Delivering quality care and improved service for an ever-growing elderly population while supporting a workforce often asked to do too much with too little is becoming an increasing challenge for trusts. Treating patients in a community setting, which helps reduce frequency and length of hospital stays has proved to be a more effective approach, however. So this area of care, which has operated somewhat under the radar in recent years, has a big role to play within a future sustainable health and social care system.
At Newton,we work to prevent acute admissions, ensuring that where possible patients are kept at home and treated in the community. We work on the frontlines with nurses to help them reduce their admin burdens and streamline the patient allocation process, which increases the valuable time they can spend delivering care.
Areas we address include:
- District nursing
- Paperwork rationalisation/simplification – removing duplication and unnecessary data capture.
- Introducing mobile working and electronic solutions to facilitate less time in the office completing paperwork and freeing up more time to spend face-to-face with patients.
- Improving workload allocation and planning; allocating the correct case mix to nurses so they have appropriate distribution across a reasonable geographical area, including a route planning tool to make sure patients are visited in the most logical order.
- Community clinics
- Changing the set-up of clinics including accurate slot templates and supporting services to maximise capacity and minimise patient waits. We work with admin teams to improve booking efficiency and profile DNAs to target reduction in demographics with the largest DNA rate.
- Community matrons
- Case load review to ensure all patients meet the appropriate criteria for care by the community matrons team.
- We put processes in place to ensure the caseload mix is suitable and the correct size.
- We maximise face-to-face time that nurses spend with patients.
- Palliative care
- Reviewing information flow and meeting structure across the MDT to maximise the time available to spend with patients.
- Improving communication with GPs to reduce unnecessary visits and ensure clear, consistent and efficient communication.
- Route and workload planning to improve coordination between nurses working on different teams.
- Procurement & supply chain
- We look at the whole supply chain from procurement to materials management, across 'stock', 'non-stock' and third party spend categories. We help solve the issues particular to the community environment including contingent staffing, fragmented supply chains and stock holdings, and third party support and service contracts.
- District nursing
Better information visibility improves service profitability and quality of patient care. At Newton we have developed award-winning, ground-breaking, user-friendly technology that has helped providers achieve improved care and savings. Deployed as part of an overall transformation programme, typical annualised financial benefits can range from £0.8 million to £2 million per trust, with full programmes delivering up to £10 million every year.
Visit our Business Technology page for more information.