• Led by University Hospitals Birmingham NHS Foundation Trust, with support from the University of Birmingham.
  • Focused on inpatients within the trust.
  • Putting patients at the centre of care planning and empowering them to participate in their care.
  • Uses patient diaries to link the scheduling of care services with individual care plans, to improve patient experience, service productivity and resource management. 

Inpatients may be told their anticipated discharge date on admission, but no system exists that produces a schedule of planned interventions – for example, diagnostics, operative procedures and physiotherapy – for their stay.

This project by University Hospitals Birmingham NHS Foundation Trust aimed to bridge this gap between scheduling services and individual care plans by using a patient diary to coordinate activities and structure interventions around the patient’s day.

MyDay@QEHB is a daily schedule of routine and planned clinical interventions for a ward. It aimed to empower patients and manage resources effectively through diarising the inpatient journey. It works by mining referrals and booked appointments from a range of different clinical systems. These are then presented within a single personalised schedule as timed events alongside regular routine ward events.

Staff are able to select a ward within the module and then view and print a schedule for each patient. Schedules are given to patients each morning as part of the usual ward routine.

MyDay@QEHB has made the invisible visible. Baseline data demonstrated that only 54% of patients were told about the ward routine on admission. The intervention reduces patient anxiety and allows staff to better manage resources.

As part of the development of the intervention, appointment systems were introduced to the therapies and imaging departments, and the portering task allocation system was re-designed – these are now embedded and continue to evolve. Staff have reported improved communication between these departments and the wards.

Contact details

For further information about the project, please email Lorraine Simmonds, Head of Service Improvement (Project Lead) at University Hospitals Birmingham NHS Foundation Trust.

    Further reading

    Newsletter feature

    Knowing what to expect during your stay in hospital

    18 December 2012

    ‘Diarising the inpatient journey’ is a new project led by University Hospitals Birmingham NHS...

    You might also like...


    How far will integrated health and care systems go in preventing disease?

    Adam Briggs explores how the 2019 5-year strategic plans for ICSs and STPs will provide an early...

    Press release

    Worst January for people waiting longer than four hours in A&E

    Health Foundation response to January 2020 NHS England performance statistics


    How can unnecessary outpatient appointments be reduced?

    Outpatient hospital appointments have nearly doubled since 2007/08 to 120 million a year, with the...

    Kjell-bubble-diagramArtboard 101

    Work with us

    We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

    View current vacancies
    Artboard 101 copy 2

    The Q community

    Q is an initiative connecting people with improvement expertise across the UK.

    Find out more