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Case study: Collaboratively transforming Urgent and Emergency Care in London

2nd July 2019

Bringing together partners with transformation experts and Londoners is one of the key roles Healthy London Partnership (HLP) plays in tackling London’s most complex health challenges.

For example, Healthy London Partnership’s (HLP) Urgent and Emergency Care (UEC) programme, in partnership with the Emergency Care Improvement Support Team (ECIST), recently demonstrated to over 150 senior health and care leaders the potential benefits of working together to address the biggest problems that are currently facing London’s UEC system.

What was the challenge?

As we look back at winter, and look ahead to the next one, systems are concerned about the problems that impact their Urgent and Emergency Care performance, and cause harm to patients. The challenge in reducing the number of patients with a long length of stay in hospital can not only block the whole system, pressuring A&Es and overall hospital flow, but also leads to direct patient harm.

Systems are also grappling with admission avoidance initiatives, such as Same Day Emergency Care, and are yet to fully embrace the full potential of all the support available to them, such as 111 and its star line service, or HLP’s Enhanced Health in Care Homes programme.

What did we do?

On 5 June 2019, we were core contributors to an event with heath and care leaders from across London which provided a much needed opportunity for them to hear about what has been effective in UEC improvement in the past year, as well as to look ahead to the support that will be available to them in order to plan for the year ahead. In co-delivering the content of the day, and showcasing the work that our UEC team has done together with ECIST, the event provided two things:

  • Demonstrated the value of HLP and ECIST’s approach to the UEC system.
  • Provided positive examples to organisations, many of which face cultural changes and difficulty in working with all their stakeholders, that partnership working to solve the UEC systems’ biggest problems, is the only way forward.

What were the results?

Since the event, the write-up of our Winter Review of activities to reduce Length of Stay has been completed, and will demonstrate the impact and reception of our efforts to reduce length of stay in hospitals. This will help trusts, commissioners and STPs to plan their winter readiness activities. The London approach to implementing the Discharge Patient Tracking List (DPTL) will rely heavily on support to trusts from HLP and ECIST working together.

National policy, through the development of the Ageing Well programme, is helping to strengthen our work on admission avoidance and systems have now had an opportunity to engage with the subject matter and explore issues together.

Our Enhanced Health in Care Homes programme has officially launched its initiative of supporting care homes to adopt the use of the NHSmail. This is helping care homes to transfer patient information confidentially and securely, and is speeding up communication around systems.

Find out more

To find out more about the event and associated work, contact the Healthy London Partnership UEC Accelerated Improvement Programme via hlp.uecprogramme@nhs.net.

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