Improving access to frailty services and preventing avoidable admissions
A digitally enabled way to improve flow and grip
Patient Time Matters is a dashboard providing hospital leaders and managers with visibility of patient flow through the acute hospitals in the county and the things which impact that flow. The dashboard shows, in real time, an accurate view of LoS for pre and post medically-fit patients which is helping to drive performance around length of stay. This data can be broken down by patient cohort, admission type or even by ward, enabling leaders to identify and address challenges affecting specific pathways or parts of the hospital. The dashboard also provides live and detailed data about various factors which can impact hospital flow. For example, a set of principles for effective board rounds were agreed with clinicians. Board rounds are scored against these principles and the resulting data is accessible on the dashboard. This provides
a view of how well board rounds are going and enables any problems in specific wards to be identified and addressed. Similarly, the dashboard also incorporates data on other factors which can impact a patient’s LoS such as diagnostics and IV antibiotics. In a time of unprecedented NHS pressures and workforce issues, the introduction of this dashboard has helped to drive a 14% reduction in LoS for over 65 non-elective patients in both the pre-MOFD and post-MOFD and a reduction of 24% in the LoS for post-MOFD alone.
Enabling Northamptonshire residents with frailty concerns to access the services they need, prevent avoidable admissions, and allowing people to input into the care they receive has been an important pillar of the iCan programme. Same day emergency care and frailty teams made up of geriatric medicine experts proactively support older people coming into the front-door of the hospital. This specialist team has increased the number of people assessed at hospital front doors, allowing more patients to go home without admission. The introduction of this service helps frail patients by reducing the harm which can be caused by unnecessary hospital admission, whilst helping to ease winter pressures faced by acute hospitals every year.
I feel confident to go out in my garden on my own.”
I feel like I am learning new things each week and I can understand why I need to do the exercises to keep me healthy.” Attendees at a strength and balance class in Northamptonshire
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