NHS Dumfries and Galloway: balancing capacity with demand

The Daily Dynamic Discharge Approach

The Daily Dynamic Discharge approach improves the timeliness, safety and quality of all patient journeys. It helps the multidisciplinary team prioritise and plan in a way that is best for the patient in the bed and the patient in the queue. It helps tackle some of the human elements of 'manmade' delay.

Figure 6a: Key Elements of the Daily Dynamic Discharge Approach

Figure 6b: An Example Dynamic Discharge Plan

The elements of the Daily Dynamic Discharge approach implemented by Dumfries and Galloway included the Daily Whiteboard Meeting, early Estimated Date of Discharge ( EDD) setting, Golden Hour Ward Rounds and Check Chase and Challenge using the Task Management Sheet.

The multidisciplinary team meeting took significantly less time after implementation - 45 minutes in total - and pharmacy reported that prescriptions were being written up in advance of discharge.