Peer Groups | Sign In


 

National

Dashboard > Pre-procedure Elective bed days


 

Pre-procedure bed day rate 0.25
Opportunity £12,558,448
Volume Opportunity 59,395
Rank 1

Peer Group Selection

Sign In to manage and select your own custom peer groups.

 

Click a column heading to sort by that column. Click again to reverse the sort order.

Treatment Function Pre-procedure bed day rate Financial Opportunity Volume Opportunity Rank
Clinical Haematology 1.08 £797,135 3,632 1
Trauma & Orthopaedics 0.08 £792,923 3,755 1
Cardiology 0.31 £728,147 3,572 1
General Surgery 0.19 £668,606 3,236 1
Urology 0.11 £588,321 2,936 1
Vascular Surgery 0.52 £582,566 2,677 1
Gastroenterology 0.55 £530,519 2,555 1
Respiratory Medicine (Thoracic Medicine) 0.57 £480,135 2,530 1
Colorectal Surgery 0.32 £408,176 1,962 1
Neurology 0.89 £386,666 1,912 1
Nephrology 1.01 £375,221 1,915 1
Neurosurgery 0.47 £369,751 1,788 1
Gynaecology 0.07 £360,638 1,482 1
Cardiothoracic Surgery 1.15 £358,335 1,800 1
Thoracic Surgery 0.61 £319,904 1,698 1
General Medicine 0.73 £314,595 1,549 1
Clinical Oncology (previously Radiotherapy) 0.44 £238,243 1,199 1
Ear, Nose & Throat (ENT) 0.06 £231,695 987 1
Medical Oncology 0.44 £210,726 1,089 1
Hepatobiliary & Pancreatic Surgery 0.45 £209,326 1,030 1
Plastic Surgery 0.14 £200,533 945 1
Paediatric Surgery 0.31 £183,083 675 1
Paediatric Medical Oncology 0.61 £181,612 666 1
Cardiac Surgery 1.19 £177,332 861 1
Ophthalmology 0.17 £165,317 680 1
Respiratory Physiology 0.27 £161,952 833 1
Gynaecological Oncology 0.24 £140,749 590 1
Hepatology 0.64 £139,722 654 1
Paediatrics 0.20 £125,472 463 1
Paediatric Gastroenterology 0.64 £124,544 455 1
Interventional Radiology 0.35 £122,713 572 1
Oral Surgery 0.20 £116,858 512 1
Geriatric Medicine 2.11 £107,311 606 1
Upper Gastrointestinal Surgery 0.14 £91,435 441 1
Spinal Surgery Service 0.17 £87,427 415 1
Spinal Injuries 2.19 £84,171 400 1
Paediatric Clinical Haematology 1.03 £80,817 296 1
Paediatric Cardiac Surgery 1.28 £79,400 326 1
Maxillo Facial Surgery 0.10 £73,436 326 1
Paediatric Cardiology 0.51 £73,060 323 1
Paediatric Ear Nose and Throat 0.08 £71,882 230 1
Critical Care Medicine 3.02 £69,663 420 1
Rheumatology 0.49 £63,328 302 1
Paediatric Urology 0.21 £56,770 170 1
Rehabilitation 0.77 £53,856 324 1
Dermatology 0.49 £48,029 230 1
Endocrinology 0.61 £46,221 234 1
Paediatric Endocrinology 0.49 £43,574 152 1
Paediatric Respiratory Medicine 0.11 £43,116 198 1
Breast Surgery 0.03 £41,993 204 1
Paediatric Plastic Surgery 0.23 £41,732 155 1
Paediatric Trauma and Orthopaedics 0.10 £40,501 171 1
Paediatric Nephrology 0.58 £36,366 128 1
Paediatric Neurology 0.51 £35,675 147 1
Diabetic Medicine 3.28 £34,903 177 1
Paediatric Neurosurgery 0.45 £33,802 159 1
Stroke Medicine 3.30 £33,164 165 1
Neonatology 0.90 £20,290 71 1
Palliative Medicine 3.50 £18,610 98 1
Paediatric Intensive Care 2.84 £17,018 71 1
Pain Management 0.07 £15,321 76 1
Transplantation Surgery 0.53 £14,902 72 1
Paediatric Ophthalmology 0.21 £13,948 51 1
Paediatric Rheumatology 0.25 £13,579 48 1
Infectious Diseases 1.03 £12,542 61 1
Congenital Heart Disease Service 0.89 £10,095 48 1
Bone & Marrow Transplantation 0.96 £9,600 45 1
Paediatric Metabolic Disease 0.48 £8,645 32 1
Burns Care 0.87 £8,575 41 1
Transient Ischaemic Attack 4.25 £6,859 34 1
Restorative Dentistry 0.53 £6,297 28 1
Anaesthetics 0.54 £5,885 29 1
Cardiothoracic Transplantation 0.79 £5,347 27 1
Paediatric Dermatology 0.69 £5,153 18 1
Paediatric Infectious Diseases 0.94 £4,573 17 1
Clinical Neurophysiology 0.18 £4,349 21 1
Paediatric Dentistry 0.12 £4,274 13 1
Nuclear Medicine 0.28 £4,075 21 1
Paediatric Clinical Immunology and Allergy 0.32 £3,029 11 1
Diagnostic Imaging 0.13 £2,758 13 1
Obstetrics 0.09 £2,696 141 1
Paediatric Maxillo-facial Surgery 0.04 £1,811 6 1
Accident & Emergency (A&E) 0.17 £1,803 9 1
Haemophilia 0.54 £1,598 7 1
Paediatric Interventional Radiology 1.01 £1,001 4 1
Podiatry 0.83 £950 5 1
Paediatric Thoracic Surgery 0.63 £935 5 1
Chemical Pathology 0.12 £612 3 1
Clinical Immunology 0.17 £288 1 1
Community Paediatrics 0.33 £288 1 1
Paediatric Diabetic Medicine 0.13 £288 1 1
Paediatric Burns Care 0.25 £248 1 1
Paediatric Neuro-disability 0.30 £128 1 1
Allergy - - 0 1
Anticoagulant Service - - 0 1
Clinical Immunology & Allergy - - 0 1
Clinical Pharmacology 0.26 - 0 1
Clinical Physiology - - 0 1
Dental Medicine Specialties - - 0 1
Genitourinary Medicine 1.00 - 0 1
Medical Ophthalmology - - 0 1
Midwife episode 0.49 - 23 1
Orthodontics - - 0 1
Paediatric Audiological Medicine - - 0 1
Paediatric Epilepsy - - 0 1
Paediatric Gastrointestinal Surgery - - 0 1
Paediatric Pain Management - - 0 1
Sport and Exercise Medicine - - 0 1

