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A Practical Guide to Reducing Long Hospital Stays: Improving Patient Flow, Discharge Practice and Admission Avoidance

Monday 4 March 2019
De Vere West One Conference Centre, London

A Practical Guide to Reducing Long Hospital Stays: Improving Patient Flow, Discharge Practice and Admission Avoidance
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“As many as a third of people in hospital stay longer than they need to, often because they can’t get treatment close to home. As well as the pressure it puts on the health service, staying in hospital can be bad for patients’ health. The evidence shows that for older people, ten days in a hospital bed leads to the equivalent of ten years of muscle ageing – risking their health and reducing their independence.” Department of Health and Social Care 21 November 2018

"Nearly 350,000 patients currently spend over three weeks in acute hospitals each year. Many are older people with reduced functional ability (frailty) or cognitive impairment. The benefits of reducing hospital bed occupancy are clear, but achieving it has proven difficult, particularly during winter.” NHS Improvement 2018

“No one wants patients to stay in hospital longer than they have to, or for the health of patients to deteriorate in the very place that is supposed to be making them better. But this is happening all too often and we have to work together to change it. Every day in hospital is a precious day away from normal life.” Ian Dalton, Chief Executives NHS Improvement

“Unnecessarily prolonged stays in hospital are bad for patients. This is due to the risk of unnecessary waiting, sleep deprivation, increased risk of falls and fracture, prolonging episodes of acute confusion (delirium) and catching healthcare associated infections. All can cause an avoidable loss of muscle strength leading to greater physical dependency (commonly referred to as deconditioning). Tackling long stays in hospital will reduce risks of patient harm, disability and unwarranted cost, particularly for those who are intrinsically vulnerable because they have mild or moderate frailty and/or cognitive disorder, and for whom a different, more positive outcome can be achieved if the right steps are taken very early in their admission. Hospital-related functional decline in older patients and the subsequent harm has dreadful consequences for many patients, and is something we should not tolerate.” NHS Improvement 2018

“Extensive use of audit tools has shown 20% to 25% of admissions and 50% of bed days do not require an ‘acute’ hospital bed as these patients’ medical needs could be met at a more appropriate, usually lower, level of care. 39% of people delayed in hospital could have been discharged using different, usually lower dependency, pathways and services more suited to meeting their assessed needs.” NHS Improvement 2018

“Every day in hospital is a precious day away from home. We want to embed a ‘home first’ mindset across our health and social care systems and do everything we can so our patients, particularly older people, can enjoy their lives in their own home environments or, for the few who cannot go straight home from hospital, in a care location most suited to meeting their needs.” NHS Improvement 2018

Following the National Ambition to cut long hospital stays by 25% this conference focuses on improving patient flow, discharge arrangements and admission avoidance to reduce long stays in hospital.

This conference will enable you to:

  • Network with colleagues who are working to reduce long hospital stays
  • Reflect on national developments and learning
  • Learn from outstanding examples of changing culture and practice to improve patient flow
  • Improve the way you manage discharge planning to reduce overstaying older people
  • Learn from an organization that has achieved a 0% overstaying older people rate
  • Develop your skills in undertaking long stay patient reviews: Understanding the root cause of long stays in your service
  • Understand how you can improve the way you work to keep people out of hospital including looking at the role of the Virtual Hospital
  • Identify key strategies for implementing the SAFER Care Bundle and Red to Green
  • Ensure you are up to date with the latest evidence on discharge2assess and ensuring safety at discharge  
  • Self assess and reflect on your own practice
  • Gain cpd accreditation points contributing to professional development and revalidation evidence
Good Governance Institute
GGI (Good Governance Institute) accredited conferences CPD Member BADS (British Association of Day Surgery) accredited conferences