Call us on: 0161 785 1000

Case Studies

Read all about the work we've done for clients

Go back

Guy’s & St. Thomas’ NHS FT – How we modelled capacity, demand and patient flow in the Emergency Department

Guy’s and St Thomas’ NHS Foundation Trust (GSTT) is one of the largest healthcare provider
organisations in England with over 140,000 attendances passing through its St. Thomas’ site
Emergency Department (ED) every year. The Trust were becoming increasingly concerned about
patients presenting with mental health problems in relation to the quality and appropriateness of
their journey through the ED pathway. Particularly, issues were occurring which resulted in waiting
time breaches, sub-optimal care quality and a higher cost base (often due to the need to ensure
one-to-one nursing whilst in the ED). GSTT asked Niche to undertake a capacity, demand and
patient flow review to more fully understand the:
1. nature and origin of demand;
2. pathways in, through and out of the ED;
3. options to provide (and commission) new efficient and effective care models for those
presenting with mental health conditions; and
4. capacity, staffing and financial implications of alternative models to meet service needs,
particularly how to achieve a reduction in the current one-to-one nursing spend.

Our Testimonials

Find out what our clients have to say about working with us

Our Insights

Our useful collection of newspapers, presentations and reports