Warming up to winter Reflections and plans for 2018/19 Gillian Johnson South Tyneside Patient Reference Group June 2018
Winter pressures Adverse Weather ‘Flu’ Season Usual Increase in norovirus and other bugs
Winter in South Tyneside
Norovirus January 17th – 24th March 5th – April 17th
Influenza 5 separate outbreaks within South Tyneside boundary between January and March 2018 Residential and nursing care homes
A&E Performance
A&E Performance
Delayed Transfers of Care
Examples of winter investment 7 day social worker Age Concern hospital to home Extra GP appointments Additional therapists Additional Community team resource Additional beds in community Hospice support for on-call
How did it go – Reflections Local A&E Delivery Board Urgent Care Action Group (operational managers) Regional Event – staff on the ground
What Went Well? - Examples Partnership Working and alliancing principles Point of care testing for flu New ways of Communicating with primary care GP Extended Access appointments Winter ward in the hospital 7 day social worker Psychiatric liaison and mental health support
Areas to work on for 2018/19 plan - Examples Urgent care hub Sharing resources across the system e.g. beds Out of hospital care Flu plan and Norovirus escalation plan Workforce – capacity and training Simple measurement dashboard
Urgent Care Hub Triage Emergency Care Ambulatory care GP/Minor Injuries – Urgent Care Hub NHS 111 Booked slots
Urgent Care Hub Integral to the way urgent and emergency care works Review the model and update in the context of the changing environment Work with local partners to address challenges Urgent Care Centre
Urgent Care Hub Processes Where it sits within the overall model Who, what for, when? Staff resource Capacity across the system Roles, responsibilities Future planning Estate Fit for purpose