In November 2015 it became apparent that a person with dementia’s journey through the acute hospital was not always as streamlined as it should have been. There was evidence of late and multiple inter-ward transfers for this patient group that could potentially have a detrimental effect on individuals’ and carers’ well-being.

The aim of this project was to examine current processes around patient flow and decision-making, explore any themes arising and identify opportunities for improving transitions of care.

Collaborative working among various specialties has resulted in increased transfers before 8pm, a reduction in transfers after midnight and a reduction in inter-ward transfers.