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Medicine Division Support
Surrey and Sussex Healthcare NHS Trust commissioned us to support the Medicine Division over the busy winter period, with our Director of Consulting, Stephen Hall, delivering a project to help stabilise and then improve structures, processes and ultimately the patient experience.
Our solution
- Implemented a clear process, with timelines, for job planning within the Medicine Division.
- Reviewed and put in place a robust process for the validation of all ED breaches and ambulance handover breaches.
- Introduced and chaired twice weekly Long Length of Stay (LLoS) and No Criteria to Reside (CtR) patient-by-patient reviews within Medicine, to support expediting safe, timely discharge.
- Implemented robust Christmas and New Year contingency plans, including Triumvirate-focused patient ward rounds, additional consultant ward rounds at the weekend/bank holiday, and the daily presence in ED of the Director of Operations & Chief Nurse.
Our impact
- Helped to reduce the financial run rate in the Medicine Division compared to the same period the year before – with savings of £2.3m.
- Saved circa £170k on locum consultants by writing a successful business case to increase the substantive consultant Whole Time Equivalent (WTE) in General Internal Medicine.
- Wrote a successful business case to increase the number of Clinical Directors from 2 to 4.
- Improved ED 4-hour performance by 11% despite a 16% increase in the number of attendances.
- Led the reconfiguration of the medicine bed base twice in a four-month period, to ease pressure on wards.
