Winter Planning Our experiences of winter 20092010 Carol

Winter Planning Our experiences of winter 2009/2010 Carol Goodman General Manager, Medicine

2009/2010 Impact on 4 hr standard…

Activity Jan- March 2010 DATE NW & PRI A&E Atts NW & PRI Boarders % boarders No of NW & PRI wards closed W/C 04/01/10 1223 49 4. 0% 0 W/C 11/01/10 1206 35 2. 9% 0 W/C 18/01/10 1214 23 1. 9% 1 W/C 25/01/10 1216 18 1. 5% 1 W/C 01/02/10 1316 25 1. 9% 6 W/C 08/02/10 1266 32 2. 5% 4 W/C 15/02/10 1368 26 1. 9% 4 W/C 22/02/10 1309 27 2. 1% 2 W/C 01/03/10 1353 31 2. 3% 1 W/C 08/03/10 1386 8 0. 6% 2 W/C 15/03/10 1455 7 0. 5% 2 W/C 22/03/10 1367 19 1. 4% 3 W/C 29/03/10 1422 7 0. 5% 1

Escalation Plan, Board resilience and business continuity planning. Continue to; • Use System Watch for prediction • Each Directorate has own escalation plans (Medicine and Surgery) • Continued use of existing system wide escalation plan with partners • All business continuity plans are up to date

Patient discharge/transfer • Plan to introduce 7 day working for consultants (Acute Medicine/MFE/medical specialties) by December 2010 • Redesigned pathway for MFE • Maximise use of community hospital beds • Continued support from ESDS and social work colleagues to ensure patients identified and moved through system timeously

Integration of key partners, such as SAS, OOH, Mental Health etc • OOH service now integrated functionally into Medicine Directorate • Good Mental Health team links in hours and OOH’s • Partnership working with SAS every year to support winter planning

Communication strategies for keeping both staff and the public informed of local situations • Use of all national NHS 24 literature • Usual press adverts re: GP surgeries closed, stock up on your medications • Link this year with T 10 literature re accessing appropriate health care setting

Potential implications of tighter budgets / workforce profiles in terms of future winter planning. • Wards are running on agreed establishments based on national workload tools • Issues in relation to medical staffing due to MMC and EWTD • Non patient facing roles reduced

This winter, if only……