Hospitals should aim to minimise the time between patients being admitted to hospital and having a procedure. Steps can be taken to improve the admission process for patients.

A reduction in pre-operative bed days by means of pre-op assessment, protocols and local diagnostic work-up will help reduce acute bed days. Pre-operative assessment (POA) and planning, carried out prior to treatment, ensures that the patient is fully informed about the procedure and the post operative recovery, is in optimum health and has made arrangements for admission, discharge and post operative care at home.

POA and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways.

• If a patient is fully informed, they will be less stressed and recover more quickly

• A health check ensures good medical health before anaesthesia and surgery

• Planning admission and discharge individually ensures that patient and carers know what to expect facilitating earlier post operative care at home

• Cancellations due to patient ill health or DNAs are reduced

• Admission on the day of surgery and early discharge are more likely

By improving the planned admission process, you also enhance the patient experience and the clinical process, as well as the efficiency and productivity of the trust. POA and planning should form a natural part of the process for all planned surgery.

Key steps :

  • Analyse rates of elective patient admission on day prior to their procedure and rates of discharge before a procedure to ensure that they are not out of line with expected levels
  • Revise protocols to ensure that patients are not admitted on day prior to surgery unless clinically necessary
  • Use outpatient pre-operative assessment to ensure that patients admitted are fit for surgery. This assessment can be carried out in the hospital where the procedure is to be carried out on an outpatient basis or at a local diagnosis and treatment centre in the community
  • Avoid admitting patients for diagnostic procedures. This can be achieved by improving access to diagnostics on an outpatient basis, again at the hospital, or through increased availability of diagnostics in the community. Community services can take the form of diagnostic and treatment centres or GP super surgery (surgeries offering a wide range of testing facilities as well as primary care services).

Further Information

NHS Elect – Service Transformation Tools

http://www.nhselect.nhs.uk/Service-Transformation

Information Shown

This indicator is the pre-procedure length of stay. It is expressed as the sum of all the bed days between the date of patients elective admission and the date of their primary procedure divided by the number of hospital spells. The financial opportunity is calculated by applying the 10th, 25th or 50th percentile provider number of pre-procedure days and by multiplying the bed day saving by the average excess bed day tariff for the provider and treatment function. The financial opportunity based on the quarter performance. Multiply by 4 to calculate annualised opportunity The volume opportunity is the number of pre-procedure days in excess of the 10th, 25th or 50th percentile value.

Trend Line

Peer Group Selection

Sign In to manage and select your own custom peer groups.