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Unscheduled Care
Learning Event
Issues Identified from
Winter Planning Review
Michael Bloomfield
19 March 2015
Acuity Indicators
Jan – Feb 2015 Jan – Feb 2014 Variance
ED attendances aged 80+
8,534 7,747 + 787 (10%)
Triage Categories 2 + 3
60,055 56,243 + 3,812 (6.7%)
Winter Planning
• Earlier planning for winter, including confirmation of additional funding
• Greater understanding of the whole system based on robust data, not anecdote
• Elective activity profiled to maximise bed and staff capacity over winter period
• Schedule training and associated activities over 9/10 month period
• Match staffing levels to times of increased demand• Additional ENP staffing levels to maintain minors flow
Community Preparedness
• Timely response to increase in demand, including at holiday periods
• ‘What good looks like’ for community services
• Greater understanding of capacity needed for complex discharges at key periods
• Development of ‘discharge to assess’
Escalation
• Include whole system, not just in hospital• Develop clear early warning triggers across the whole
system to prompt early action• Need reliable, real time information to inform decision
making• Importance of senior leadership of escalation meetings• Importance of visibility of senior clinicians in ED during
times of high demand/increased pressure• Provision of dedicated ambulance discharge capacity• De-escalate early