Patient flow and discharge

The posters below were submitted to the South West London ICS Quality Improvement Conference 2023. All of the posters were reviewed by an expert panel of judges from outside of South West London ICS, with a selection being presented at the conference.

Patient flow and discharge QI posters

Find out more about some of the quality improvement work happening in patient flow and discharge across South West London ICS.

Deborah Gouveia and Improvement Faculty – Epsom and St Helier University Hospitals NHS Trust

Background

We are determined to continue our relentless focus on providing the best quality services for the people we serve. This includes reducing harm and variation and transforming our services, making best use of new technologies. Our new and innovative Trust continuous improvement (CI) programme amalgamates human factors and patient safety concepts and tools with Improvement methodology (The Model for Improvement), pushing CI beyond is traditional boundaries to offer a more diverse spectrum of methods to explore everyday work and help develop collaborative solutions. Here at ESTH we have been incorporating human factor principles to optimise system and human performance, and enhance staff wellbeing across many stands of work, including simulation-based education and patient safety investigation. Our continuous improvement approach “IDEAS” was launched in 2020 as part of the Trust 5 year strategy; more recently it was rebranded collaboratively with trust staff to encompass our continuous improvement principles. It is already having an impact, encouraging creativity, innovation and learning.

Dr N. Williams, R. Sibson, H. Clackson – NHS South West London

Background

UTIs are the most common cause for emergency attendance and hospital admissions for patients with Multiple Sclerosis and Parkinson’s Disease in South West London. Models to self-manage UTIs have been implemented elsewhere in the UK and have been shown to be successful in reducing admissions, bed stays and pressure elsewhere in the service.

A Shah, N Reilly and H Stewart – NHS South West London; V Alexander – GESH; A Patel – LPC; K Ramdoo – TympaHealth; K Noble – PharmOutcomes

Background

A cause effect analysis recognised the lack of universally accessible NHS ear-wax removal in South West London. By joint working with the South London Health Innovation Network, South West London Outpatients board and the ENT clinical network, the pilot was funded to help redirect patients away from primary and secondary care to community pharmacy. Stakeholder cross-collaboration led to the launch of the 12 month pilot in September 2022 across 20 pharmacies in Merton, Wandsworth and Richmond.