4 hour waits
Matthew,
The Oct 2001 Audit Report on Waiting Times etc reported some departments as
returning 100%. http://www.audit-commission.gov.uk/
I think any standard set will be open to "manipulation of the truth". I
would suggest that any department returning a figure of 100% for patients
discharged within 4 hrs need another more detailed audit to verify their
figures..... and if they have not been telling the whole truth take a Star *
away!
We manage to get to 95% at Lancaster, reducing the bed crisis would improve
that figure further....., but as you said some patients do merit from a
longer stay, especially if you have no short stay ward to recovery patients
after procedures. Admitting them would cause more problems with beds.
Perhaps once a depatment is acheiving over 90% for discharge within 4 hrs
there could be a regular audit of these patients waiting over 4 hrs.
Patients could be sorted by group (for reason for delay). These audits could
then be reviewed by external District Audit when they "visit".
Happy Christmas
Ray McGlone
A&E Lancaster
----- Original Message -----
From: "Matthew Cooke" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, December 14, 2002 12:19 PM
Subject: Re: See and Treat
> <<Matthew - can you bring my clinical concerns
> to the DH and try and get it stopped at the 90% 4 hours level and say
> 100% at 8 hours?
>
> Rowley
> Sorry to take so long to catch up with these postings.
> I am working on the problem of the 100% target. There is now a realisation
> by ministers and others that there are some patients who benefit from
more
> than 4 hours in A&E.
> The difficult bit is defining this so that people cannot manipulate this,
> like they manipulate 12 hour trolley wait data.
> Please keep your comments on govt policy flowing and I will feed it back
to
> them.
>
> Matthew
>
>
> Matthew Cooke
> A&E Advisor DoH (an A&E consultant not a civil servant for those of you
who
> don't knoew me!)
>
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