In Hospital Care

Front Door Streaming for Urgent and Emergency Care

The number of people attending emergency departments (ED) continues to rise every year. This is putting unprecedented pressure on the hospital and healthcare system.

A third of patients attending ED in Bristol, North Somerset and South Gloucestershire are discharged requiring no treatment. That’s approximately 60,000 people every year attending an extremely busy ED who could have been appropriately treated elsewhere.

Bristol CCG has been testing a new streaming service at the front door of the Bristol Royal Infirmary’s Adult Emergency Department (ED).

Understanding patient flow in hospitals

Previous work on the A&E ‘crisis’ has identified that hospital bed space and the ability to move people through it lie at the heart of the problem. This report looks at the dynamics of patient flow and applies this to the English NHS.

Patient Navigators

Presentation explaining the roles and responsibilities of Patient Navigators.

Emergency Care Improvement Programme – Safer, faster, better care for patients

Rapid Improvement Guides to:

The Hospital Transfer Pathway

The pathway is designed to support care homes, the ambulance service and the local hospital to meet the requirements of the NICE guidance (NG27). The Transition between inpatient hospital settings and community or care home settings for adults with social care.

The role of a band 7 Nurse coordinator on the medical take

Several factors are incorporated in smooth running of the medical take including: perceived appropriateness of medical referral; appropriate allocation of patients for clerking based on skill set of junior doctors; timely post take ward round, reducing the burden on medical registrar, and avoiding handing over a large number of patients to the night team.