1. Andrew Jackson Strategic Planning NHS Lothian

2. Escalation All System Escalation Teleconference with community
GP Alert
Community Beds & Access
Unified coordination 7 days a week.

3. Prediction
Electives
Minimising bed use for electives at emergency peak
Systemwatch
Best Practice: “NHS Lothian used Systemwatch as early as September to predict activity levels in January…….”
Predictions
Best Practice: “Both NHS Lothian and NHS Lanarkshire have discharge predictors …..”

4. Staffing
Rostering
Agreement to match staff to activity (to be rostered November or before)
OOH rotas
Being Compiled currently

5. Discharges EDD, Home Packages and Rapid Response
Rapid Response with AHP led assessment
Best Practice: “In NHS Lothian all [OTs] can access 7 hours homecare per week without recourse to social worker.”`
Home Package Predictions
Agreement with CEC to trial matching packages against predictions throughout year.
Estimated Date of Discharge
Best Practice; “In NHS Lothian …. each patient needs to have an active EDD entered, and it is a mandatory requirement that it is updated …. daily.”

6. Communications Professional Prof-to-Prof Line GP Alert
SW involvement in winter planning meetings
Public
Linking with National Campaign