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

2. 2009/2010 Impact on 4hr standard…

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. This winter, if only……