This week I wanted to take the opportunity to talk about a really important upcoming initiative, focusing on improving patient care at ASPH. Autumn Action - Reset Week, is taking place 7th - 13th November, and will focus the whole Trust and partners on improving inpatient care, by challenging ourselves to do whatever we can to remove unnecessary delays for patients. Patients time is the most important currency in healthcare and how we efficiently utilise our own time and prioritise patients time is imperative.
To make the necessary care improvements at ASPH, we need to address the current challenges with patient flow from the Emergency Department / Acute Assessment Units through the hospital. During Autumn Action, the objective is to discharge more people than we admit. This will help prevent the need for medical patients to be cared for in non-medical beds, help timely assessment (in our assessment areas), and provide the right care to those who need to be in hospital.
Autumn Action will be managed in the same way as a major incident, with Gold, Silver and Bronze command structure (though it is not a major incident) and everyone within the Trust and our partner organisations will have the responsibility to contribute to ensuring improved patient flow. Clinical and non-clinical support services will be set up to prioritise inpatient activity and senior leaders from our Trust and partner organisations will be on site to support clinical teams. Everyone has a role to play to ensure we;
- Work together to understand what a delay is and reduce it (See it, Say it, Sort it)!
- Ensure no patient stays overnight in the Emergency Department
- Reduce bed occupancy
- Improve achievement of the 4 hour target
- Reduce outlying patient numbers
- Improve number of discharges (on the day and predicted) and utilisation of the discharge lounge
There will be further information shared with individual teams and departments this week and I would ask that everyone really supports and promotes this initiative; for this to succeed we need to work collaboratively and take responsibility for our respective areas, understanding what we can do differently and supporting each another.
I’d urge you all to watch this short video, Your Last 1000 Days; it gives this initiative some real life context and I hope it will encourage you to do all you can throughout Autumn Action to improve inpatient care at ASPH.
Wishing you all a good week ahead.
With best wishes