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Transformation Project Updates

ED attendance avoidance (trolley) - QIPP 1.4

Project Manager

Sophie Spencer, Medicine

PMO Contacts

Emma Tee

Project Overview

This project relates specifically to the Emergency Department; MAU, Ambulatory Care, SAU and Trauma are excluded. Delivery is dependent on CCG plans to reduce trolley based attendances.

The project will also consider options to develop a 24 hour Primary Care Front Door Service to include streaming at the front door; this will include extension of the pilot through which BEMs is currently based in Ambulatory Care out of hours, this work will be led by the Bath Urgent Care network. NOTE: Attendances to minors are not included.

Key Objectives

The key objectives of this project are: 1. Sustained reduction (at least 10%) of trolley based attendances throughout the year, freeing capacity within ED of an estimated 1 trolley bay. 2. Clear and robust pathways of care defined for treatment of certain conditions e.g. falls, inappropriate nursing home attendances.

Reporting to

Transformation Board

Patient Benefits

Clear and robust pathways of care defined for treatment of certain conditions e.g. falls, inappropriate nursing home attendances

Trust Benefits

Reduction in cost

Quality Pillars

Demonstrating Performance
Quality Improvement
Reputation Management
Physical Environment

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