• Run by Walsall Healthcare NHS Trust.
  • Aimed at improving the experience of care in hospital and laying the foundations for safe, effective self-care at home for young people with asthma.
  • Focused on the discharge process by mapping and shadowing patients and staff to understand how it actually worked in practice.
  • The team used the model for improvement to collect ideas from frontline staff to test and implement.

This project aimed to:

  • support families to know how to manage asthma when well, preventing exacerbations, and when unwell, save health care resources if not needed
  • increase staff morale through them becoming more engaged and empowered in improving the care delivered.

The team collected patient stories through shadowing and direct observation to map the existing pathway experienced. Then experience based co-design was used to create the ideal process, including patients, carers and frontline staff as much as possible.

It was identified that the discharge process could be improved and better use made of the time families were in hospital. This was done by improving the information given as well as using tools such as a discharge bundle and a personalised asthma plan.

Elements of the discharge bundle included:

  • ensuring the patient is clinically fit for discharge
  • patient’s parents feel confident for the family to go home
  • patient's asthma inhaler technique is assessed as competent
  • patient given asthma self-management plan, advice leaflet and medication for use at home
  • peak Expiratory Flow Rate Meter and diary given
  • follow up arranged (open access/GP/Community Nurse/hospital).

Through the project, the time from the decision to discharge to leaving the ward was reduced and sharing information with carers, GPs and schools at the point of discharge helped ensure families received the support needed.

The project was clinically led but benefited from input from a variety of stakeholders including the third sector, education and IT as well as health care professionals in the community such as GPs, health visitors and school nurses.

Further reading


Patient and Family-Centred Care: practical tools to improve patient experience

4 June 2014

With the challenges currently facing the NHS, leaders at all levels across organisations need to...

You might also like...


Putting health tech into practice


What is required for tech implementation in the NHS to be successful, and how should this shape our...


COVID-19 recovery: opportunities for building a relational approach to quality improvement


Public health specialty registrar Dr Esther Kwong reflects on her personal experience of using...

Kjell-bubble-diagramArtboard 101 copy

Get social

Despite government promising to 'fix the crisis in social care once and for all', no plan to reform the sector has… https://t.co/IINgDPTJXv

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more