Medical Directorate Progressing Chasing Project June – September 2008

1. Medical Directorate Progressing Chasing Project June – September 2008 Background: In June 2008 the Medical Directorate undertook a review of it’s contribution towards the inconsistent achievement of the Emergency Department’s 4 hours trolley wait and challenges of the new Unscheduled Care Strategy Implementation Plan. The Medical Directorate review identified the need for: • A Directorate Lead for the implementation of the Perfect Week Methodology • Quantifiable data • A review of progress issues which contributed to inefficiency and increased length of stay for inpatients • Engagement of Ward Mangers and operational staff • Implementation of Predicted Date of Discharge • Reduction in medical outliers • Available beds on the Acute Medical Admissions Unit (AMAU) • Reduction in number of 4 hours trolley waits attributable to no medical beds • Recommendations to drive sustained change Findings / Outcomes • Sustaining the Project • A Directorate Progress Chaser appointed • Project findings cascaded to all staff groups • Work streams within the unscheduled care project plan to review progress issues which • contributed to inefficiency and increased length of stays for inpatients • Continued engagement of Ward Mangers and operational staff • Implementation of Predicted Date of Discharge Mandy Jones,Senior Nurse, Unscheduled Care, Medical Directorate