1. David Lynch - Dundee CHP, Bill Nicoll - Perth & Kinross CHP, Susan Wilson - Angus CHP, Gerry Marr - NHS Tayside 2. Jane Davidson - NHS Tayside 3. Discharge Information Group, chair Jane Davidson - NHS Tayside | 1. Management of delayed discharge through local partnerships. 2. Management and monitoring of electronic patient management system for delayed discharges (EMPTAYDD) to support joint discharge planning and early intervention, including patients from out of area. 3. Amalgamate Joint Health & Social Care Adult Discharge Protocol with Nurse-led Discharge Clinical Skills Programme and raise profile across Tayside by introducing this as a policy. | Impact: Improvement in management of discharge process. Who benefits: Patients delayed within NHS Tayside hospitals. Assist waiting time targets. Improve bed capacity across Tayside Key risks Local authority funding availability Local Authority placement availability Housing (very Sheltered) Continuing care bed availability Upholder the wishes/rights of service users to take risks following discharge If the level of funding for delayed discharge does not increase accordingly either the level of service will need to be reduced or other services will require to be reduced | Reduce delays over 6 weeks to; 19 by April 2007 and to Zero by April 2008 Speed up assessment process and discharge planning Reduce short stay bed delays Ensure assessment process maintains standards in relation to quality Legislative responsibility Duty to assess NHS CCAct 1990 | |
1, 2. David Lynch - Dundee CHP, NHS Tayside Steering Group 3, 4. Jane Davidson - NHS Tayside | 1. Proposal currently under consideration by Tayside NHS Board to develop new integrated intermediate care (IIC) service 2. Review of current procedures within Medicine for the Elderly to improve step-down from short-stay specialties 3. Through EMPTAYDD, closely monitor patients coded under 11, 11A & 11B to improve the timescale for completion of assessment, particularly within short-stay specialties 4. Introduction of Estimated Date of Discharge on Admission across Tayside hospitals | Impact: Improved utilisation of beds within acute specialties and more appropriate care setting for elderly patients. Reducing risk of institutionalisation of less dependent hospital patients. Who benefits: NHS Tayside short-stay specialities, and rehabilitation units releasing beds for treatment of acute conditions Patients having their care in the right place at the right time within their journey of care. Key risks: If proposal of IIC is delayed or not funded No additional resource for under 65 year olds Availability of short-term interim placement beds within care home settings Competing budgetary pressures both health & social | Reduce the number of delays in short-stay beds to; 9 by April 2007 Zero by April 2008 Through EMPTAYDD monitor accuracy of recording | |
1. David Lynch - Dundee CHP, Bill Nicoll - Perth & Kinross CHP, Susan Wilson - Angus CHP | 1. Review and evaluate Prevention of Admissions Schemes across Tayside to achieve best value for money | Impact: Maintenance of client independence in the community and relieve unnecessary pressures on hospital services. Profile of discharges planned at weekends/this need to be reviewed and improved Who benefits: Patients/ clients, NHS Tayside. Data collected: Effectiveness of Prevention of Admissions Schemes monitored thorough local teams Key risks: Availability of services in community to cope with demand, budgetary pressures, staffing levels. | Right patient right speciality right time to reduce the handoffs to patient care and prevent admission where appropriate. | |
1. Prof Tony Wells - NHS Tayside | 1. Through local Joint Action Team and Capacity Planning Partnership, formalise arrangements with all Local Authority areas to support funding agreements for delayed discharges. | Impact: Improved annual budgetary planning, Timeous provision of services Decrease in length of delay for patients Improved bed capacity Key risks: Local Authorities competing budgetary pressures, Availability of services/manpower Free Personal Care registers awaiting funding | Ensure resources are available to fund care home and domiciliary care | |
1, 3, 4, 5. Jane Davidson - NHS Tayside 2. Peter Williamson - NHS Tayside | 1. Agreement of monthly and quarterly validation meetings to monitor discharge targets for each local area through Taystat 2. Agreement of annual targets through local Joint Action Team and Capacity Planning Partnership. 3. Produce a quarterly data report to monitor complex cases 4. Improvement of integrated working Out of Area 5. Development of user-group to address key issues regarding EMPTAYDD, including continuous update and improvement of the system, and identifying training needs at individual and ward level | Impact: Mapping of progress towards SE targets, Earlier identification and intervention of increases or decreases in delays will be addressed as a priority. Who benefits: Patients delayed in hospital, local partnerships Increased operational staff awareness Data collected Real-time basis via "live" electronic patient management system, EMPTAYDD Key risks: Failure to achieve agreement within all local authority areas Realistic phasing-in of targets to achieve reductions in numbers delayed | Ensure quarterly sustainable reductions are made | |