Case Study Improving length of stay at Dartford and Gravesham NHS Trust Background Dartford and Gravesham NHS Trust wanted to improve length of stay and ensure it provided the most appropriate and effective care for the patients being treated in the medical directorate. Identifying the problem Using Signpost, our online corporate reporting and clinical management system, we identified where that patients had an underlying diagnosis of dementia, their length of stay increased substantially. More detailed analysis showed that it was not the patients who were discharged to a care home, but those whose dementia did not warrant a specific residential care package. A core element of the DH’s Dementia Strategy is that dementia patients are best placed in their own environment, be it

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