Urgent and emergency care
Our approach
We combine clinical pathway redesign, operational improvement and behaviour change expertise to help organisations improve flow, reduce avoidable admissions and maximise the effective use of hospital capacity.
Rather than delivering recommendations from the sidelines, we work alongside clinical and operational teams to implement change, build capability and sustain improvements long after programmes conclude.
Typical client outcomes
- 10-20% reduction in admissions
- 1-2 day reductions in length of stay
- Lower bed occupancy and improved flow
- 5:1 return on investment
Our areas of expertise
- Same Day Emergency Care (SDEC) design, optimisation and expansion
- Acute frailty services and admission avoidance pathways
- Clinical pathway redesign and service transformation
- Patient flow improvement and occupancy reduction
- Length of stay reduction programmes
- Emergency department flow and crowding reduction
- Winter planning and system resilience
- Discharge pathway optimisation
- Transfer of Care Hub design and implementation
- Demand, capacity and operational modelling
- Benefits realisation and performance improvement
Delivering improvements
Our programmes consistently deliver measurable operational, quality and financial improvements. Typical outcomes include:
- Reduced emergency admissions
- Reduced length of stay
- Lower bed occupancy and improved flow
- Improved emergency department performance
- Reduced corridor care and overcrowding
- Increased discharge rates and reduced delays
- Protected elective and diagnostic capacity
- Improved patient experience and quality of care
- Sustainable workforce and behavioural change
Our approach
We combine clinical pathway redesign, operational improvement and behaviour change expertise to help organisations improve flow, reduce avoidable admissions and maximise the effective use of hospital capacity.
Rather than delivering recommendations from the sidelines, we work alongside clinical and operational teams to implement change, build capability and sustain improvements long after programmes conclude.
Typical client outcomes |
Our areas of expertise |
Delivering improvements |
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Our programmes consistently deliver measurable operational, quality and financial improvements. Typical outcomes include:Reduced emergency admissions
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HEALTH OUTCOMES WE DELIVER
More people living independently for longer.
Reduced avoidable (re)admissions.
Reduced LOS and delayed discharges.
Stronger integrated neighbourhood partnerships.
Optimised health and care resources and measurable financial benefit.
BEST PRACTICE THROUGH BEHAVIOUR AND CULTURE CHANGE
Valuing home
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Fewer hospital admissions
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Shorter hospital stays
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Fewer discharge delays.
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More discharges directly home with reduced reliance on long-term adult social care intervention.
Case studies
Transforming patient flow at Nottingham University Hospitals
Supporting Hampshire Hospitals NHS Foundation Trust with Dynamic Activity, Workforce, and Finance Modelling
IMPOWER applied its proven methodology, previously used across four New Hospital Programme (NHP) Trusts.
Identifying new opportunities to improve outcomes and save money in Manchester
Delivering sustainable discharge and flow improvements across East Surrey
Relieving pressure on acute beds and improving outcomes in Lincolnshire
Designing and implementing an effective model for patient discharge and flow that’s owned and championed by practitioners
Embedding a ‘home first’ ethos for patients in Manchester and Trafford
Ushering in a culture shift and new model to drive better outcomes for hospital patients
IMPOWER’s ability to set out complex data in a meaningful and engaging way has further helped keep our momentum of improvement… Remaining focussed on what is best for our patients and keeping patients at the centre of our ambition throughout. Being able to work across many partners and understanding the importance of reaching collective agreement and building relationships to enable this was powerful.
In Manchester University NHS Foundation Trust (MFT) we are lucky to have world class clinicians and the success of Hospital at Home has been driven by our clinical leaders, who are delivering innovative practice which is improving the outcomes we achieve for our patients. IMPOWER have given us the structure we need to drive this work, have worked alongside clinical teams so they feel supported to innovate, and have used their expertise to demonstrate impact and build the case for change.
Reports
Healthy Homes in the East of England Report
How ICSs can support collaboration to deliver better housing and health outcomes in the East of England.
Academy of Medical Royal Colleges AoMRC Report
Explore why we have not yet delivered the long-promised shift to more home and community-based care.
Intermediate Care – joint report with ADASS
We have emerged from Covid needing to support higher numbers of people, in the context of ever straightened financial circumstances.
The evolving role of county authorities in Integrated Care Systems
