1. Warming up to winter Reflections and plans for 2018/19
Gillian Johnson
South Tyneside Patient Reference Group
June 2018

2. Winter pressures Adverse Weather ‘Flu’ Season
Usual Increase in norovirus and other bugs

3. Winter in South Tyneside

4. Norovirus
January 17th – 24th
March 5th – April 17th

5. Influenza
5 separate outbreaks within South Tyneside boundary between January and March 2018
Residential and nursing care homes

6. A&E Performance

7. A&E Performance

8. Delayed Transfers of Care

9. 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

10. How did it go – Reflections
Local A&E Delivery Board
Urgent Care Action Group (operational managers)
Regional Event – staff on the ground

11. 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

12. 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

13. Urgent Care Hub Triage Emergency Care Ambulatory care
GP/Minor Injuries – Urgent Care Hub
NHS 111
Booked slots

14. 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

15. 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