Improving Patient Flow in Emergency and Radiology Services

Background:

Faced with operational pressures in their Emergency and Radiology services, a major acute hospital serving over 25,000 patients annually commissioned Meridian to analyse system-wide inefficiencies and propose improvements that could enhance patient experience, reduce bottlenecks, and better align staffing with clinical demand.

Analysis:

A two-week study highlighted misalignment between workforce deployment and patient flow in both departments. Key issues included:

Inconsistent processes and resource allocation in the Emergency Department

Ineffective use of Radiographer time, with demand often exceeding available capacity

A lack of real-time performance monitoring and capacity planning tools

Implementation:

Meridian led a 12-week improvement programme co-designed with clinical and operational leaders. This included:

Installation of a capacity and demand model for Radiology

Redefinition of scanning templates and staff rotas

Creation of real-time reporting to support 3-hourly operational reviews

A new cross-departmental huddle structure to respond proactively to patient flow issues

Results:

– CT scanning capacity increased by 25%, without additional headcount

– Patient throughput in CT rose by 20%

– Real-time reporting empowered leadership to reduce waiting time breaches in Emergency

-£15k in staff time savings identified, with long-term savings projected to grow

– New management behaviours and review processes embedded across departments

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