Kent: single health resilience early warning database (SHREWD)

Over the past five years, the use of the single health resilience early warning database (SHREWD) has enabled Kent County Council to supply real-time data to support internal management and also operational partners. This example of a local initiative forms part of our managing transfers of care resource.

Not only has this facilitated more meaningful day-to-day operational decision-making, it has also enabled an operational evidence base to inform management decisions and planning.

The council’s SHREWD indicators are identified in the system resilience plan and form a vital role in identifying areas of pressure as they arise across each of the county’s individual acute hospital teams. They are also an integral part of the action plan, which forms part of the resilience plan; giving directives and actions to staff across all internal teams that are linked to short-term pathways.

The council has been approached by other local authorities and have shared its use of SHREWD, explaining how its dual use as an internal management tool and as part of system resilience planning can bring greatest benefit.


Anne Tidmarsh
Director, Older People and Physical Disability
Kent County Council

This case study is an example of the High Impact Change Model (Change 2): Monitoring and responding to system demand and capacity.