Improving patient flow How two trusts focused on flow to improve the quality of care and use available capacity effectively

Flow Cost Quality ran in two NHS hospital trusts: South Warwickshire NHS Foundation Trust and Sheffield Teaching Hospitals NHS Foundation Trust. South Warwickshire looked at the emergency flow for all adult patients, while Sheffield focused on one clinical subspecialty – geriatric medicine. The case studies that accompany the report provide more details of the work done by each of the trusts.

Each trust brought its own context, culture, challenges and opportunities to the programme. Their experiences have provided rich learning about the relationships between flow, cost and quality, and about managing large-scale change within a complex system.

The Flow Cost Quality programme built on, and contributed to, a growing body of work on improving flow. This report includes an appendix of other programmes that have aimed to improve flow, as well as suggestions of further reading.