Achievements against Priority Initiatives
Safe, high quality connected care 02
Safe, high-quality, reliable healthcare is delivered in a personalised way across all settings.
Improving Patient Flow Across NSLHD A district-wide collaboration involving senior health leaders—such as the acting Executive Director of Operations, General Managers, Directors of Nursing and Midwifery, Directors of Medical Services, and Whole of Health Leads—has developed improved patient transfer workflows. These go beyond the requirements of the NSW Adult Critical and Specialist Care Inter-Hospital Transfer Policy (PD2025_002) . The new system was developed after six months of data analysis. Key issues affecting patient flow included long wait times for public rehabilitation beds and delays in transferring patients who weren’t admitted but still needed specialist care. To solve these problems, the new workflows: • Speed up medical acceptance of care • Create clear escalation pathways for sub-acute patients who can't be transferred • Formalise agreements between hospitals to ensure timely access to services
The new system has already seen strong Improvements, leading to faster patient transfers and better use of resources, improving hospital efficiency across NSLHD. • Return to original hospital wait time has dropped from 1.51 days to 0.92 days at Hornsby Ku-ring-gai Hospital ; from 2.27 days to 0.85 days at Ryde Hospital; and from 2.41 days to 1.47 days at Northern Beaches Hospital . • Transfer time cut for non-admitted specialties (e.g., Urology from Ryde) from 10 hours to 6 hours • Rehabilitation or sub-acute transfer time reduced from 3.05 days to 1.55 days ( Royal North Shore to Hornsby Ku-Ring-Gai Hospital ), and from 2.99 days to 1.95 days ( Royal North Shore to Ryde)
12 Safety and Quality Account 2024-2025 Report
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