SAFER patient flow bundle: board rounds


These resources will help you improve the effectiveness of your board rounds, as part of implementing the SAFER patient flow bundle.

Board rounds are a summary discussion of the patient journey and what is required that day for it to progress. They identify and resolve any waits or delays in the patient’s hospital stay. This enhances patient experience and reduces the risk factors associated with a prolonged hospital stay.

Tailor this guidance to your local circumstances, to support engagement and continuous improvement. 

To get started, read our rapid improvement guide on setting the clinical criteria and expected date of discharge. Use the principles of the theory of constraints to clearly define and govern the expected date of discharge (EDD) and clinical criteria for discharge (CCD)


Board round internal professional standards (IPS) PDF, 189.5 KB

Many providers have developed internal professional standards (IPS) with their multidisciplinary teams to support effective board rounds. Your local teams can download and adapt this example.

Board round checklist PDF, 223.5 KB

Providers may find it helpful to display a simple board round checklist. You can adapt this example for local use.

Board round quick audit tool DOC, 84.0 KB

An example audit tool that providers can use to measure their progress.

Board round baseline audit tool – audit team DOCX, 50.0 KB

An example audit tool that providers can use to measure their progress.

Red2Green tracking tool XLSX, 495.7 KB

Providers are adopting the Red2Green approach to improve their tracking and completion of actions, to reduce internal and external delays. You can download and adapt this example tracking tool.

Case studies

Find out how other providers are using their board rounds to identify and resolve any waits or delays in the patient’s hospital stay. 

Mid Yorkshire Hospitals NHS Trust has set up a daily multidisciplinary board round.

Nottingham University Hospitals NHS Foundation Trust expedited discharges using an approach focused on board rounds, internal escalation processes and existing links to community and social care services.

University Hospital of North Midlands describes how it implemented the SAFER patient flow bundle and Red2Green approach, and how to make board rounds more effective.  

You can find more case studies on The Academy of Fabulous Stuff website.


Watch these useful videos to help you improve your board rounds. 

Staff at Ipswich Hospital NHS Trust, discuss effective board rounds.

Staff at University Hospitals of Leicester NHS Trust discuss Red2Green board rounds.

Consultant Kate Hellier, Gloucester Hospitals NHS Foundation Trust, outlines how the SORT criteria (Sick patients; Out today or tomorrow; Rest of the patients; To come in) can support effective board rounds.

Find out more

For the latest improvements arising from the SAFER patient flow bundle and Red2Green days see FacebookTwitterThe Academy of Fabulous Stuff and The Edge.

You can also follow these hashtags on Twitter for highlights of the latest achievements across the country.

Share your improvement stories and resources with colleagues across the NHS by submitting them to our Improvement Hub.

Related content

You can also access all our rapid improvement guides to support improvements in urgent and emergency care in your organisation.

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