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NHS Community Trust
West Yorkshire Community Healthcare Trust
Leeds

Community Healthcare Trust Optimizes Post-Operative Monitoring Across Multiple Sites

Product Used:HD2 Handheld Bladder Scanner (Multiple Units)

The Challenge

West Yorkshire Community Healthcare Trust operates across 12 community hospitals and surgical centers, providing day surgery and post-operative care for a population of 850,000. Post-operative urinary retention (POUR) represented a significant challenge, affecting 15-20% of surgical patients and causing delayed discharges, patient discomfort, and increased costs. The Trust needed a cost-effective solution that could be deployed across multiple sites, used by staff with varying experience levels, and integrated into existing post-operative care protocols. Budget constraints required a solution that delivered clinical benefits while remaining affordable for widespread implementation.

The Solution

The Trust implemented a standardized bladder scanning program using the HD2 Handheld Bladder Scanner across all surgical sites. The HD2 was selected for its combination of clinical accuracy, affordability, and ease of use. The Trust purchased 15 units, allocating them based on surgical volume at each site. A comprehensive training program ensured all post-operative nursing staff could perform bladder scans competently. The Trust developed standardized protocols for post-operative bladder assessment, with defined scanning intervals and intervention thresholds. The HD2's Expert and Easy modes accommodated both experienced and novice users, ensuring consistent results across the organization.

The Results

The Trust-wide implementation achieved substantial improvements in post-operative care: • **Earlier POUR detection** - Average time to retention identification decreased from 4.2 hours to 45 minutes • **Reduced unnecessary catheterizations** - Catheterization rates decreased by 34%, with bladder scanning enabling targeted intervention only when truly needed • **Improved discharge efficiency** - Average time to discharge for day surgery patients decreased by 52 minutes • **Decreased readmission rates** - Post-discharge urinary complications requiring readmission decreased by 41% • **£127,000 annual cost savings** - Reduced catheter supplies, nursing time, delayed discharge costs, and readmission expenses • **Enhanced patient experience** - Patient satisfaction scores for post-operative care increased by 29% • **Standardized care across sites** - Consistent bladder assessment protocols improved quality and equity of care The affordability of the HD2 enabled the Trust to equip all surgical sites adequately, ensuring every patient received the same standard of bladder assessment regardless of location. The long battery life proved particularly valuable in busy surgical units, where devices remained operational throughout extended shifts without recharging.
"The HD2 bladder scanner program has been one of our most successful quality improvement initiatives. We've achieved better patient outcomes, reduced complications, and saved significant costs, all while improving the patient experience. The affordability of the HD2 meant we could implement this across our entire Trust rather than limiting it to a few high-volume sites. It's become standard practice in our post-operative care, and our staff wouldn't want to work without it."
— Helen Roberts, Director of Surgical Services, West Yorkshire Community Healthcare Trust

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