Demand management and capacity planning – NHS Midlands and Lancashire CSU

We understand the barriers to effective care co-ordination, and how to overcome them. In our experience, these barriers stem from:

  • The complexity and fragmentation of the health and care system
  • The lack of an integrated electronic health record system to inform referrals, track patients as they move between providers, and capture health outcomes
  • The difficulty of capturing a comprehensive real-time view of demand and capacity at patient and system-wide level
  • The scale and complexity of acute settings
  • Limited understanding of the range, volume and speed of provision required in alternative settings for timely transition to lower levels of care.

These barriers, whilst significant, are not insurmountable. With our strategic suppliers, we are addressing them with the tools and processes we have developed for:

  • Providing live or near real-time data on demand and capacity across the system
  • Accurately predicting the clinical/non-clinical support required to meet seasonal fluctuations in need
  • Facilitating capacity management to monitor and direct patient flow
  • Improving the management of patient flow within acute settings so that resources for care co-ordination are better directed.

We are working with primary and acute care providers, local authorities and CCGs in our operating region to introduce an integrated approach to health and social care. This work involves strategic insight, organisational development, and analytical and operational services to support the effective implementation of ICS/STPs.

In the absence of a single electronic health record, we are incorporating existing care records, patient information and performance data from a range of sources into the following resources, tools and processes, which we use to co-ordinate care and minimise transfer delays:

  • Our regional capacity management team provides an urgent care operational planning function that engages the whole health economy to manage demand and flow, including surge and support for seasonal plans
  • Our Urgent Care Intelligence Centre (UCIC) constantly monitors live or near real-time intelligence on regional demand and capacity to provide timely alerts to the health system which help to maintain patient flow through the whole urgent and emergency care pathway
  • Online ‘what if’ analysis tools, and our expertise in scenario planning, clinical impact assessment and assessment of workforce needs
  • Intelligence sources to support high-quality decision-making, building the clinical case for change based on ‘assess to admit’ rather than ‘admit to assess’
  • EMSPlus, an urgent care system tracker that captures information on which ambulances are heading to which hospitals, how many are on site awaiting handover and how many have completed handover. It also captures real-time A&E, bed state and delayed discharge information.

Get in touch

Kingston House

438-450 High Street
West Bromwich
West Midlands
B70 9LD

0300 404 2999
  • Heron House
  • Anglesey House

Midlands and Lancashire CSU
120 Grove Road
Stoke on Trent

0300 404 2999

Midlands and Lancashire CSU
Towers Business Park
WS15 1UL

0300 404 2999
Jubilee House

Midlands and Lancashire CSU
Lancashire Business Park
PR26 6TR

01772 214200
Bevan House

3rd Floor
Stephenson Way
Wavertree Technology Park
L13 1HN

0151 295 8612/8619
  • 1829 Building, Chester
  • Old Market House
  • Clark House

1829 Building
Countess of Chester Health Park
Liverpool Road

01244 650 351

Hamilton Street
CH41 5AL

0151 514 2335 EXT 1487

Hulley Road
SK10 2LU

01606 544 791
Cardinal Square

3rd Floor North Point,
10 Nottingham Road,
Derby DE1 3QT
East Midlands

01332 868700
St Johns House

St Johns House
30 East Street
United Kingdom

0121 611 0100



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