Abstract G204 Table 1
Paediatric team assistants to help with administrative dutiesMonitoring time spent by medical staff on administrative tasks before and after the interventionDecrease in time spent on administrative tasks by SHOs (65%) and SpRs (62%)
Refining and improving efficiency of handoversAudit cycle of handover punctuality, duration and satisfaction.Percentage starting on time increased from 0% to 50%. Timeliness of evening shift SpR improved from 60% to 100%
Introduction of education weeks for specialty trainees years 2–3Qualitative trainee responsesHighly valued as enabled clinic attendance
Introduction of new junior doctor rotas following rota mapping exerciseDiary card monitoringCompliance
Email hotline for GPs to encourage appropriate management in the communityRetrospective review of enquiries to email addressPoor uptake of this new service
Introduction of a Paediatric Short Stay Unit to increase ambulation and optimise management of high turnover cases during daytime hoursAudit of factors contributing to delays in dischargeAverage 4.5 h delay from decision to discharge to time of discharge
Introduction of GP into emergency department to optimise management by primary care where appropriateAudit number of bleeps from emergency department to SpR on-call Monitor proportions of patients seen by GP and number of returnsDecrease in weekend morning bleeps GPs saw 33% of all attendances with a 5% return rate
Introduction of clinical site practitioners to support the out-of-hours medical and nursing teamsNew interventionNew intervention