Medical Model improving flow through the hospital

Date: 24 November 2016

Medical model team on Wakely Ward
Wakely Ward staff – one of the many teams supporting Medical Model

As part of the Trust Recovery Plan, we have made fundamental improvements to the way our consultants work together when they are looking after those who are admitted as inpatients.

We know that high levels of handovers between doctors can lead to higher rates of mortality and poor discharge planning for patients. We recognise that this has been a challenging area for us at the Trust, and we have been working on locally developed solutions to this.

A team of nurses and doctors led by Sandip Banerjee, Clinical Director, Acute and Continuing Care, has come up with a better, safer way of looking after patients during their stay in hospital. The new system, which is called Medical Model, reduces the number of doctors that each patient sees, which will improve the care and safety of the patients while they are in hospital.

Dr Banerjee said, ‘Now, when a patient is admitted, a named consultant will be responsible for taking decisions about their care, such as whether they are admitted on the wards, and for arrangements for that patient’s care until they are seen by a specialist or discharged.

‘For an individual patient, this will mean that no more than two consultants will manage their care during their stay. One will be the admitting consultant, and the second will be the specialist they see, where necessary, for further treatment.

‘The Lister Ambulatory Assessment Centre (AAC) is a key part of supporting the Model. Patients can be treated in the AAC for many conditions, such as deep vein thrombosis or chronic obstructive pulmonary disorder, and be discharged the same day. This avoids unnecessary admissions, allowing the patient to go home faster and making better use of our hospital beds.’

This approach is being further strengthened by nurses, doctors and other clinical professionals making regular visits to wards in the hospital.
Board rounds involve teams of clinicians working together on behalf of the patient, with the aim of focusing on how we can use our resources to provide each patient with the best possible experience throughout their stay.

Board rounds will also be used to better manage the flow of patients coming in and out of the hospital by helping to identify those patients that are ready for discharge. Discharging patients safely and efficiently allows the patient to return home as soon as possible, making that bed available for the next person into hospital who needs it.

Other benefits of the Medical Model include helping to prevent unnecessary admission and avoid overnight stays in a significant proportion of people who might have been admitted due to a lack of available care in the community. It also helps us to shorten the time patients have to wait in our Emergency Department, prevent bed pressures and improve the flow of patients throughout the hospital.

The Medical Model is one of the key programmes through which the Trust Recovery Plan is being successfully delivered, transforming our Trust into
a provider of high quality care.

  • Summary:

    As part of the Trust Recovery Plan, we have made fundamental improvements to the way our consultants work together when they are looking after those who are admitted as inpatients.