Compliments | Hospital feels better; patient flow has improved; major benefit to staff and patients; patient feedback excellent; ambulatory unit working superbly; GSTT support good. |
Process issues | Handover not working; frailty under pressure; needs work on AAW; difficult to close AEC in evening; issues with bed management out of hours. |
Staffing issues | AAW nurse staffing inadequate (dangerously so at times); variability of junior doctor support on AAW: major issues identifying responsible junior doctor on AAW. |
Workload | Massive increase in nursing workload in AAW; need more support on AAW. |
Estate | AAW estate inadequate (computers, space, etc). |
Communication | Needed more pre-planning and discussion with nursing staff. |
Implementation | Chaotic start for junior doctors; needed better leadership from consultants. |
Negative comments | GSTT is an aggressive trust with a conflict of interest…they would be happy to have Medway as a satellite unit! |
AAW = acute admission wards; AEC = ambulatory emergency care unit; GSTT = Guys and St Thomas Trust.