To be honest I think managers are interested in this and keen to be involved. Medics just see the link more easily perhaps/known it for longer

And flowthian! Just came to me! Why bed occupancy went from over 100% to more over 100%?

I quote the ‘right hand corner of doom’ quite a lot at work!

Interesting. So something has changed from the previous relationship between downstream LoS and the front door. Hospital at home?

Hmmm. My head hurts thinking about this. But we know that every increase in LoS further downstream has a subsequent increase in LoS in ED so presumably.

I’m hoping I can convince you a coffee based chat may be helpful to both of us?

That final graph is mind blowing! Complexity of acute admissions went up ‘after-COVID’ combined with flow problems meant that more patients seemed to get ‘stuck’ on AMUs. AMUs aren’t designed for this - lack of continuity and ‘slower stream’ care eg MDT rehab

Love this!

Though that’s a more longstanding issue. You’re either straightforward or you’re not…

Yes! Very much this!