Sheffield Teaching Hospitals NHS (UK)
Organisation – Sheffield Teaching Hospitals (STH) NHS has around 17,000 employees and is one of the biggest employers locally. They reflect the diversity of local communities and are proud of their new and existing partnerships with local people, patients, neighbouring NHS organisations, local authority and charitable bodies.
As well as being home to one of three Major Trauma Centres for the Yorkshire and Humber region, they have a number of specialist medical and surgical services, many of which are internationally renowned, which include cancer treatment, spinal injuries, neurology, cardiology and stereo-tactic radiosurgery.
Project – Consulting on A&E capacity issues especially during the winter period.
Issue – Sheffield Teaching Hospitals are aware that the demand on the A&E services is currently stretched but also highly likely to become even more challenging for years to come. Statistics showed a reduction in performance (once normalised) against the national average.
Impact 8 developed and supported workshops with several PhD researchers in problem discovery and the development of several opportunities born from the project.
Impact – It appeared that although the statistics were normalised they were done so against national factors, which were not necessarily a true reflection on local performance. A need for improvement was still sought. Three outline plans were generated that helped to support capacity flexing, using pre-existing resources at minimal extra spend. Key factors included;
The need to better involve front-line staff and line managers in reporting capacity issues and required resources.
A dynamic and well-communicated method of managing bed availability.
Improved community support to improve patient release from beds (community nursing and support to free-up beds).
Communication strategy and systems to allow some process bypass for patients that were likely to need re-admitting.