Tuesday 13 March

Tuesday 13 March
Guy's & St Thomas' foundation trust
Achieving sustained reductions in patient length of stay

Groundbreaking work by Guy's and St Thomas' acute medicine team has halved length of stay over the last two and a half years. Adjusting for case-mix length of stay is now 15 per cent below the average for the best performing 25 per cent of trusts.

Guy's and St Thomas' is one of the largest and busiest acute trusts in the country. During 2005-06 it saw around 497,000 outpatients, 72,500 inpatients and 46,000 day case patients.

Work on length of stay has allowed the acute medicine department to close a significant number of beds without creating outliers in other areas of the hospital, and while retaining the capacity to cope well at times of potential pressure or increased demand.

Quality has improved too, with a large reduction in inpatient falls and pressure sores, and there has been no increase in unplanned re-admissions.

This event will cover:

  • use of data and performance management for clinical staff
  • quality improvement
  • changes to the management of older patients
  • and how the work is being rolled out to benefit patients in other areas of the trust.

Key ways in which we have improved the quality and effectiveness of the management of older patients have been through the introduction of a medical liaison service; a comprehensive falls service; and a surgical liaison service. The trust has also taken significant steps to improve the co-ordination of care between the hospital and community setting.