The collaborative teams that completed the campaigns and their aims (adapted from Middleton et al12)
| Reduce hospital admissions/length of stay | Increase access to community support | Reduced harm to patients/ readmissions |
| 20 000DAYSCAMPAIGN EnhancedRecovery After Surgery: reduce length of stay for hip and knee patients by 1-2 days. HipFractureCare: reduce length of stay for patients over 64 years old from 22 to 21 days. Transitions of Care and St John Ambulance: provide a goal discharge date for patients in surgical and medical wards and increase the number of low-acuity patients managed in the primary care setting, rather than transported to hospital. HelpingHighRiskPatients: identify high-risk primary care patients and reduce unplanned hospital admissions by 1625 bed days. Cellulitis: reduce the number of bed days used for patients with cellulitis by 5%. | 20 000DAYSCAMPAIGN Better Breathing: increase pulmonary rehabilitation places from 220 to 470 a year. HealthyHearts: establish a patient flow process for patients admitted with new/acute or established heart failure under the care of cardiology teams. VeryHighIntensityUser: increase the number enrolled in a very high-intensity user programme from 120 cases to 600 cases to try and reduce unplanned presentations and admissions to hospital. | 20 000DAYSCAMPAIGN SMOOTH:Safer Medicines Outcomes On Transfer Home: reduce medication-related readmissions by providing high-risk adult patients with a medication management service at discharge and during the immediate post discharge period. Delirium: increase early identification and management of delirium through the use of a confusion assessment measure. |
| BEYOND20 000DAYSCAMPAIGN Inpatient care for people with Diabetes: reduce length of stay and readmission for people with diabetes by changing the model of inpatient diabetes care using an electronic patient identification tool. Early Supported Discharge for Stroke: reduce 4 days in average length of stay, achieve functional improvements comparable to inpatients and a patient satisfaction score of 95% or greater. Kia Kaha (Manage Better, feel Stronger): achieve a 25% reduction in overall hospital and General Practitioner use for 125–150 individuals with long-term medical conditions and co-existing severe mental health/addiction issues. Mental Health Short Stay: provide a safe environment in emergency care for the assessment and initial treatment of mental health service users, reducing unnecessary inpatient admissions. Acute Care of the Elderly: improve the care of acute medical patients over 85 years by developing and implementing a model of acute care for the elderly. | BEYOND20 000DAYSCAMPAIGN HealthyHearts: aim for a mean improvement of 20% in the exercise tolerance test and health index questionnaires for those enrolled in a Fit to Exercise programme. Franklin Health Rapid Response: develop a service to reduce avoidable presentations to emergency care by 4% and support a smooth transition back to their community. HealthySkin: achieve a 20% reduction in recurrent presentations for skin infections among patients enrolled at one primary healthcare centre. HelpingAtRisk Individuals: reduce unplanned hospital admissions for the identified at-risk population by providing coordinated, planned management in the community. Memory Team: support people with dementia, their families and carers to live independently as long as possible with the best possible health and mental well-being, within the bounds of their condition. | BEYOND20 000DAYSCAMPAIGN Feet for Life: reduce the number of lower limb amputations by at least 10%. SMART: Safer Medical Admission Review Team: introduce a model in which doctors and pharmacists work together early to triage category 2–5 patients in emergency care. Well Managed Pain: complete a multidisciplinary assessment for 100% of patients referred to the pain team within 4 days from referral and, where relevant, document a multi-disciplinary pain care plan. Gout Busters: screen 200 patients with a history of gout using the gout trigger tool. |