Calderdale and Huddersfield NHS Foundation Trust

Centralisation of services for older adults at the Huddersfield site led to challenges for performance.

The CLEAR project identified the following issues:

  • An increasingly frail and elderly population requiring admission for short stay care.
  • High number of low acuity patients contributing to congestion for majors.

New ways of working including:

  • Redesign of staffing allocations for a better match with patients’ needs.

New models of care:

  • Same day emergency care aligned with patients’ needs.
  • Enhanced rapid assessment for frail patients.

New models of workforce:

  • Upskilling and greater use of healthcare assistants and nursing staff.

• Business case for implementing new models of care and workforce across the system.
• Care closer to home for a better patient experience and avoidance of emergency care.
• Greater collaboration across the system and between staff of all disciplines working across organisational boundaries.
• Potential savings identified as £1.8 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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