Isle of Wight – Preparing for Winter 2017 Review February 2018 Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 1

Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 2

The Slippery Slope Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 3

It’s About Beds Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 4

It Was About Beds Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 5

And Then There’s Flu Overall – managed well. Good uptake of the vaccine Two weeks of restrictions on Colwell Ward Staff sickness caused some pressures Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 6

Weather Planning Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 7

Bed Modelling Surgical Wards were converted to medical wards Operations were cancelled but in advance Cancer and very urgent operations were maintained Additional beds in the Community were purchased (15) No escalation beds were opened on the Trust site Flexed into Day surgery (twice) and Fracture Clinic (twice) to create space for ward moves. All episodes less than 8 hours. ED had some long waits for a bed overnight. Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 8

Escalation Steady State 107 Medical Beds 136 medical in-patients today 107 Medical Beds OPEL 1 Local Authority Increased access to re-ablement Review Adelaide and Gouldings - Move rehab patients out to community 137 Medical Beds OPEL 2 Primary Care Commissioning: System Support , Coordination and Investment Increased appointments and home visits Community Practitioner Increase Reduce elective workload Convert St Helens Ward to medical Relax Community Criteria 152 Medical Beds OPEL 3 Voluntary Sector Increased supportive discharge Support to hospital inpatient teams Continue to reduce elective workload Convert Whippingham Ward to medical Increasing community support 174 Medical Beds OPEL 4 Independent Sector Spot purchase beds Cancer and urgent only Active community pull from inpatient beds Business Continuity Ambulance, Community, Hospital, Learning Disability & Mental Health Services - www.iow.nhs.uk 9