Views And Reviews Acute Perspective

David Oliver: Reducing delays in hospitals

BMJ 2016; 354 doi: (Published 23 September 2016) Cite this as: BMJ 2016;354:i5125

Re: Reducing delays in hospitals

I have to admit that the suggestions made in this article although sometimes can be difficult to implement but are fully practical and we do tend to come across them being practiced quite often on our wards, in our clinics and AnE departments. I acknowledge that much of these aren't supported by robust evidence but can definitely contribute to an evolving change. Recently I have been attending local bed meetings and sessions with discharge facilitators and personnel from different medical specialities in boosting up the discharge process but at the same time keeping patient care and safe discharge of paramount importance. This made me realise and understand the difficulties one faces in organizing a safe and successful discharge in time which is not only for sake of our beloved NHS but more for the greater benefit to patients health. I think the key point is to start discharge planning from day one and to involve patient, their family members and different disciplines which we can foresee from the very beginning. Another thing which I have found very helpful is to make all arrangements well in time for making discharge possible early in the day and even over weekends. I have noticed that we tend to shy away from discharging patients over the weekend but I don't see any reason not to discharge over weekend until and unless patient care and safety is not being compromised. We need to ask our self "Is it in best interest of patient to stay in hospital any longer?!"

Competing interests: No competing interests

20 March 2017
Sohaib Mohammad Sadiq
Trainee Doctor
University Hospital North Midlands