From an original idea identified during a multi-organisational teleconference discussing patients whose discharge was delayed at Kingsley Ward, a Steering Group was established to scope and progress a Quality Improvement Project.
The established Steering Group brought together key staff from each of the three organisations as well as a Patient Expert by Experience and a Governor from SHFT, independent to the process.
The Steering Group met regularly from July to September, leading up to the delivery of a week-long Rapid Process Improvement Workshop (RPIW) at the beginning of October 2019.
The Rapid Process Improvement Workshop was jointly facilitated by SHFT and HCC. There were a total of 27 individuals who attended all or part of the workshop with an average daily attendance of 18.
The workshop was attended at key points by the project’s sponsors (from each of the three organisations), members of the SHFT Transformation Team (Communications, Patient Expert by Experience and the Clinical Director) and representatives from the HCC Contact, Assessment and Resolution Centre.
Participants were invited to consider the current process and data and identified in excess of 100 ideas for improvement. These were themed and four areas for further work were identified:
Opportunities on Admission – identified the requirement to begin the discharge process as close to the point of admission as possible, ensuring this included patients and carers, was based on assessed need and actions ran concurrently rather than a linear process
‘Supporting’ Processes – examined the current processes that were deemed to be supporting the discharge process to reduce non-value added activity, waste and duplication
Rehabilitation – highlighted the need to identify the appropriate pathway earlier, based on identified need and reduce delays in accessing appropriate services whilst reducing waste, duplication of effort and unnecessary actions
The ‘Funding’ Panel – identified need to improve understanding of the function of the panel, reduce bureaucracy, waste and unnecessary effort with the aim of ‘getting it right’ first time.