Daily Dynamic Approach in the community: Highland improvement story part one

Challenges

As with any change in procedure, the introduction of the new daily huddle was not without its challenges, as the team at Invergordon found. The huddle takes place at 8.30am, which is one of the busiest times of day on the wards, coinciding with the drugs round, patients getting up and breakfast. The hospital decided to treat the huddle as a priority, which means that other tasks might get moved back to accommodate it. To assist with the process and free up time it chose to dispense with the morning handover meeting for auxiliary nurses. Instead, they now receive electronic printed sheets prepared by staff on the previous shift. Julie said:

"This was not a popular change when we proposed it but we explained to staff why we needed to do it and now they can see that it gives them extra time to spend with patients, they prefer it."

"We are focusing on putting patients at the heart of everything we do, avoiding duplication and eliminating waste. The Daily Dynamic Discharge model is helping us to achieve this across the community and encouraging us to become more proactive in our discharge planning."

Kate Patience Quate, Lead Nurse, Highland Health and Social Care Partnership