Patient Flow Resources

Patient Flow related videos

Understanding roles to enhance collaboration between services: these videos were produced by Cork Kerry Community Healthcare as part of their Enhanced Community Care programme.

1. Home Support (video)
   An Introduction to Home Support services in Cork and Kerry.
   
2. Social Worker (video)
   Primary care Social Worker Fiona Murphy who is based in West Cork explains her role.
   
3. Community Work (video)
   Principal community Worker Eleanor Moore in Cork South Community Work department on her role.
   
4. Health Promotion Officer (video)
   Health Promotion officer Rebecca Donnachie on her role.

Patient flow in Tipperary University Hospital

These site videos showcase good practice around improving patient flow and were recorded with staff in Tipperary University Hospital.

1. Tipperary University Hospital manager, Maria Barry on daily operational meetings (video)
   
2. Role of the medical social worker in discharge planning (video) 
   
3. Michelle Duggan-Brennan highlights the importance of operational ward boards (video)
   
4. Running daily operational meetings: Focusing on demands and capacity (video)
   
5. Operational grip: Consultant Physician Elgelani Bahaeldein on the importance of early daily patient reviews (video)
   
6. Role of technology in improving Patient Flow (video)

Related Files

The Health Foundation Improving Patient Flow

This report details the work undertaken by two NHS trusts as part of the Health Foundation’s Flow Cost Quality programme

Format:PDF|File Size:4.07MB

Institute for Healthcare Improvement: Achieving Hospital Wide Patient Flow (Second Edition)

This paper provides information on the IHI’s approach to patient flow including theories for improvement and high leverage strategies and interventions for improving patient flow

Format:PDF|File Size:4.48MB

NHS Improving Flow Process and System Thinking

This guide provides an overview of theory associated with improving flow and strategies for its application

Format:PDF|File Size:679KB

Nuffield Trust Understanding patient flow in hospitals

This report analyses the dynamics of flow, key considerations in understanding patient flow and potential solutions to patient flow challenges

Format:PDF|File Size:1.11MB

HSE System Wide Escalation Framework (2015)

The System Wide Escalation Framework. This sets out the incremental and tiered corrective steps for a whole system response to a demand-capacity mismatch across admission, discharge and surge (escalation)

Format:PDF|File Size:494KB

HSE Unscheduled Care and Emergency Department Framework (2023)

This document sets out the requirement for all hospital sites to have specific local hospital site plans/frameworks for the ED with appropriate triggers, actions, escalation and control to escalating risk from patient triage, through to review and discharge from ED or placement in beds on wards

Format:PDF|File Size:1.17MB

HIQA National Standard Patient Discharge Summary (2013)

This National Standard will provide guidance to hospital staff on the specific information they need to include on discharge summaries after an inpatient stay, making the patient’s transition back to the community smoother, safer and more efficient

Format:PDF|File Size:845KB

HSE National Integrated Care Guidance

This guide provides information designed to improve the discharge and transfer processes from the acute hospitals.

Format:PDF|File Size:674KB

NHS Achieving timely 'simple discharge' from hospital

This guide provides strategies on achieving effective and timely discharge for patients identified as ‘simple discharges.’

Format:PDF|File Size:329KB

NHS Community Beds Flow Guidelines

This presentation provides information on maintaining flow with community and intermediate care beds within the NHS context, with some principles applicable to the Irish context

Format:PDF|File Size:835KB

NHS Home First Discharge to Assess

This guide provides information on required steps to implement a discharge to assess model

Format:PDF|File Size:4.64MB

NHS Rapid Improvement Guide Criteria Led Discharge

This brief guide explains criteria led discharges and the overarching approach and process

Format:PDF|File Size:340KB

NHS Rapid Improvement Guide to Earlier Daily Discharge

This brief guide provides advice on achieving earlier daily discharge

Format:PDF|File Size:235KB

NHS Expected Date of Discharge and Clinical Criteria for Discharge

This brief guide provides advice on the process for clinical criteria for discharge and setting expected date of discharge

Format:PDF|File Size:540KB

National Leadership & Innovation Agency for Healthcare NHS Wales: Passing the Baton – A Practical Guide for Effective Discharge Planning

This guide provides resources on managing patient discharge

Format:PDF|File Size:6.01MB

NHS Rapid Improvement Guide to Red and Green Days

This brief guide explains Red to Green Days, a practical visual management system to assist in identifying wasted time on a patient’s journey

Format:PDF|File Size:73KB

RCP and RCN Modern Ward Rounds - Good Practice for Multidisciplinary Impatient Review Guidance

This report provides information on good practice and self-assessment tools related to multidisciplinary ward rounds

Format:PDF|File Size:593KB

SAFER Patient Flow Guidance

This guide provides information on good practice in using SAFER. The SAFER patient flow guidance is a combined set of simple rules for adult inpatient wards to improve patient flow and prevent unnecessary waiting for patients

Format:PDF|File Size:630KB

End PJ Paralysis

This document details a series of available resources in terms of films, websites, Ted talks, blogs, newspaper articles and journal articles on “Ending PJ Paralysis"

Format:PDF|File Size:699KB

NHS Guide to Reducing Long Hospital Stays

This guide provides practical advice on reducing length of stay including SAFER, Red 2 Green days and Multiagency Discharge Events (MADE)

Format:PDF|File Size:790KB

Nuffield Trust: Improving Length of Stay – What can hospitals do?

This report details key approaches, opportunities and generic principles to reducing length of stay based on a literature review, exemplar case studies and stakeholder consultations

Format:PDF|File Size:484KB

HSE National Clinical Audit of Emergency Department Triage Report 2023

This report presents the findings of the 2023 HSE National Clinical Audit of Emergency Department Triage. The purpose of this audit is to provide assurance of the quality of the triage process in Emergency Departments (ED)

Format:PDF|File Size:5.52MB

NHS Emergency Medicine: GRIFT Programme National Specialty Report

The GRIFT Programme (Getting it Right First Time) presents findings on NHS England emergency department attendances, demand, and capacity. It provides a series of recommendations in relation to the management of demand, capacity, flow, and improvement of outcomes

Format:PDF|File Size:6.46MB

Care Quality Commission (CQC): Project reset in emergency medicine – Patient FIRST

The GRIFT Programme (Getting it Right First Time) presents findings on NHS England emergency department attendances, demand, and capacity. It provides a series of recommendations in relation to the management of demand, capacity, flow, and improvement of outcomes

Format:PDF|File Size:346KB

The National Emergency Medicine Programme: A strategy to improve safety, quality, access, and value in Emergency Medicine in Ireland

This strategy outlines a comprehensive approach to transforming emergency medicine in Ireland, focusing on better outcomes for patients and a more efficient healthcare system

Format:PDF|File Size:3.76MB