Cargando…
Long admission waiting list at the Orchard clinic-why?
AIMS: To gain an understanding of the causes of the Orchard clinic's long admission waiting list. To use this information to improve current clinical pathways, service development and further research and development. METHOD: To study the longitudinal traffic flow through the clinic from Januar...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8771808/ http://dx.doi.org/10.1192/bjo.2021.763 |
_version_ | 1784635695829090304 |
---|---|
author | Sayeed, Hannah Brown, Johanna Lenihan, Fionnbar |
author_facet | Sayeed, Hannah Brown, Johanna Lenihan, Fionnbar |
author_sort | Sayeed, Hannah |
collection | PubMed |
description | AIMS: To gain an understanding of the causes of the Orchard clinic's long admission waiting list. To use this information to improve current clinical pathways, service development and further research and development. METHOD: To study the longitudinal traffic flow through the clinic from January 2017 to December 2019, data were collected for this time retrospectively from electronic minutes of fortnightly bed management meetings at the Orchard clinic. This was cross checked with the Orchard clinic's record of admissions and discharges during this time and approved by the Forensic Research and Audit Group, NHS Lothian. RESULT: November 2018 onwards, a surge of 90% was observed in the admission waiting list. Looking at the trends of traffic flow through the clinic during this time, the following observations were made: 1. More admissions than discharges, especially November 2018 onwards. 2. New referrals for medium secure care at the Orchard clinic peaked twice during this time. 3. Delayed discharges peaked in July 2018 and further in January 2019 running parallel to the surge in admission waiting list thereafter. 4. 42% patients on the delayed discharge list belonged to other health boards awaiting local low secure/community placements. CONCLUSION: Delayed discharges were identified as a constant parallel to the long waiting list and hence identified as the main factor contributing to it. Out of area (non-NHS Lothian) admissions were noted to be linked to these delayed discharges. Regular peaks in new referrals was also noted to be contributory. |
format | Online Article Text |
id | pubmed-8771808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-87718082022-01-31 Long admission waiting list at the Orchard clinic-why? Sayeed, Hannah Brown, Johanna Lenihan, Fionnbar BJPsych Open Research AIMS: To gain an understanding of the causes of the Orchard clinic's long admission waiting list. To use this information to improve current clinical pathways, service development and further research and development. METHOD: To study the longitudinal traffic flow through the clinic from January 2017 to December 2019, data were collected for this time retrospectively from electronic minutes of fortnightly bed management meetings at the Orchard clinic. This was cross checked with the Orchard clinic's record of admissions and discharges during this time and approved by the Forensic Research and Audit Group, NHS Lothian. RESULT: November 2018 onwards, a surge of 90% was observed in the admission waiting list. Looking at the trends of traffic flow through the clinic during this time, the following observations were made: 1. More admissions than discharges, especially November 2018 onwards. 2. New referrals for medium secure care at the Orchard clinic peaked twice during this time. 3. Delayed discharges peaked in July 2018 and further in January 2019 running parallel to the surge in admission waiting list thereafter. 4. 42% patients on the delayed discharge list belonged to other health boards awaiting local low secure/community placements. CONCLUSION: Delayed discharges were identified as a constant parallel to the long waiting list and hence identified as the main factor contributing to it. Out of area (non-NHS Lothian) admissions were noted to be linked to these delayed discharges. Regular peaks in new referrals was also noted to be contributory. Cambridge University Press 2021-06-18 /pmc/articles/PMC8771808/ http://dx.doi.org/10.1192/bjo.2021.763 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Sayeed, Hannah Brown, Johanna Lenihan, Fionnbar Long admission waiting list at the Orchard clinic-why? |
title | Long admission waiting list at the Orchard clinic-why? |
title_full | Long admission waiting list at the Orchard clinic-why? |
title_fullStr | Long admission waiting list at the Orchard clinic-why? |
title_full_unstemmed | Long admission waiting list at the Orchard clinic-why? |
title_short | Long admission waiting list at the Orchard clinic-why? |
title_sort | long admission waiting list at the orchard clinic-why? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8771808/ http://dx.doi.org/10.1192/bjo.2021.763 |
work_keys_str_mv | AT sayeedhannah longadmissionwaitinglistattheorchardclinicwhy AT brownjohanna longadmissionwaitinglistattheorchardclinicwhy AT lenihanfionnbar longadmissionwaitinglistattheorchardclinicwhy |