Kent and Medway has used new digital solution to manage coronavirus care across its seven main hospitals

11 June 2020


A digital dashboard was developed to consolidate all relevant information on the management of coronavirus in local hospitals, enabling teams to make the best decisions on how to care for local people.

The Covid-19 NHS response team at NHS Kent and Medway Clinical Commissioning Group is able to instantly check the availability of staff, beds and crucial equipment used to care for coronavirus patients – and make decisions accordingly – thanks to a digital solution that was created and implemented within just seven days.

SHREWD COVID-19 shows, in real time, key information about bed availability at all seven main hospitals in the area. That includes how many beds are available from which oxygen can be given and how many unoccupied intensive care beds.

The system also provides daily updates on supplies of personal protective equipment (PPE) at all the hospital sites. This means a hospital with a lot of one particular item can easily be identified and asked to share supplies with one that has less.

Details of how many staff are off sick with Covid-19 in each hospital, meanwhile, can be used to support decisions about how best to redirect staff and patients in the event of high levels of absence on a particular site.

Each part of England has an Incident Control Centre through which the local NHS decides how best to manage coronavirus cases across their area. But because different hospitals are often run by different organisations, it can be very difficult for these leaders to quickly see where appropriate beds are available for patients and where there is spare PPE.

No such issue exists in Kent and Medway, where SHREWD COVID-19 offers a clear view of key information needed to make decisions on the management of the virus locally.

All this data can be seen in an online dashboard on which managers can filter for particular pieces of information. The system can also display the data as a heat map, allowing for even speedier identification of any areas with more limited capacity.

Stuart JeffreyStuart Jeffery, Tactical Commander for Kent and Medway’s NHS Incident Control Centre, commented that the tool was vital to effectively managing the peak of cases locally. “If you’re sitting in East Kent, being able to know how things are in Dartford, Medway and Tunbridge Wells is really useful.”

“Being able to see in real time how many ventilator beds are being used on each site and the levels of staff absence gives us an essential picture of the pressures in different parts of our local system. It allows us to work with all our hospitals in a coordinated way that helps both patients and hospital staff.”

Information on PPE was particularly crucial in the height of the first peak of the pandemic. “Having sight of where the PPE was in the county was essential to getting us through. Mutual aid transfers of equipment between hospitals were happening regularly. The Incident Control Centre was using the dashboard to help identify those supplies so that transfers could happen.”

The software has also been used to build surge and escalation plans for the local area to ensure the NHS in Kent and Medway is well prepared to deal with any further waves of coronavirus.

The dashboard was created and implemented within just seven days in April. It was developed and is provided by Transforming Systems, working in partnership with those in local health and care systems.

Staff at the company helped ensure all necessary data was collected and processed, that the data was high quality, and ensured the tool could be accessed by all those who would find it most useful.

Commented Lisa Riley, Strategy and Partnership Director of Transforming Systems: “COVID-19 has been an exceptional challenge for our NHS colleagues, and it’s likely to continue to be in the coming weeks and months. We are really pleased to have been able to support the effective management of coronavirus patients with SHREWD COVID-19.”

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