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Red to green - Sherwood Forest Hospitals to keep patients moving through the care system

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February 16, 2017

Clinical teams and frontline managers at Sherwood Forest Hospitals are going green this winter.

We are joining the NHS England and NHS Improvement Midlands and East region Red2Green Campaign, which aims to cut the time patients wait for the next stage of treatment.

Briefings are being held for Sherwood Forest Hospitals’ junior doctors and consultants and a presentation will be held for senior nursing staff on Tuesday February 21, 2017 as part of the campaign launch.

Under the system, a red day is one that has no benefit for the patient – that is, nothing happens to help that patient along their care pathway. 

Examples include:

  • A planned and requested diagnostic is not undertaken
  • A planned therapy intervention does not happen
  • Medical management plans do not reflect interventions.

A green day is a day of value for a patient – that is, when they receive an intervention that supports them through to discharge.

Sherwood Forest Hospitals Deputy Chief Nurse Phil Bolton said: “This is about changing the culture so that everyone involved looks at the care of each patient and takes positive action to cut out delays in treatment.

“If, for example, a patient is ready for a particular test or scan but the allocated appointment is not for two days, staff will ask themselves: What can I do to keep that patient’s care moving, what can be done to make that appointment happen today?”


  • A hospital where all patients and staff are able to describe what is going to happen this morning, this afternoon and tomorrow to progress the care a patient needs to get them home
  • Patients and families always know what is going to happen next and when it is likely to happen
  • The only variable factor is the biological process of recovery, not the waits and frustrations of care systems
  • Patients receive care and staff come to work knowing that the next step is ready and there is no unnecessary waiting.

Dr Ian Sturgess, NHS Improvement’s Senior Clinical Improvement Adviser, who devised the system, says: “Reducing unnecessary waiting for patients, and unnecessary chasing up by staff has to be a win-win for everyone working in and using our health and care systems.”