Transcript Document

Winter Planning
Our experiences of winter 2009/2010
Carol Goodman
General Manager, Medicine
2009/2010 Impact on 4hr standard…
Activity Jan- March 2010
DATE
NW & PRI A&E Atts
NW & PRI Boarders
% boarders
No of NW & PRI
wards closed
W/C 04/01/10
1223
49
4.0%
0
W/C 11/01/10
1206
35
2.9%
0
W/C 18/01/10
1214
23
1.9%
1
W/C 25/01/10
1216
18
1.5%
1
W/C 01/02/10
1316
25
1.9%
6
W/C 08/02/10
1266
32
2.5%
4
W/C 15/02/10
1368
26
1.9%
4
W/C 22/02/10
1309
27
2.1%
2
W/C 01/03/10
1353
31
2.3%
1
W/C 08/03/10
1386
8
0.6%
2
W/C 15/03/10
1455
7
0.5%
2
W/C 22/03/10
1367
19
1.4%
3
W/C 29/03/10
1422
7
0.5%
1
Escalation Plan, Board resilience and
business continuity planning.
Continue to;• Use System Watch for prediction
• Each Directorate has own escalation plans
(Medicine and Surgery)
• Continued use of existing system wide
escalation plan with partners
• All business continuity plans are up to date
Patient discharge/transfer
• Plan to introduce 7 day working for
consultants (Acute Medicine/MFE/medical
specialties) by December 2010
• Redesigned pathway for MFE
• Maximise use of community hospital beds
• Continued support from ESDS and social
work colleagues to ensure patients identified
and moved through system timeously
Integration of key partners, such as
SAS, OOH, Mental Health etc
• OOH service now integrated
functionally into Medicine Directorate
• Good Mental Health team links in
hours and OOH’s
• Partnership working with SAS every
year to support winter planning
Communication strategies for keeping
both staff and the public informed of
local situations
• Use of all national NHS 24 literature
• Usual press adverts re: GP surgeries
closed, stock up on your medications
• Link this year with T10 literature re
accessing appropriate health care setting
Potential implications of tighter
budgets / workforce profiles in terms of
future winter planning.
• Wards are running on agreed
establishments based on national
workload tools
• Issues in relation to medical staffing
due to MMC and EWTD
• Non patient facing roles reduced
This winter, if only……