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There are three pillars to maximizing the hospital capacity: efficient allocation of beds, understanding and managing the condition of patients, and the focus of staff upon a prioritised set of activities. Traditional bed management focuses upon the first of these, but in hospitals that are typically over 95% full, they provide little benefit. Our approach focuses upon use of mobile software to achieve regular, accurate capture of patient status, and efficient allocation and prioritisation of work for staff. Our proposal combines lean thinking, patient centric pathways, and right clinician, right place, tight time concepts; translating this understanding into capacity management.

The adequate provision of prostheses for children and young people is complex, reflecting the changing size, diversity of activities, as well as early social and psychological development of this cohort. The critical concerns of the child, the parent and the healthcare professional are that care promotes independence, is tailored to the individual, and complements their needs by maximising choice. Currently, this process is restricted due to cost and increased demand on limited NHS resources. As such, this proposal looks to address these concerns through the provision of affordable, multi-grip, robotic prostheses for children and young people with upper limb deficiencies.

Length of Stay(LoS) is driven by the timely delivery of diagnosis and treatment. Where diagnosis or treatment is delayed, LoS and Patient Flow can be severely impacted. In-hopsital respiratory patient events Respiratory Compromise(RC) can increase LoS by 7 days at a cost rate £11,700 with over 55% of events occurring in acute care patients. Respiratory rate(RR) is the earliest indicator of deterioration,giving>24Hours notification of deterioration.PMD proposes to develop a suite of digital interfaces to enable integrate between PMD's respiratory product and hospitals' Electronic Medical Record systems so that it can be leveraged to improve patient flow through timely discharge.