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”