Transcript Slide 1
NHS GREATER GLASGOW AND CLYDE WINTER PLANNING 2011/12
Grant Archibald Director Emergency Care & Medical Services
Winter Planning 2011/12
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Experiences/Learning from last year
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Challenges 2011/12
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Response to challenges
Winter Planning 2011/12
Supporting Cross System Working •Key Partners involved in planning for 2011/12 •Scottish Ambulance Service •NHS 24 •GP OOH Service •Mental Health and Addiction Services •ACUTE •CH(C)Ps •Dental Services •Pharmacy
Experiences from 2010/11
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Delayed Discharges
•impact of changes in Local Authority spending during October/ November 2010 affected capacity and A&E performance; •
Extreme weather conditions
•Patient Discharges/Transport •Activity •Equipment •
Activity
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Flu
Challenges for 2011/12
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CAPACITY
•Managing Capacity/Demand •Norovirus/Flu •Severe Weather •Workforce •Impact of Change Fund initiatives on supporting early discharge/preventing admissions •Local Authority engagement/Social Care Packages •
WAITING TIME/HEAT TARGETS
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FINANCE
Response to Challenges
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CAPACITY MANAGEMENT
Modelling Predictive Tools – – – Workforce Planning Weekend Consultant Ward Rounds Review Annual Leave/Study Leave Rotas matched to predicted demand – Discharge Planning • • EDD Reduce length of stay Discharge Targets – – Additional discharge Vehicles Access to social care packages/aids Flu/Norovirus Severe Weather
Response to Challenges DEMAND MANAGEMENT
– Continue to review patient pathway through A&E to reduce attendances/ admissions – improve utilisation of Minor Injury areas – Direct admission to assessment areas – DART/IRIS – City Centre Initiative – Chronic Disease Management – Mental Health Partnership – Severe Weather – Local Authority Engagement/Change Fund Initiatives
Response to Challenges