The key issues identified as hindering performance against the four hour A&E target at the Queen Elizabeth University Hospital (QEUH) were: Bed management - how beds were made available quickly for patients requiring admission to avoid congestion and delay Patient flow from the Immediate Assessment Unit (IAU) – how beds are made available quickly for patients Infrastructure to support the delivery of services, e.g. portering services, room cleaning and pharmacy The support team worked closely with the local team on site to implement key measures that would support immediate improvements and identified a number of next steps to ensure further improvement and sustainability, including: Opening hours in the discharge lounge extended from 5pm to 8pm. Rapid...