Berth - Live Bed Board and Patient Flow for a Two-Site NHS Hospital Trust

Command centre, site bed board with its bed panel, bed request queue, bed request detail and the cleaning board. The site switcher filters every screen by hospital or for the whole trust.

Specialty, bay sex designation, side room for isolation, bed type and ward staffing. Beds that would cause a mixed-sex breach, put an infectious patient in an open bay or make an outlier rank last and need a reason to allocate.

Occupied, clean, dirty, cleaning, awaiting inspection, allocated, blocked and closed, each with its own colour, timer or reason, plus markers for discharge today, no criteria to reside and isolation.

14 wards and 64 bays across two hospitals, 25 bed requests from A&E, the assessment units, theatres and other hospitals, and 20 clean jobs across every stage.

A Bed Position Out of Date by the Meeting

Two hospitals, about 640 and 280 beds, and a picture built by phone. A clean bed could sit empty for two hours while A&E held twelve patients on trolleys, because nobody outside the ward knew it was ready.

The Right Bed, Not Just Any Bed

Trusts must avoid mixing men and women in the same sleeping accommodation except where clinically justified, infectious patients need side rooms, IPC closes bays during outbreaks, and an outlier on the wrong specialty ward needs a site manager's approval.

Discharge Delays Off the Board

Every inpatient is reviewed daily against the national criteria to reside, and patients who no longer meet them are reported with a delay reason and a discharge pathway from 0 to 3. Tracked on a separate list, those reasons were never joined to the bed position.

Escalation and Returns by Hand

OPEL levels from 1 to 4 are scored on parameters such as handover delays, 12-hour waits and occupancy, A&E waits are measured against the 4-hour standard and from the decision to admit, and the daily sitrep for NHS England was compiled by hand.