Pathway redesign

1
GHFT Bed Reduction Plan v07 (Nov 06)
(Appendix 2)
Strategies WIP
Strategies TBC
Delivered
Medicine then rolled out to Surgery, Trauma,
Orthopaedics, Oncology Maternity
?
11
15
10
?
6. Discharge planning on admission (EDD)
Medicine LOS _at_ upper quartile (TBC)
Surgery (TBC)
Medicine
Medicine
23. Pre-op LOS reduction
10
24. Short stay ward configured
7
24. CGH short stay ward go live
9.1 Oral MaxFax consolidated
(-15)
-15 EDD - Medicine
16.1 24 hr Diagnostics
E
7. 50 wards with daily Snr ward round
E
7. 100 wards with daily Snr ward round
(-52)
Key
-10 (Pre-op LOS) -10 (EDD Medicine) -? (Surgery
discharge planning) -25 (Rehab InReach) -7 (CGH
short stay ward)
22. Increase therapy productivity by 5
Green
Amber
16.2 Radiology increase capacity by 10
Red
Performance / capacity management
LOS perf mgmt framework est.
LOS Performance management
Milestone impact on beds
-11 (EDD- Medicine) -25 (Rehab In Reach)
No. Trust IP beds
12. PCT demand management strategies
(-36)
19. Delancey staff public consultation
develop project plan
2.1 Rehab PCT in reach established
25
25
Impact of In Reach
Impact of In Reach
Pathway redesign
?
2.2 Rehab Redesign patient pathways
Capacity modelling balance capacity with demand
beds, outpatients, workforce (A further 34
beds were identified by THW project plans yet
to be established).
Ward 4B closed
Cardiology closed
Fairview closed / Tivoli surgery closed
Up Hatherley closed
Southam closed
6A
Russett 9A