In Summer 2015, NHS Greater Glasgow and Clyde (NHSGGC)health board merged three ED departments and the inpatient services from five former sites into a new flagship hospital for Glasgow. The Queen Elizabeth University Hospital is the largest acute hospital site in the UK, with 1500 beds,
arranged across 40+ wards.
Bringing together staff from so many different hospitals, each with different cultures and different ways of working, proved to be a
major challenge for NHS Greater Glasgow and Clyde.
It has taken time for staff to adjust to new colleagues, a new environment and new ways of working.
The hospital adapted the Daily Dynamic Discharge
model1 from the Scottish Government’s programme,
6 Essential Actions to Improve Unscheduled Care,
rebranding it as Exemplar Ward. The aim was to
improve patient flow and provide structure to the day to-day ward routine. Rather than trying to introduce service improvements on all wards simultaneously, Queen Elizabeth University
Hospital uses Exemplar Wards. Getting things right
one ward at a time ensures the approach is cascaded to all of its wards in a measured
and sustained way.