workstream 3: Frailty
Our achievements so far
•Launch of Frailty Assessment Units at both RSH and PRH to support 76% of patients discharged on pathway zero
•Push and Pull system from ED to Frailty to support direct access pathways
•Admission avoidance pathways to support frail patients
•Development of Frailty Dashboard for real time metrics
What’s next?
•Virtual ward interface to determine appropriate care for frail older patients
•Direct Access pathway to avoid ED where possible and appropriate
•Triumvirate working to develop seven day working services
•Development of Frailty SDECs at RSH and PRH
MEDICINE AND EMERGENCY CARE TRANSFORMATION PROGRAMME
Workstream 4:
Ward Processes and Improvements
Our achievements so far
•Launch of SHOP model across medical wards
•Electronic referral forms launched for Respiratory and Cardiology services
•Trial of “hot clinics” for Cardiology and Respiratory
•Improvements to weekend discharges
What’s next?
•Further embedding of SHOP model
•Pilot of Criteria Led Discharge in medicine
•Reducing deconditioning by encouraging patients to mobilise and be more active
•Site information communication to be fully implemented