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CASE STUDY: NHS TAYSIDE

How NHS Tayside were able to tackle COVID-19 Planning head on, providing rapid analysis for flow coordinators making on-the-ground decisions and enabling them to monitor the situation and deploy staff effectively.

CLIENT

NHS Tayside - www.nhstayside.scot.nhs.uk

PROJECT Real-time solutions for Patient Flow Management across multiple hospital sites.
WHAT WE DID Introduction of Athena Command Centre - an integrated physical hub For service capacity.
TIMELINE

The build took three weeks and the entire diagnostics and implementation just three months.

PROJECT INFORMATION

Patient flow had been a continual area of focus across NHS Tayside and with the implementation of a new patient administration system three years previously, it was timely to start using this information to understand and plan more efficiently across the entire hospital floor. From ambulance arrivals, to the Emergency Department, to Acute Emergency Receiving Wards, General Inpatient Wards, and step down wards within local community hospitals.

But, NHS Tayside had no live patient flow view across the various hospitals, which included three acute sites and over 1,000 hospital beds.

Patient flow management was undertaken within ‘hospital huddles’. These huddles met three times a day, and nursing staff presented information on paper on their current occupied and empty beds, and admissions for the previous day to admin staff. The admin staff would then enter this information into a spreadsheet and circulate this around the hospital huddle staff, following the meeting. By the time the information was circulated, it was already out of date.

THE RELATIONSHIP

NHS Tayside became aware of the University Hospitals of Morecambe Bay (UHMBT) NHS Trust Command Centre during the summer of 2019. The look, feel and content of the dashboard had instant appeal. NHS Tayside engaged with the Chief Executive Officer and senior leadership team to determine if there was the appetite for their own Command Centre - the response was resoundingly positive. The Board considered building their own, using the internal Qlik development team resource (2 x Developers, and 1 x Support Officer). However, Catalyst BI were NHS Tayside’s existing Qlik support and maintenance partner, so they worked with Catalyst BI and UHMBT to explore all possibilities.

CHALLENGES SOLVED

  • Live view of their current bed state
  • Analysts can now spend time working on specific research projects, rather than just telling people what the numbers are
  • Health and social care partnerships now have an escalation policy which is reflected in the Command Centre regarding the number of delayed discharges i.e. patients medically fit for discharge. As this is colour-coded, when things reach ‘Amber’, wards immediately contact the health and social care partnership to accelerate processes.
  • Enabled NHS Tayside to monitor the situation and deploy staff effectively across both COVID-19 and non COVID-19 pathways depending on fluctuating demand.”
  • Consultants can now see the demand within the Emergency Department and identify where any bottlenecks are.
  • Now able to assist in improving patient flow, support clinicians in patient centred decisions and enhance collaborative discussions and decision making

THE IMPROVEMENTS

TIME Reduction in admin burden on clinical staff with ability to release time back to patient care.  
FLEXIBILITY Flexibility to meet new demands urgently – Covid / Remobilisation / Predictions dashboards.  
VISBILITY Visibility of patient flow from ambulance arrival to leaving hospital, with predictions for the day ahead to allow planning within safety huddles.  
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READ THE FULL CASE STUDY

Download the full case study and see how by using a combination of real-time data, predictive analytics and automated report distribution, NHS Tayside have been able to assist in improving patient flow, supports clinicians in patient centred decisions and enhance collaborative discussions and decision making

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