Western Sussex Hospitals NHS Foundation Trust
Putting patients first through earlier discharges home
Western Sussex Hospitals finished 2018/19 with the 9th best Type 1 A&E performance in England, helping the trust earn £16m from the provider sustainability fund. Again, these achievements were supported by a project with one simple aim: discharge more patients earlier in the day.
Multidisciplinary teams rose to the challenge, increasing discharges before 3pm by 48%, last year. These patients experienced a safer discharge, benefitting from better community, primary and social care available during the day, as well as time to settle in and receive visitors before nightfall.
In turn, thousands more sick patients waiting in A&E could be admitted for specialty care before 3pm. Welcomed by full ward teams in the day, with more consultant, therapeutic and diagnostic support, these patients had safer admissions and better experience.
The project reduced A&E four-hour breaches by 20%, despite more people attending and reduced bed occupancy by 5%, while admissions rose 6%. Night-moves were also cut by 40%.