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NHS Greater Glasgow Acute Hospital Services Strategy. Monitoring Group 3 rd December 2004 Calum Kerr General Manager. West Central Division. West Central Dimensions (Glasgow). Locations7 Accident & Emergency Staff278 Non Emergency Staff153 Accident & Emergency vehicles 64 - PowerPoint PPT Presentation
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NHS Greater GlasgowNHS Greater GlasgowAcute Hospital ServicesAcute Hospital Services StrategyStrategy
Monitoring GroupMonitoring Group
33rdrd December 2004 December 2004
Calum KerrCalum Kerr
General ManagerGeneral Manager
West Central
Division
West Central Dimensions West Central Dimensions (Glasgow)(Glasgow)
Locations 7
Accident & Emergency Staff 278
Non Emergency Staff 153
Accident & Emergency vehicles 64
Non Emergency vehicles 73
Accident & Emergency DemandAccident & Emergency Demand(NHS GG) 1/11/03 – 31/10/04(NHS GG) 1/11/03 – 31/10/04
• Emergency responses 81,427
• Urgent cases 25, 401
• Planned 3, 878
Where did they go?Where did they go?
Hospital Emergency Urgent TotalGart Gen 120 1,547 1,667GRI 16,370 6,193 22,563SGH 7,486 5,017 12,503Stobhill 5,480 3,276 8,756Vic. Inf 10,404 3,770 14,174W.I.G 12,981 6,109 19,090Y’Hill 1,755 947 2,702
Developments over the yearDevelopments over the year
Community Paramedics (Out of Hours) ‘Pathway’ Paramedics Priority Patient Team (change & innovation) Mental Health care Verification of death Treat and Transfer pilots
Treat and Refer Procedures
Asthma
Assess Patient(inc PEFR)
Patient Under16 YEARS
YES
NO
Condition life threatening Acute severe attack
Moderate attackYES
MILD ATTACKApply appropriate
Treatments
Treatmenteffective
NO YES
SeePatient Circumstances
Advise patient of outcomeGive patient advice leaflet
Contact EMDCand Advise of outcome
Complete PRF
Apply/continueappropriateTreatments
Transport toAppropriate Hospital
YES
No
No
Patient CircumstancesPatient Educationally Challenged
Patient not physically well Indequate supply of own medication
No access to family support/Telephone/GP
Asthma
If further Medical advice is needed Contact NHS 24
0845 4 24 24 24
Local challenges and next steps …Local challenges and next steps …
Non Emergency Vision Acute Services Review Service Redesign “Out of Hours” service provision – Community
Paramedics 2010 Service Vision
All possible now All possible now throughthrough
‘ ‘e-health’ & “eCare”e-health’ & “eCare”
““A Ward in the A Ward in the Community”Community”
““Having brought the hospital to the patient”Having brought the hospital to the patient”