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NHS England launches its 100-day discharge challenge

The NHS has recently introduced its 100-day discharge challenge with a focus to improve the patient discharge process to “release much-needed capacity within acute providers”.

The letter from Sir David Sloman, Chief Operating Officer of NHS England stated;

‘The aim of the 100-day challenge is to improve the current position around discharge and ensure that we are in the best possible position ahead of winter.’

The National Health and Social Care Discharge Taskforce has identified ten best practice initiatives that it hopes will be adopted across the NHS, as part of the ‘100-day challenge’. These include:

  1. 1. Identify patients needing complex discharge support early
  2. 2. Ensure multidisciplinary engagement in the early discharge plan
  3. 3. Set an expected date of discharge (EDD), and discharge within 48 hours of admission
  4. 4. Ensuring consistency of process, personnel and documentation in ward rounds
  5. 5. Apply seven-day working to enable discharge of patients during weekends
  6. 6. Treat delayed discharge as a potential harm event
  7. 7. Streamline operation of transfer of care hubs
  8. 8. Develop demand/capacity modelling for local and community systems
  9. 9. Manage workforce capacity in the community and social care settings to better match predicted patterns in demand for care and any surges
  10. 10. Revise intermediate care strategies to optimise recovery and rehabilitation

The letter asks “that all system and provider leadership teams ensure there is a focused executive and clinical leadership from medical, nursing and allied health professional colleagues. There should also be consistent and appropriate oversight of discharge performance from trust boards and ICBs.”

In support of the initiative, Four Eyes Insight can bring assurance, robust governance and improved productivity across the core clinical areas of the patient pathway, enabling responsive patient care without delays.

To help address the NHS Priorities for 2022 to develop the workforce required to deliver multidisciplinary care including supporting the rollout of virtual wards and discharge, Four Eyes Insight is helping to reduce DTOCs and the current backlog by providing the tools to monitor NHS trusts effectiveness, ensuring that a culture of continuous improvement to drive long term, sustainable change is embedded along the way.

From when the patient is seen to when they have been discharged post-surgery our approach looks at every step, so if you would like to hear more, contact our experts at If you would like to find out more or discuss your requirements, please email