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Hourly rounds introduced at Cromwell Hospital


Nurses will visit patients at hourly intervals on top of their other duties at Bupa’s Cromwell Hospital under a new system modelled on practice in the US.

“Hourly Rounding” will mean nurses visiting patients every hour between 8am to 10pm, and every two hours at night between 12am and 6am.

Studies show the system improves patient satisfaction and safety, and a higher than average nurse-to-patient ratio of 1:4 will help the hospital become the first private centre in the UK to deliver it.

US patients said they were reassured by regular updates on their care and condition and the checks cut call-bell requests by an average of 37%, leading nurses to report more controlled, productive and less stressful shifts.

Cromwell Hospital spokeswoman Philippa Fieldhouse said: “We’re always looking at how we can further improve our patients’ experience. Ensuring that our nurses are proactively supporting their patients in addition to their reactive duties is a simple but effective way of reassuring our patients that their needs are central to everything we do.”



Readers' comments (15)

  • Do patients buzz less often if they know a nurse will be round regularly? anybody got any experience of this?

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  • Yes, yes, yes....we all know that we should be checking on patients regularly. The telling points here are
    1) Private hospital (so no acute admissions)
    2) RNs looking after 4 patients each
    Its not rocket science.
    Meanwhile back in the pit that is the NHS, many admissions units are staffed with an RN to look after 15 plus patients. I don't know how fast you can walk but an hour to walk around our admissions unit (assuming no relatives, phonecalls, docs etc etc) would be pretty hard going. I would suggest that our BUPA hospital mainly serves those in for elective procedures, not the acutley unwell. I have also been qualified since the dinosaurs and find it distressing that we are allowing the elderly and vulnerable members of our society to be given substandard treatment due to lack of RNs on the floor. We should hang our heads in shame. In another decade the NHS will be only for those who have no other option. Just look across the pond to the state of County hospitals to see where we are heading (having worked in one, I know what I'm talking about).

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  • This system is not new......hourly rounds is used in other private hospitals in the UK, and it was based by an amercian system, it does reduce complaints and ensure patient safety, however the nurse ratio is lower in private sectors, compare to the NHS. So maybe the NHS need to hire more reg nurses, so the nurse ratio can be 1:4 instead of 1:6 or 1:15 on nights and we will be gladly use the hourly rounds on the ward.

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  • patient rounds are part of the daily process of care so nothing new there. This is just a way of documenting what we're doing in a timely way which adds to the task. Its part of the quality process anyway and patients are safer when they see the nursing staff regularly. I would love to know where there are ratios of 1:4 RNs to patients as the norm at my workplace is 1:14 daytime and nightime. though this is improving, government willing....

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  • Regular checks are essential for all patients but hourly rounds although essential for some patients, seems excessive for others. this must be tailored to individual patient's needs, their level of dependence and seriousness of their condition otherwise for some it may be too intrusive.

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