Ensuring optimal length of inpatient stay – Great Ormond Street Hospital Eating Disorders Team – NCCMH

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The Great Ormond Street Hospital Eating Disorders Team is a national specialist service which has successfully reduced the length of inpatient stay through the introduction of step-up and step down care. Length of stay for young people with an eating disorder has reduced in the last three years from 253 days in 2013/14 to 64 days in 2016. Through working collaboratively with inpatient colleagues, the young person and their family determine admission goals with a focus on the minimal amount of change needed to continue care at a lower intensity.

Co-Production

  • From start: No
  • During process: No
  • In evaluation: Yes

Evaluation

  • Peer: No
  • Academic: Yes
  • PP Collaborative: No

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Great Ormond Street Hospital Eating Disorders Team

The Great Ormond Street Hospital Eating Disorders Team is a national specialist service which has successfully reduced the length of inpatient stay through the introduction of step-up and step down care. Length of stay for young people with an eating disorder has reduced in the last three years from 253 days in 2013/14 to 64 days in 2016. Through working collaboratively with inpatient colleagues, the young person and their family determine admission goals with a focus on the minimal amount of change needed to continue care at a lower intensity. Goals of admission are reviewed weekly, with a full clinical review involving local teams within 3-6 weeks of admission to determine the level and location of care. Day patient care may be offered as a step down from inpatient treatment once risk is diminished, with an emphasis on maintaining continuity of care across the inpatient, day-patient and outpatient service. It should be noted that the setting of a specialist service within a children’s hospital which has the capacity to provide for a complex level of medical care may have a role in minimizing the length of stay and care for children and young people with co-existing medical conditions.

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