Location in SystemView: SystemView > Explore > Beds > Complex Patients > Complex Patient Escalation List
In this article:
- What is it?
- Why it matters
- How to use it
- How it works
- How it helps you
- Best practices
- FAQs / Troubleshooting
What is it?
The Complex Patient Escalation List provides a live summary of patients whose discharge barriers are highly complex or require attention from leadership and flow teams.
Patients appear here after being escalated from the Complex Patient Register, allowing these teams to monitor progress, review barriers, and coordinate actions for patients significantly impacting patient flow or long stays.
Why it matters
Keep leadership and flow teams focused on the patients impacting flow the most.
This component brings together the most complex discharge cases for coordinated management and accountability. It ensures visibility across hospital leadership structures and supports timely action for patients whose stays are delayed by systemic or external factors.
Key benefits:
- Enable high-level oversight: Give leadership and flow teams a live view of complex discharges requiring intervention.
- Prioritise resources: Focus attention on cases needing multi-service coordination.
- Promote accountability: Record actions, responsible leads, and follow-up outcomes.
- Reduce delays: Support targeted intervention to restore bed capacity and maintain flow.
How to use it
Filter to focus your view
Use the filters at the top of the dashboard to refine which patients you see:
- Ward Division / Ward Type / Ward: Narrow results to specific divisions, ward types, or individual wards.
- Consultant Specialty: Focus on patients under a particular clinical specialty.
- Flow Category: Filter by the SystemView Flow categoriesgories - Passive, Risk, or OK.
- Order By: Sort results by ward, length of stay (LOS), or other key fields.
- Patients Shown: Display either Top 30, Top 100, or All patients.
- Patient: Search for a specific patient using their patient ID.
ℹ️ Note: Filter options may vary depending on your environment — some sites may display additional filters.
Review escalated patient insights
Use the Patient Escalation List table to review and manage patients escalated from the Complex Patient Register. Each record includes patient details and editable fields for recording actions, responsible leads, and progress updates.
After entering any updates, select Save in the bottom-right corner to apply changes.
| Tile Name | What It Shows |
| Total Escalation Patients | Displays the total number of complex patients currently escalated within your selected filters. |
| Complex Patients Table | Summarises patient details and discharge actions to keep complex cases visible and moving. Users can update Anticipated Discharge Timeframe and Anticipated Discharge Location fields to support planning and reporting. |
💡 Tip: Use this list in leadership and flow meetings to review progress and confirm next steps for escalated cases.
How it works
The Complex Patient Escalation List automatically populates with patients escalated from the Complex Patient Register.
It supports structured review and coordination by leadership and flow teams, ensuring oversight of high-impact cases. Once barriers are resolved, patients can be updated and de-escalated back to the Complex Patient Register for continued management.
SystemView logic
- Flow Length of Stay (Flow LoS): Represents the expected period of time a patient should stay on a ward to maintain optimal patient flow, based on historical demand patterns. It helps identify patients who have exceeded or are at risk of exceeding their expected stay.
🔗 Click here to learn more about Flow Length of Stay.
- Risk of Hospitalisation (RoH): A predictive measure estimating the likelihood that a patient will be readmitted to hospital within 30 or 60 days post-discharge. It highlights patients who may require additional discharge planning or follow-up to reduce readmission risk.
🔗 Click here to learn more about Risk of Hospitalisation.
How it helps you
- Focus leadership attention: Highlight patients who most impact flow and bed capacity.
- Promote visibility: Keep leadership and flow teams aligned on progress and outcomes.
- Track updates: Record anticipated discharge timeframes and locations.
- Support timely action: Ensure complex discharges remain active and accountable.
- Maintain hospital flow: Reduce long stays caused by unresolved barriers.
Best practices
How often should I use it?
| What to Do | How Often | Who Should Do It | Why It Helps |
|---|---|---|---|
| Review escalated list | Daily |
Leadership and Flow Teams | Keeps focus on priority cases and ensures accountability. |
| Update anticipated discharge details | After meetings | Leadership and Flow Coordinators | Keeps discharge planning data accurate and current. |
| De-escalate resolved cases | When barriers are cleared | Bed Managers, Flow Coordinators | Returns patients to the Complex Patient Register for ongoing monitoring. |
Pair with these components
- Complex Patient Register: Escalate patients here when additional oversight is required.
- Admitted Patient Register: Identify and flag complex patients early.
- Complex Patient Trends: Analyse patterns in complexity, delays, and lost bed days across wards or time periods.
- LoS Trends & Ward Dynamics: Identify wards most impacted by long-stay or complex cases.
Tips for success
- Review escalated patients during leadership and flow meetings.
- Record anticipated discharge details after each review.
- De-escalate cases promptly once resolved.
- Use related components to identify recurring causes of escalation.
❓FAQs / Troubleshooting
Q. Where does the data in the Escalation List come from?
A. Patients appear here once they are marked as escalated (‘Y’) in the Complex Patient Register.
Q. Who can update this list?
A. Authorised users such as Flow Managers, Bed Managers, and Leadership Team members can update anticipated discharge details.
Q. Can patients be removed from the Escalation List?
A. Yes. Once barriers are resolved, remove the escalation flag or de-escalate the patient back to the Complex Patient Register by switching the Escalation List flag to 'N'.
Q. Why can’t I see a patient I added from the Complex Patient Register.
A. Make sure you select Save after making any changes in the Complex Patient Register. Saving updates SystemView and ensures patients appear correctly in the Complex Patient Escalation List.