QUEEN Alexandra Hospital has received expert advice on tackling its bed-blocking problem.
Portsmouth Hospitals NHS Trust, which runs the Cosham site, invited Professor Brian Dolan to look at what changes could be made.
By focusing on a patient’s last 1,000 days, the aim is to help draw attention to where time is wastedProfessor Brian Dolan
It comes as patients who are needlessly remaining in hospital can end up getting sicker and a lot of those ‘stuck’, Professor Dolan said, are in the last 1,000 days of their life.
Prof Dolan works with organisations across the world to support and facilitate a new way of thinking to improve ‘patient flow’ throughout clinical settings.
He said: ‘By focusing on a patient’s last 1,000 days, the aim is to help draw attention to where time is wasted, and what could be done differently.’
Another campaign that Prof Dolan has created is #EndPJparalysis, which focuses on encouraging patients to stop wearing their pyjamas during the day in hospital. He added: ‘The campaign is all about enabling a patient to get up, get dressed and get moving.’
Prof Dolan said for every 10 days of bed-rest in hospital, the equivalent of 10 years of muscle ageing occurs in people aged over 80.
‘Building this muscle strength back up takes twice as long as it does to deteriorate,’ he said. ‘For an older person, a 10 per cent loss of strength may make the difference between dependence and independence.’
As the creator of #Last1000days and #EndPJparalysis, Prof Dolan helps organisations to improve patient experience, identify and implement solutions and coach and support organisations to develop their leadership.
As well as making suggestions on patient flow, Prof Dolan has also held workshops with QA Hospital staff on valuing patient time.
He added: ‘I am so looking forward to spending time with colleagues in Portsmouth who I know are passionate about further improving care, safety and experience for patients.
‘I am both delighted and honoured to have been invited by Mark Cubbon, chief executive of the trust, to spend two days at the hospital.’
With a career that an extends the past 30 years in both acute mental health and emergency nursing, Prof Dolan has specialist expertise in Lean Thinking methodology, clinical service redesign and patient flow.
He is also the author of six books.