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Whether you are a patient, a visitor, a volunteer or a member of staff, your views matter to us. Tell us how we are doing: what you like about the Trust or where you think we need to improve. Listening to you helps us live our values and shape the way we deliver our services – now and in the future.

Your Comments - Feb 15

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You said - We did

An initiative called “Safer Faster Hospital Week” was undertaken in December at Denmark Hill and in January at the PRUH in order to improve the overall performance of the hospital, namely by improving communication between hospital departments and between the hospital and patients, so that patients are seen more quickly and discharged safely and quickly. Here are some of the aims of 'Safer Faster Hospital Week':

  • for patients to have a consultant review before 10 am
  • to ensure all patients have an Estimated Date of Departure (EDD) agreed upon by clinical teams and that they are made aware of it
  • to move patients into inpatient wards from assessment units earlier in the day
  • to discharge 50% of patients before midday in a “home before lunch” goal
  • to give patients with an extended stay in hospital a weekly systematic review in order to identify how to facilitate discharge

During the Safer Faster Hospital Weeks at King's there were marked improvements in the performance on both sites. At the Princess Royal, in response to our “home before lunch” goal, we saw 28% of medical discharges occur before midday and 29% of surgical discharges occur before midday on 8 January, in total 18% of patients were discharged before lunchtime, which is a significant improvement compared to the previous 4 weeks. This enabled us to achieve a 94.9% Emergency Department performance over that weekend. As patients were being discharged earlier on in the day during this week, it meant that more patients were able to be admitted from the ED to the wards more quickly and also earlier on in the day, making their experience andtransition from the ED to the wards smoother and more comfortable.

At Denmark hill referrals to the '@Home' service, which enables patients to leave hospital but receive nursing care in their own homes, increased by 150% during the week. There was also good progress with Estimated Dates of Discharges (EDDs)recorded as early as possible during the patient's stay with us, with more EDDs recorded than during the first Safer Faster Hospital Week; fewer wasted portering journeys, and our new non-emergency patient transport providers rising to the challenge.

Nevertheless, the Week also exposed those areas where we are weaker. There were issues with delays for patients who live out of the locality, and while we are doing well with the number of repatriations to patients’ local hospitals, we still need to do better. The focus is now on embedding our learning from the week in everyday practice. We will make sure that we let you know about changes as soon as they take place.

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