How iBox Supports Oversight

Real-Time Grip, Control and Assurance for the Acute Hospital

iBox is an operational oversight platform designed to give Chief Operating Officers and executive teams
continuous, real-time visibility of pressure, risk and performance across the acute hospital.

Rather than relying on retrospective reports, iBox provides a single operational picture that supports:

  • Executive grip on system pressure
  • Early identification of performance and safety risk
  • Clear escalation and intervention pathways
  • Assurance that operational decisions are based on live data

iBox aligns operational delivery with oversight expectations by making performance,
safety and productivity visible at the point decisions are made, not weeks later.

Emergency Department (ED) Oversight

Front-Door Control and Early Risk Identification

iBox provides live ED oversight to support executive control of the hospital’s highest-risk entry point. It enables COOs and operational leaders to see:

  • Real-time demand and queue build-up
  • Risk of prolonged waits
  • Ambulance handover pressure
  • Downstream constraints impacting ED flow

By linking ED activity directly to bed availability and inpatient pressure, iBox supports early intervention, helping prevent deterioration in performance before escalation thresholds are breached.

This supports assurance that urgent and emergency care pressure is understood, monitored and actively managed.

Same Day Emergency Care (SDEC)

Protecting Flow and Avoiding Unnecessary Admission

iBox provides executive-level visibility of SDEC performance, enabling oversight of:

  • Activity and throughput in SDEC pathways
  • Conversion risk to inpatient admission
  • Impact of SDEC capacity on front-door pressure

For COOs, this provides assurance that SDEC is functioning as intended — absorbing demand, protecting beds and reducing avoidable admissions — rather than becoming an unseen bottleneck.

Live Bed State and Capacity Oversight

Trust-Wide Control of Capacity and Risk

iBox delivers a live, hospital-wide bed state that supports operational
and executive oversight of:

Occupied, available
and blocked beds

Infection and
isolation constraints

Red and green bed
status

Mismatch between
demand and capacity

This enables COOs to maintain continuous control of inpatient capacity, understand where flow is constrained, and intervene early to protect safety and access.

The live bed state provides assurance that capacity decisions are based on real-time information rather than static snapshots.

Deteriorating Patients & Hospital at Night

Oversight of Clinical Risk and Out-of-Hours Pressure

iBox delivers a live, hospital-wide bed state that supports operational
and executive oversight of:

iBox supports oversight of deteriorating patients and overnight risk by combining:

  • Clinical acuity trends
  • Dependency and workload indicators
  • Ward-level pressure signals

For executive teams, this provides assurance that:

  • The sickest patients are visible at hospital level
  • Overnight risk is actively monitored
  • Escalation decisions are supported by live data

Theatres, Productivity and Elective Protection

Oversight of High-Value Acute Capacity

iBox delivers a live, hospital-wide bed state that supports operational
and executive oversight of:

Theatres represent one of the most valuable and constrained resources in the acute hospital. iBox supports oversight by providing visibility of:

  • Theatre utilisation and downtime
  • Impact of emergency pressure on elective delivery
  • Balance between emergency and elective activity

For COOs, this supports assurance that theatre capacity is being used effectively and that elective performance is protected wherever possible, even during periods of high emergency demand.

IBOX EXECUTIVE OVERSIGHT MODEL

BOARD & EXECUTIVE OVERSIGHT

(Grip, Control, Assurance, Escalation)

BOARD COMMAND CENTRE

(Single Real-Time Operational Picture)

ED
Front Door
Pressure
SDEC
Admission
Avoidance
BEDS
Capacity & IPC
Control
DISCHARGE
Flow & LOS
Management

DETERIORATING PATIENTS & HOSPITAL AT NIGHT

Safety, Acuity, Dependency, Workforce & Risk
THEATRES & PRODUCTIVITY

Elective Protection, Emergency Balance

EXECUTIVE ACTION

Escalate, De-escalate, Reprioritise, Assure

Discharge Tracker &
Length of Stay Oversight

Controlling Flow, Delay and System Pressure

iBox provides a real-time discharge tracker designed for executive oversight of:

  • Medically fit patients
  • Discharge delays and failed discharges
  • Length of stay against expected norms
  • Downstream impact on bed availability

This enables COOs to maintain grip on discharge performance, identify systemic blockers and take early action to prevent avoidable bed occupancy and flow failure.

Executive Application

From Visibility to Action

Across all modules, iBox supports executive application by:

  • Providing a single operational view for daily executive calls
  • Supporting escalation and de-escalation decisions
  • Enabling assurance reporting grounded in live data
  • Demonstrating grip, control and proactive management

iBox does not replace operational teams or clinical judgement. It gives executive leaders the situational awareness required to govern safely and effectively in real time.

Oversight

“iBox gives me real-time grip on operational pressure, not a
retrospective explanation of it.”

ED

“I can see ED pressure building and understand whether the cause is demand, beds or discharge — in real time.”

SDEC

“SDEC performance is visible and assured, not assumed.”

Inpatient Wards

“Our digital bed board shows live bed availability, side room usage, and isolation constraints, helping teams manage capacity safely across the hospital.”

Deteriorating Patients & Hospital at Night

“The sickest patients and highest-risk wards are visible at Trust level, day and night.”

Theatres

“We can protect elective delivery while managing emergency pressure with evidence.”

Discharge

“Discharge delays are visible early, not discovered after beds are lost.”