SERVICES & SOLUTIONS​

Short Stay Programme​

Help to reduce your elective surgery waiting list.
The Short Stay Programme aims to support Trusts by helping to reduce elective surgery waiting lists through capacity creation. We focus on working with your teams to help reduce length of stay and improve theatre efficiency.

Child in hospital representing Short Stay Programme​

Did You Know?​

6.1 M​

In January 2022, 6.1 million​ people were waiting to have​ an operation – the highest​ number since records began​ in August 2007.1

52 weeks​

The number of people​ waiting more than 52 weeks​ to start non-urgent​ treatment was 310,813, up​ from 310,813 in the previous​ month and 39% higher than​ in December 2020.1

The waiting list for elective care​

The waiting list for elective care​

The pandemic has placed considerable strain on planned service delivery, which was already under pressure before the pandemic, and understandably deterred people from coming forward for care. 6 million people are now on the waiting list, up from 4.4 million before the pandemic.2

The impact on patients​

The impact on patients​

The impact of waiting longer for treatment on individuals and their families and carers can be wide ranging.

If patients are waiting longer for treatments this could mean an existing condition worsens and as a result more complicated surgeries or increased use of medications are required, and recovery is slower and outcomes worse, including reduced quality of life.2

The impact on NHS staff​

The impact on NHS staff​

The NHS’s staff are its greatest asset. The extraordinary achievements of staff over the last two years is a testament to their determination and resilience.

Before the pandemic, there were staff shortages and workload pressures across the NHS. While the workforce continues to grow demand for services is also very high and will increase in coming years.2

If 30% of these Hip and Knee patients achieve next day discharge, the NHS would save over £39 million* based on each additional night costing of £300 5

Calculation6: Volume of cases (30%) x reduction in length of stay from average to target x cost per bed day

92,874 THA performed in 2018. 99,093 TKA performed in 20183.

What is the Situation in Elective Orthopaedic Surgery?

Approximately 84% of patients receiving a Total Hip Arthroplasty (THA) or Total Knee Arthroplasty (TKA) are ASA 1 and 2 3

According to an advisory board of clinical stakeholders facilitated by J&J, “Overall, Advisors agreed that instead of patient selection, it is preferable to consider all patients eligible for 24-hour discharge (or even consider them a day-case). However, a soft form of patient selection criteria has to be in place, to be able to assess the likelihood of them staying in the hospital for more than one day.”4

Exec sponsor Clinical lead Floor manager

Essentials for Success

From years of experience, these are the learnings we believe are essential for successful outcomes.

  • Strong support from Hospital – organisational buy in at Executive Level.
  • Inspirational and Charismatic Clinical lead.
  • Teamwork – drive for quality improvement programme.
  • Hospital availability and access to accurate KPI data.
  • Service evaluation audit – length of stay, re-admission, complications, rates of surgical site infections, PROMS, overall adherence to pathway.
Strategic Capabilities ​

Strategic Capabilities aims to understand the challenges within UK Healthcare

  • We set ourselves apart from the consultancy approach by establishing long term partnerships with our customers.
  • Our partnerships are underpinned by clinical preference for our products, and our teams are embedded in clinical service delivery.
  • Pressure is intensifying and hospitals need to: reduce costs; improve patient outcomes; and increase patient satisfaction.
  • We believe delivering value based healthcare improves pathway efficiencies and thus reduces costs.

Our Services & Solutions

There is no ‘one size fits all’ approach. Every hospital and healthcare provider is different, and so are their needs.

In order to help recognise and address your particular challenges in reducing your elective surgery waiting list, we offer a wide range of services and solutions under the Short Stay Programme. With 130 years of experience in healthcare across three sectors – medical devices, pharmaceuticals, and consumer – we are confident that we will be able to find an approach that is just right for you.

Our capabilities can help by providing tailored solutions that address challenges. Our programmes focus on three elements – services, disease specific content, and technology.

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Needs Identification

Discuss challenges and perform analysis to define opportunities where we can help.

Co-creation

Co-creation

Work together to understand how your needs can be addressed using our capabilities.

Desired Results

Desired Results

Tailor the approach to deliver results and measurable impact.

We believe solving starts with listening

Why Partner with Johnson & Johnson

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Implementation Expertise

Model pathway flow based on references and examples. Resource within process improvement, project management and data analytics.

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Access to Subject Matter Experts

Team engagement, training modules, change management expertise - Seeing is believing. Become part of expert network/community.

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Patient Engagement

Testimonials, Digital and printed assets, Patient education App.

KPI Metrics

KPI Metrics

Audit of current state and gap analysis.

Data analytics; benchmarking and ongoing review.

Services & Solutions Team

JJML Services & Solutions Managers have a breadth of experience across specialties and industries focusing on all elements of project management, change management and continuous improvement whilst exhibiting strong customer focus.

Lucy Morrisey

Lucy Morrisey

  • Programme SRO
  • Senior NHS Management Experience
  • NHS T&O Experience
Dave MacFie

Dave MacFie

  • Sales & marketing leader
  • Published in ERP
Ronak Unjia

Ronak Unjia

  • NHS provider and commissioning experience (14 years)
  • Transformation and Service Improvement Specialist
Lucy Beech

Lucy Beech

  • NHS T&O Operational Management
  • Service Manager
Clint Roscow

Clint Roscow

  • Digital supply chain solutions
  • Pathway improvement & mapping
  • Orthopaedic R&D Experience
 

Interested?

If your Trust is interested in the Services & Solutions Team working with your teams to help reduce your elective surgery waiting list, please contact us today.

Contact Us →

Services & Solutions

Our capabilities can help by providing tailored solutions that address challenges. Our programmes focus on three elements – services, disease specific content, and technology.

Learn More →

References

*This presentation presents pre pandemic data from the NJR and Hospital Episode Statistics (HES) from 2019 and 2018 respectively. In 2020/21 to address the rising waiting lists a larger proportion of patients were operated on in the private sector where pathways may be different to the NHS. The result of this may have skewed certain data points such as Length of Stay. Our team decided to use pre-pandemic data to reflect metrics that have not been impacted by different pathways.

  1. NHS England and NHS Improvement. 2022. Referral to Treatment (RTT) Waiting Times, England. January 2022. Accessed: March 2022.
  2. NHS England. 2022. Delivery plan for tackling the COVID-19 backlog of elective care. February 2022. Accessed: March 2022
  3. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man, 16th Annual Report (2019) website. Accessed March 2022.
  4. DePuy Synthes. 24-hr hip & knee replacement Advisory Board. 28 January 2020. Data on File
  5. Getting It Right First Time. Getting it right in Orthopaedics, reflecting on success and reinforcing improvement. A follow-up on the GIRFT national speciality report on orthopaedics. 2020. Accessed March 2022
  6. Depuy Synthes. Calculation of bed day savings. 21st March 2022. Data on File.

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