North West London Collaboration of CCGs Discharge Implementation

The challenge

NWL are a First Wave Delivery Site for 7 Day Services and have committed to delivering the 10 Clinical Standards by April 2017. One of the standards requires a 7 day discharge pathway and NWL identified that their current discharge pathways across the system do not meet this requirement. The current complexity and fragmentation of discharge pathways across NWL was contributing to a difference of 2.9 days in the Average Length of Stay of patients discharged cross-borough border, compared to patients discharged within borough. If this could be reduced to match the within borough AvLoS, the system could release up to 70 beds and commissioners could save up to £5m per annum on excess bed day fees.