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NHS Greater Glasgow and Clyde: Getting it Right One Ward at a Time

NHS Greater Glasgow and Clyde: Getting it Right One Ward at a Time

Tuesday, May 16, 2017

ISBN: 9781786529077

NHS Greater Glasgow and Clyde: Getting it Right One Ward at a Time Essential Action 3:Daily Dynamic Discharge Case Study – Queen Elizabeth University Hospital

Executive Summary

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.