A major commitment in the cancer reform strategy is to improve inpatient care by shifting care from inpatients to an ambulatory care setting. There is considerable potential to streamline care, avoid unnecessary emergency admissions, reduce non-value adding lengths of stay, across elective and emergency pathways.

We have listed our transforming inpatient projects below with a brief description and a link to the apllicable project(s).

Breast 23 hour model

To reduce length of stay from 3 days+ to 23 hours after surgey for 80% of breast cancer patients undergoing surgery across the network.

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Enhanced recovery

Enhanced recovery (ER) programmes, also known as fasttrack programmes, aim to reduce operative complications, and enhance recovery in surgical patients, through reducing the stress response to surgery and promoting an early post surgical return to normal function.

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Key worker alerts

Utilising in-house IT systems to let a key worker know when one of thier patients has been admitted as an emergency. This allows the Key worker to attend the patient and optimise their inpatient stay reducing the time spent in an acute provider

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Neutopenic sepsis - intravenous antibiotics delivered in a 1 hour door to needle time.

Using a combination of IT alerts, training, HEAT campaigns, patient education and service reconfiguration to ensure patients on active chemotherapy receive intravenous antibiotics if they present with symptoms of sepsis.

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Rehabilitation - lung cancer surgical inpatients

Optimising patients pre and post surgery to prevent post operative pulmonary complications.

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