1. How many stranded patients did each of your trust’s hospitals have during each month of the past calendar year, 2019?
Please provide the information by month if possible ie January 2019, 200 stranded patients. However if this is not possible please provide the figures on a weekly or daily basis, if that is how they are recorded locally.
A) Please find the number of stranded patients with a length of stay over 7 days during 2019 in the below table. Please be advised, the Trust does contain community and rehabilitation beds and facilities which will mean that some patients will be expected to have an extended length of stay.
|
Count of patients with LOS in month
|
Jan-19
|
Feb-19
|
Mar-19
|
Apr-19
|
May-19
|
Jun-19
|
Jul-19
|
Aug-19
|
Sep-19
|
Oct-19
|
Nov-19
|
Dec-19
|
|
number of stranded patients with a LOS >7 days
|
1245
|
1165
|
1246
|
1204
|
1225
|
1123
|
1240
|
1181
|
1196
|
1282
|
1168
|
1273
|
2. How many super-stranded patients did each of your trust’s hospitals have during each month of the past calendar year, 2019?
A) Please find the number of super-stranded patients with a length of stay over 21 days during 2019 in the below table. Please be advised, the Trust does contain community and rehabilitation beds and facilities which will mean that some patients will be expected to have an extended length of stay.
|
Count of patients with LOS in month
|
Jan-19
|
Feb-19
|
Mar-19
|
Apr-19
|
May-19
|
Jun-19
|
Jul-19
|
Aug-19
|
Sep-19
|
Oct-19
|
Nov-19
|
Dec-19
|
|
number of super-stranded patients with a LOS >21 days
|
453
|
439
|
413
|
452
|
460
|
413
|
413
|
426
|
424
|
467
|
400
|
413
|
3. Has your trust met its target of reducing super-stranded patients by 25% from 2017-18 figures? If not, please state by what proportion the figure has been reduced by so far.
A) In 2017-2018 we were set a plan to reduce by 25% from 218 patients.
This was reviewed and we were set a new ambition to reduce by 40% to achieve a baseline of 123 patients. We have achieved a steady reduction towards the 40% as depicted in the table below. All support actions are currently mobilised to support this position to reduce.
| |
Position w/c 16 Sept
|
Position w/c 23 Sept
|
Position w/c 30 Sept
|
Position w/c 7 Oct
|
Position w/c 14 Oct
|
Position w/c 21 Oct
|
Position w/c 28 Oct
|
Position w/c 4 Nov
|
Position w/c 11 Nov
|
Position w/c 18 Nov
|
Position w/c 25 Nov
|
Position w/c 2 Dec
|
Position w/c 9 Dec
|
Position w/c 16 Dec
|
Position w/c 23 Dec
|
Position w/c 30 Dec
|
|
Trust Actual
|
190
|
182
|
193
|
190
|
190
|
191
|
174
|
182
|
174
|
153
|
152
|
140
|
132
|
139
|
130
|
151
|
|
Trust Trajectory
|
189
|
189
|
180
|
175
|
170
|
170
|
165
|
160
|
155
|
150
|
145
|
140
|
140
|
135
|
130
|
123
|
4. What were the five longest Length of Stays recorded by patients in your trust during calendar year 2019?
A) Please find the five longest stays for calendar year 2019 in the below table. Please be advised, the Trust does contain community and rehabilitation beds and facilities which will mean that some patients will be expected to have an extended length of stay.
|
Longest Length of stay
|
|
377 days
|
|
352 days
|
|
271 days
|
|
252 days
|
|
242 days
|
5. What specific actions has your trust taken to reduce super-stranded patients in the past year?
A) Focus work:
- Embedding of the SAFER principles of care
- Day 0-7 planning
- Full MDT participation in agreeing actions at board rounds. (with attention on afternoon huddles to ensure all actions have been completed)
- Focus on setting ambitious EDD
- Focus on positive MDT challenge and critical thinking.
- Personalisation approach -positive risk culture and allow patients to lead their plans.
- Refocus on Home First from acute beds; earlier and ensuring assessments take place at home.
- Community transfer and beds with a refocus on home plans.
- Focus on complex discharge pathways – test for change for a new pathway to support highly complex patients.
- End of Life planning and support.
- Weekend discharge: focused MDT work commencing from 30/11/2019
- Perfect week initiatives – whole system support and review LLOS patients.
