On this page:

Tayside Action Plan

Tayside Delayed Discharge Action Plan 2006 - 2008

List the measures you will put in place between April 2006 and April 2008 to:

1. Reduce delays over 6 weeks to zero by April 2008

2. Reduce the number of delays in short-stay beds to zero by April 2008

3. Prevent unnecessary emergency admissions

4. Speed up assessment process and discharge planning

5. Ensure resources are available to fund care home and domiciliary care

6. Ensure quarterly sustainable reductions are made

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



Back to top

Page updated: Monday, October 2, 2006