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Boosting capacity challenge

Ideas listing

70 Ideas
175 Votes
71 Participants

With so many people waiting for planned care, we need to find ways to boost our capacity – the amount of care we can provide at the time or stage that people need it and reducing the maximum length of time that patients wait for elective care and treatment

How can we grow and support our workforce?
How can we use digital technology and advanced data systems to free up capacity?
How can we safely adapt the UK’s infection prevention and control measures?
How can we make effective use of partnerships with community and independent sector providers?
What targeted action might increase our NHS capacity at the points where there are bottlenecks in the system of care?



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Increase theatre productivity by having a dedicated acute/emergency theatre for neurosurgery

One of the main causes of delays in both elective and non-elective streams, and cancellations in the elective stream, is the arrival of emergency patients. These patients need to be operated on fast; procedures may well take longer to perform, meaning that one emergency procedure could take the allotted slot of three or four electives.  As set out in the  GIRFT Programme Speciality Report on Cranial Neurosurgery by Nick Philips  this is a particular issue for cranial neurosurgery which...

1 Score
Comments 1
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Making the most of our theatre sessions

The leading edge of theatre productivity appears to be at least 8 primary joint replacements per theatre day.  If we could achieve this the impact would be enormous.  It would be great to hear from teams that are already doing this how they make it work and to share this with teams who would like to give it a go.

2 Score
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Restorative Thinking

The Restorative Thinking team is working alongside UHMBT medical teams, HR, Inclusion & Engagement to develop day-to-day restorative relationships and communications.  This is a small pilot intended to test how far restorative practice can enhance: Team cohesion and culture change Relationships with patients Positive mental health and well-being Greater equality of voice Problem-solving and co-production Improved communication Making difficult conversations easier Staff...

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Telemedicine usage increased rapidly because of covid. It offers opportunities for patients who may face obstacles to accessing services for eg, those who have difficulty taking time off work, finding childcare, older people who lack  transport and those with disabilities. We need to ensure that patients have the skills to participate in telemedicine if they so choose for eg, partnering with community based organisations to offer education and relevant materials.

1 Score
Comments 1

Automating routine clinical conversations with Dora

At Ufonia we are a small team of doctors, developers and engineers who are working hard to improve system efficiency so that patients, administrators and clinicians can all benefit. We aim to do this by releasing clinicians from repetitive activities in high volume and low complexity pathways, so they can spend time caring for patients directly.  The solution we have developed is Dora, the UK's first UKCA marked automated clinical assistant. Dora is driven by artificial intelligence...

3 Score
Comments 1
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#SolvingTogether Launch session ideas

On the 4th April 13:00-14:00 Tim Ferris, Director of Transformation at NHS England and NHS Improvement. During the session the audience were split into breakout groups and focused on a challenge. Each challenge has two rooms focusing on it.  Here are some of the ideas that the audience came up with during the session. Room 1:  Data - where is the value of doing this? You can look at the numbers all day, but that won’t change the situation. It is more about how can we resolve the...

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Improve utilisation of primary care clinicians e.g. Optometrists, Pharmacists, Dentists, Physiotherapists, etc

There are a large number of clinicans across many specialities working in rimar care that have the quaifications to do more. Utilising this workforce for low complexity / low risk patients will improve capacity across the NHS while upskilling the workforce to handle more and reduce inappropriate referrals for low complexity conditions. Patients with low risk / low complexity conditions will be able to access care sooner while reducing the waiting times for patients with more complex...

1 Score
Comments 1

Pathology, Paramedics and ED collaboration reducing reducing A/E waiting times

Reducing LOS in ED by using digital technology and advanced data systems. Our 4 hour A/E waiting time is impacted by pathology results, Clinician ward rounds and Bed space.  Pathology results to support discharge/admission is a crucial step within the ED process low.  Rethinking the pathway would help reduce the LOS and effective use of resources for the ambulance crew to select pathology tests based on patient symptoms, collect the sample and on arrival to ED prior to clerking send those...

4 Score
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Health Connect Coaching an innovative approach to boosting capacity and improving outcomes

We  know that more and more people are living with one or more health condition, requiring support from our health and care services. We also know that many people do not have the sufficient level of knowledge, skills and confidence to optimise their self-care capabilities and as a result experience poorer outcomes and seek greater healthcare support.  In Torbay and South Devon we have co-designed with our population a novel and innovative solution to delivering Personalised Care and...

7 Score
Comments 8
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Process Improvement to Support Elective Recovery

Post-Covid recovery of elective services is a major priority for the NHS. The delivery plan for tackling the backlog of elective care emphasises four priorities: ·          increasing capacity and throughput; ·          prioritising treatment, clinically and for long waits; ·          transforming elective provision through improved pathways; ·          and better support for patients including information and personalisation....

3 Score
Comments 1