Learn how an overhaul of the existing AEC service at James Paget UHFT, and implementation of POCT in line with existing NHS best practice guidelines achieved; reduced LoS, over 90% same day discharge and increased patient satisfaction.
The James Paget University NHS FT Hospital is located near Great Yarmouth in Norfolk; serving a patient catchment area of approximately 240,000 with 390 general and acute beds.
A 7.61% year-on-year increase in medical inpatient activity has been observed, which, when combined with financial and operating pressures, has required all at the James Paget to seek innovative ways of working to reduce patient length-of-stay, reduce unwarranted admissions, and provide high-quality, patient-centred care.
This innovation opportunity was identified by an acute/emergency Consultant at the Trust. The decision was made to overhaul the existing, limited AEC service (which closed frequently due to operational pressures), using process change and POCT implementation; in line with existing NHS best practice guidelines.
Further work since
The unit, since the completion of the ‘proof-of-concept’ pilot, has led to permanent, and now extended service provision. Furthermore, the evidence-based approach adopted has led to an extended project which will reconfigure the patient pathways for our ‘short stay’ medical cohort ; as well as the newly implemented, Trust-wide ‘Visual Hospital’ and ‘Plan for Every Patient’ systems (provided by our process-engineerpartners, Operasee Limited) to dramatically improve patient flow.