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NHS GREATER GLASGOW AND CLYDE
WINTER PLANNING 2011/12
Grant ArchibaldDirector Emergency Care & Medical Services
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Winter Planning 2011/12
• Experiences/Learning from last year
• Challenges 2011/12
• Response to challenges
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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
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Experiences from 2010/11
•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
•Flu
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Challenges for 2011/12
• 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
•FINANCE
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Response to Challenges
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
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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
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Response to Challenges
ACHIEVING ALL TARGETS
– Waiting Times/HEAT Targets
– Financial