Blackpool Teaching Hospitals NHS Foundation Trust

The trust was working on ways to manage the pressures on emergency care.

The CLEAR project identified the following issues:

  • Significant congestion in A&E from limited outflow of patients requiring inpatient admission.
  • Ineffective flow through rapid assessment and treatment.
  • Challenges associated with managing specific patients, such as people with mental health needs and frailty.

New ways of working including:

  • Senior decision-maker early in the patient journey.
  • Agile and responsive triage and treat.

New models of care:

  • The introduction of an assessment zone for low acuity, non-emergency patients.
  • Streamlined pathways for specific patient cohorts.
  • Better care for patients and decongestion in A&E by redirecting people to more appropriate care settings.
  • Better outcomes for patients as a result of senior decisions early on.
  • Improved efficiency and patient flow through A&E.
  • Reduced emergency admissions and lengths of stay.
  • Potential savings identified as £2.6 million per annum.

“Training is provided through e-learning; didactic teaching from experienced NHS clinicians, managers and data analysts; and close supervision from experienced mentors. In this way the fellows are able to…understand NHS and local trust processes…[and] analyse patient flow and workforce data to put forward innovative ideas and suggest new ways of working. The CLEAR programme also delivers the essential generic skills required by the GMC’s professional capabilities framework to provide safe, effective, high quality care…allowing the Fellows to develop into effective, motivated leaders in their fields in the future.”

Dr Michelle Hayes – Chelsea and Westminster Hospital NHS Foundation Trust, CLEAR Fellow

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