Objective Bupa is commited to being the most loved health care company by helping customers live longer, healther, happier lives. We’re passionate about making a difference through the way health and care is delivered to our customers, taking global best practice from our work in 190 countries. Bupa’s Onsite Care Coordination (OCC) is a patient centered, team based activity that is designed to assess and meet the needs of patients, helping them receive the most appropriate care and preventing over treatment. The objective of the initiative is to improve the patient outcomes and experiences while optimising the cost of care through it being delivered at the most clinicially appropriate level.

Methods The initiative started in August 2015 at one of the largest London hospitals and at a second London hospital in January 2016. Within these two hospitals on average over 2,000 Bupa patients are treated in an inpatient setting each year, this accounts for 12%–13% of all Bupa inpatient patients treated in London.

To help achieve the objectives of the initiative an OCC nurse assesses Bupa patients against evidence based guidelines, combined with their clinical knowledge and liaison with hospital staff. Using this method they can determine if an inpatient admission, level of care or extension of stay are clinically appropriate. Other activities include working with the hospital staff to highlight, facilitate and support discharge planning.

Since the start of the initiative OCC nurses have performed over 5500 reviews on 1300 patients.

Results The impact of the initiative is being continuously measured by identifying and monitoring behavioural change in the two hospitals. Changes have been observed and evaluated in two areas. Firstly, the reduction in inpatient average length of stay and secondly through the decrease in overall level of care. Ultimately this results in patients receiving the most appropriate care and remaining in hospital for only the necessary amount of time. Hence also reducing the risk of patients contracting hospital related infections or complications linked to extended stays.

The hospitals have confirmed they have observed increases in efficiency via the increased availability of bed spaces and staff time, alongside improvements in key care quality indicators.