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Surgical Triage Unit Royal Blackburn Hospital. - NHS North West

Surgical Triage Unit Royal Blackburn Hospital. - NHS North West

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<strong>Surgical</strong> <strong>Triage</strong> <strong>Unit</strong><br />

<strong>Royal</strong> <strong>Blackburn</strong> <strong>Hospital</strong>.<br />

Bev Eaves


Reasons for implementing<br />

• Improvement to patient experience<br />

– Improvement to patient management<br />

• Improvement to patient flow<br />

– Beneficial to Trust 4 hour access target


Previous pathway<br />

Attend<br />

E/D<br />

G/P<br />

Await<br />

assessment<br />

Delay in diagnostics<br />

<strong>Hospital</strong> stay for over 24 hours<br />

Send to<br />

surgical ward<br />

Admit to<br />

acute bed


Organisational issues<br />

• Shortest average length of stay 24 hours.<br />

• 36 bedded emergency ward used for<br />

assessment of patients and emergency<br />

surgery.<br />

• Lengthy wait for assessments and<br />

consultant review<br />

• Compromised care for patients requiring<br />

admission


Current pathway<br />

Attend<br />

G/P<br />

Admit to<br />

STU<br />

Theatre<br />

Home<br />

Admit<br />

Seen within<br />

2hours<br />

Access to<br />

diagnostics same day


Continued<br />

Attend<br />

E/D<br />

Short<br />

assessment<br />

Admit to<br />

STU


Current figures since March 09<br />

• 3338 attendances referral from E/D or G/P<br />

• 1175 admissions into acute setting<br />

• 727 patients treated in STU clinics<br />

• 238 patients sent direct to theatres<br />

• 2163 patients discharged same day<br />

• 2487 bed days saved = £ 750k

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