Developing Criteria Led Discharge: A Point Prevalence Survey

    Project: Research

    Project Details


    The original Point Prevalence Survey (PPS) Tool and concept were developed by University Hospitals Coventry and Warwickshire, by Dr Liz Lees-Deutsch, Associate Professor for Nursing. The Tool is Trademarked by University Hospitals Coventry and Warwickshire NHS Trust (UHCW). It may not be reproduced without permission of UHCW. This PPS work has been further collaboratively developed and pilot tested throughout 2022 with NHSE Midlands in order to gain traction and large-scale data.

    The aim of a PPS is to establish the prevalence of an issue at one point in time, in each context1. The aim of the PPS for Criteria Led Discharge (CLD) is to establish the prevalence and characteristics of patients potentially suitable for CLD in one or several ward areas, at one point in time.

    The working assumption underpinning this PPS, is that the Lead Clinician [who leads the clinical care of the patients] will be able to judge 'whether or not a patient is clinically suitable for CLD.' At the point of PPS, this is an entirely hypothetical proposition. It is suggested this will be best achieved through a team approach, where several clinicians as a minimum (nurse, therapist, and clinical lead) agree the data collected, using a survey instrument. Patients will be hypothetically selected into the process who are deemed suitable for CLD. For example, in a high flow patient area with relatively short lengths of stay a reasonable aim could be 10% of patients will be suitable. Consequently, the key message is, that evidence suggests CLD is not suitable for all inpatients2.

    Layman's description

    The objectives of this point prevalence survey (PPS) are to gather local data regarding patients identified as suitable for criteria led discharge. Collectively, across the UK this data collection process is taking place June and July 2023, which aims to collect ‘big data’ [across participating sites] to inform CLD development pathways going forward. The participants were volunteers and gave their time as part of their clinical role
    Broadly speaking the objective of this PPS are as follows:
    • to estimate the total prevalence of patients who could benefit from a criteria led patient discharge.
    • to describe patients, characteristics, and potential volume of patients
     by type of patients, specialties, or healthcare facilities and
     by wards
    • to disseminate data at local hospital and NHSE:
    to raise awareness of CLD
     to enhance surveillance process and skills
     to identify common issues regarding implementation and establish priorities accordingly
    • to provide a standardised PPS tool for hospitals to identify patients suitable for CLD through quality improvement mechanisms.
    Finally, to evaluate the effect of strategies and guide policies for the future at the local/national/regional level, through repeated PPS.

    Key findings

    The findings across 22 participating NHS organisations in the UK show that there are up to 50% of patients in the settings where patients were sampled are suitable for a criteria led discharge. This work has been presented to the Chief Nursing Officer (West Midlands) and Medical Director, NHS England. During 2023 this study continues to a second phase to collect data regarding patients in community settings. This expands the work.
    Short titleCriteria Led Discharge
    Effective start/end date1/01/2230/03/24

    Collaborative partners

    • Coventry University
    • NHS England – Midlands (Project partner)
    • NHS England Emergency Care Implementation Support Team (lead)


    • Patient Discharge
    • Criteria Led Discharge
    • Patient Flow
    • Earlier Discharge from Hospital
    • Delegation of Decision Making


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