Page banner

#NHSChangeChallenge

Submitted
Thematic Analysis
Gathering votes
5.5/7.5
Average
Filtration
Thanks for your vote
This voting milestone has now ended, and the idea has progressed to a private milestone
Thanks for approving the idea
This milestone has now ended, and the idea has progressed to a private milestone

Target rather than clinically driven decision making

by Paul Dixon | 6 months ago | in What to stop
Horizon 2

The 4 hour wait has not been mentioned in our trust during Covid and this has made the relationships between ED and clinical teams far more patient focussed rather than all being about not breaching.  As a result 4 hours has not been a factor as decisions are made rapidly.  This has been helped by better engagement by senior clinicians which may not be sustainable once elective work resumes but we should not allow a return to a target dictating care.

Should this be stopped or restarted in a different way? If you think it should be restarted in a different way then how would you change it from before?

edited on Jul 13, 2020 by Kyle Beacham
Paul Dixon

Attach files

@

JKMCS 5 months ago

Sad to hear that a target was and still is a factor in decisions. For myriad reasons we're 'encouraged' to put target before patient and yet we all know it should be the other way round. Suggest the real issues extend well beyond a time target as you allude.

Reply 0

Greta McLachlan 5 months ago

Status labels added: Collaboration, Effective Team Working, Implementation, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Things To Stop, Triage, Workforce, Horizon 2

Reply 0

Greta McLachlan 5 months ago

The idea has been progressed to the next milestone.

Reply 0

Paul Dixon 5 months ago

The key to appropriate, and timely care is senior decision makers being involved as early as possible and having standardised pathways for common presentations. Maybe targets could change to reflect this?

Reply 0

Kyle Beacham 4 months ago

Status labels removed: Collaboration, Effective Team Working, Implementation, Pathway Redesign, Reduced Bureaucracy, Referral Pathway Redesign, Things To Stop, Triage, Workforce

Reply 0

Share