Transcript Document

Winter Planning in Dumfries and
Galloway
CHP involvement
• Dumfries and Galloway has single CHP
covering acute, community and mental
health settings
• Historically has an excellent reputation
for working with partners
• Fully worked up and tested Flu
Pandemic plan
• Fully worked up major incident plan
• Business Continuity Plans in place
• Currently revising escalation plan to
involve all stakeholders
Predicting activity
• Nationally System Watch is proving
unreliable as a predictive tool. Work on
going between ISD and NHS Dumfries
and Galloway to begin to understand the
difficulties.
• Local information being utilised to predict
admissions/ occupancy levels using
historical data and ALOS.
• Planned admissions reviewed in light of
predicted unscheduled care activity a
week in advance.
Capacity Management –
Acute
• Daily bed capacity meetings
• Front loading first week in January with
day cases
• Extension of 23 hour approach – ward
re-designated
• Centralised booking – ensures decisions
to admit based upon clinical priority
when capacity tight.
Capacity Management community
• Ensure community hospital beds fully open
over winter period
• STARS development as discharge service of
choice linking with Care and Support Services
and utilising joint pool of healthcare support
workers this has recently been enhanced by the
secondment of further staff
• Vulnerable Patient Initiative supported by OOHs
will allow earlier discharge for identified
patients
OOHs
• Working with NHS 24 to predict activity
and inform staffing levels
• No salaried medical or support staff
allocated annual leave during the main
two week festive period
• In the event of severe snow and lifethreatening emergencies local GPs
would be asked to respond
Integrated working between
OOHs & A&E department
• Co-location of the OOHs
service and the A&E
service allows for joint
working
• Increasing co-operation
between the 2 services
• Emergency and
Unscheduled Care
Nursing Service
supported by OOHs
transport
• Sessions for Galloway
Community Hospital and
Accident and Emergency
Dept will be monitored
with the Rural and
Hospital Practitioners
there considered as part
of the wider “pooled”
team
Community Pharmacy
• Pharmacists will be opening during the
festive season – information shared with
NHS 24 and advertised in the local press
• GPs will put reminder note on the right
hand side of the prescriptions issued
regarding avoiding running out of
medication during festive period
Mental health
• Crisis Assessment and Treatment
Service available over festive period
• Reduced level of CMHT available.
Staffing
• Staff Flu Vaccination
• Consultant presence for discharges
throughout festive period
• Community Hospitals fully staffed
throughout festive period
Transport
• 4x4 vehicles available within both main NHS
and OOHs fleet
• Vehicles used to transport key staff into work
• Vehicles used to support patient discharge and
transport in periods of severe bad weather from
remote areas
• Vehicles used to support delivery of district
nursing service
• Extra PTS discharge vehicle time purchased to
support weekend discharges from acute
services
Transport – joint working
with Council
• NHS transport routes have been shared
with Council and input into their
electronic navigation system
• Bank of drivers within the council pool
available to NHS should major staffing
difficulties arise
• Electronic navigation system is portable
and compatible with NHS vehicles
Roads and Gritting
• Agreement with Council Roads
department that following gritting major
routes access routes to hospital facilities
will be considered a priority.
• Agreement with council to clear and grit
NHS premises