Improving patient flow : how two trusts focused on flow to improve the quality of care and use available capacity effectively : learning report.

This learning report describes the work undertaken by two NHS trusts as part of the Health Foundation's Flow Cost Quality programme. It illustrates the problems created by poor flow that the programme was set up to address, and provides practical examples of how focusing on flow can improve quality, use available capacity effectively and save money. The report summarises key lessons from the programme and highlights important challenges for designing services and approaching change by focusing on flow. Flow Cost Quality ran in two NHS hospital trusts: South Warwickshire NHS Foundation Trust and Sheffield Teaching Hospitals NHS Foundation Trust. South Warwickshire looked at the emergency flow for all adult patients, while Sheffield focused on one clinical subspecialty - geriatric medicine. The case studies that accompany the report provide more details of the work done by each of the trusts.