A&E

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Trust sees improvements as part of national initiative

Staff at the Royal Lancaster Infirmary (RLI) University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) took part in a three day initiative in conjunction with North West Utilisation Management Unit.  The initiative was designed to support trusts to rapidly improve performance towards the operational standard for A&E waiting times that says 95% of patients should be admitted, transferred or discharged within four hours of their arrival at an A&E department.

ED staff RLI

ED staff RLI

The 100% Challenge saw the Trust trial a different way of working to improve patient care and experience, improve the experience of staff, and to identify any actions that would support it to deliver a higher level of Emergency Department (ED) performance.

As a result the RLI achieved 93.28% on Thursday 14 September which was higher than the Thursday 7 September figure of 92.50%.

Other positive outcomes included:

  • There was a shift in patient discharge activity earlier in the day by at least two to three hours, with an 8% improvement in the level of discharges achieved before 1pm
  • Pharmacy saw nearly three times the week day daily average of discharge medication scripts being completed by midday
  • At 6pm that day there was a significant increase in the number of beds available at the RLI.
Foluke Ajayi, Chief Operating Officer.

Foluke Ajayi, Chief Operating Officer.

Foluke Ajayi, Chief Operating Officer, UHMBT, said:  “I want to thank all of the teams who took part in this initiative. You should not underestimate the impact you have had on the organisation. We will continue to embrace this way of working and adjust it as necessary as we go along.”

Steps the Trust took included:

  • Forming a control room which allowed staff to identify flag obstacles affecting patient flow, better communication and timely resolution of problems
  • Focused activity on the flow of patients, introducing an earlier in the day ethos and escalating any delays as early as possible
  • ED staff running intentional rounds of each cubicle every hour to review each patient’s management plan, with a view to them being seen by a clinician within the first hour of arrival, referred to the appropriate specialty within the second hour, decision to discharge or admit made by the third hour and acted on within 30 minutes of the decision
  • Each ward was visited by a matron to understand which patients were awaiting discharge and what the Trust needed to put into place to make that happen as quickly as possible
  • There was a series of short meetings held every two hours with key staff at which immediate challenges such as bed numbers, patient transport and discharge medication were raised and actions put into place to ensure the patients were discharged as planned.
Sue Lee and Melissa Woods from Ward 36

Sue Lee and Melissa Woods from Ward 36

Helen Thompson, Deputy Assistant Chief Nurse for emergency care, UHMBT, said: “Today has been really positive and we have seen some earlier discharges than normal. The ED team at the RLI have been absolutely brilliant and have really embraced the initiative.”

Dawn Hooper, of Fleetwood, who had been in ED at RLI for two hours, said: “All the staff have been great and have been in and out to check on me. From the doctors to the paramedics it has been a very positive experience.”

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Public asked to help ease pressure on Accident and Emergency departments

The public are being asked to consider using other healthcare services rather than Accident and Emergency (A&E), as the A&E departments at the Royal Lancaster Infirmary (RLI) and Furness General Hospital (FGH) face exceptional pressure today (Sunday 20 November). As

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Partners working closer together

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Public asked to help ease pressure on RLI’S A&E

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UHMBT launch new campaign to encourage people to ‘THINK! WHY A&E’?

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Furness General Hospital is under pressure

Today the emergency department at Furness General Hospital (FGH) is seeing increased pressure. David Walker, Medical Director at Morecambe Bay NHS Foundation Trust (UHMBT) said; “This bank holiday weekend, Friday 25 – Monday 28 March 2016, the Trust is asking

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UHMBT urge patients to think ahead this bank holiday weekend

Emergency departments at the Royal Lancaster Infirmary (RLI) and Furness General Hospital (FGH) are likely to see increased pressure and long waiting times over the Easter bank holiday weekend. David Walker, Medical Director at Morecambe Bay NHS Foundation Trust (UHMBT)

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Public plea to help RLI A&E cope whilst under pressure

The A&E department at Royal Lancaster Infirmary (RLI) is current under pressure following a surge in demand. A Trust Spokesperson said: “We are currently experiencing increased pressure on our A&E services and we are calling on the public to again

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RLI asking for help from the public

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Attendances could have been treated elsewhere says emergency doctor

The University Hospitals of Morecambe Bay NHS Foundation Trust has said that a study conducted recently clearly shows that a large proportion of attendances at their hospital A&E departments in Barrow and Lancaster were “potentially avoidable”. The Trust, which runs

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