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

2009/2010 Impact on 4hr standard…

No of NW & PRI wards closed 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% W/C 11/01/10 1206 35 2.9% W/C 18/01/10 1214 23 1.9% 1 W/C 25/01/10 1216 18 1.5% W/C 01/02/10 1316 25 6 W/C 08/02/10 1266 32 2.5% 4 W/C 15/02/10 1368 26 W/C 22/02/10 1309 27 2.1% 2 W/C 01/03/10 1353 31 2.3% W/C 08/03/10 1386 8 0.6% W/C 15/03/10 1455 7 0.5% W/C 22/03/10 1367 19 1.4% 3 W/C 29/03/10 1422

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 T10 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……