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NHS Lothian Case Study: Testing the Daily Dynamic Discharge Approach within St John's Hospital

NHS Lothian Case Study: Testing the Daily Dynamic Discharge Approach within St John's Hospital

Tuesday, May 16, 2017

ISBN: 9781786528391

NHS Lothian Case Study: Testing the Daily Dynamic Discharge Approach within St John's Hospital

Executive Summary

When Health Boards are under pressure to tackle patient flow problems, the temptation is quickly to introduce wholesale improvement measures without giving much thought to baseline measurement, evaluation or team engagement. While such changes can sometimes be effective in the short-term, they can be difficult to sustain long-term and it can be hard to evidence improvement without the data to back it up.

St John's acute hospital in NHS Lothian has taken a different approach. It has introduced a small scale test of change on a single ward in the hospital, using the Daily Dynamic Discharge approach developed by the Scottish Government's 6 Essential Actions for Unscheduled Care Programme.