Helping older people stay independent for longer

A digital solution to system-wide visibility of the complex discharge process

The Complex Discharge Dashboard gives leaders and managers across the whole Northamptonshire health and care system better visibility of what is happening to patients once they are medically fit and awaiting discharge and crucially, a detailed view of what is causing delays. The dashboard shows a live and complete view of everybody in the hospital with no reason to reside, and how many people are on each discharge pathway. Leaders can easily identify the number of stranded and super stranded patients in the system, visible at system, hospital, ward, and patient level. There is also a detailed view of how long people are spending at different stages of the discharge process, from submission of discharge referral paperwork right through to a Provider being sourced and the discharge

taking place. For the first time, staff have the data and insight they need to identify and address blockages. Improvement can be driven from all parties involved across the wards and the care providers. For example, the dashboards have enabled staff across the system to work together to halve the time taken for discharge referrals to reach the complex discharge hub. At a system level, leaders are able to view discharge performance over time – enabling them to keep track of how well the overall service is working and anticipate and intercept a downturn in performance before it becomes a problem.

Delivery at a time of unprecedented pressure

This is honestly a total game changer. I have been working blind for months before this came out.” Chief Operating Officer, Acute Hospital

The iCAN programme was delivered at a time where health and care systems were increasingly challenged due to the pressures of emerging from the pandemic. The programme has involved making changes in the community, changes to how Northamptonshire are supporting their frail patients, and addressing how to manage flow and discharge through and out of acute settings. The changes implemented to date through the iCAN programme have improved the experience of staff and are providing better outcomes for the residents of Northamptonshire.

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