nhs greater glasgow and clyde winter planning 2011/12 grant archibald director emergency care &...

NHS GREATER GLASGOW AND CLYDE

WINTER PLANNING 2011/12

Grant ArchibaldDirector Emergency Care & Medical Services

Winter Planning 2011/12

• Experiences/Learning from last year

• Challenges 2011/12

• 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

•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

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

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

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

ACHIEVING ALL TARGETS

– Waiting Times/HEAT Targets

– Financial