1. WINTER PLANNING ACROSS NHS GREATER GLASGOW AND CLYDE Grant Archibald Director Emergency Care & Medical Services 21 st September 2010

2. Partnership Working Across NHS GG&C All key Partners involved in Winter Planning Board Area Winter Planning Group – meets monthly throughout year Acute Winter Planning Group – meets monthly throughout year Scottish Ambulance Service/Acute Planning Group Sector Unscheduled Care Groups

3. Planning for Winter 2010/11 Reviewing Winter 2009/10 to understand pressures Norovirus – ward closures Exceptional events :Severe weather conditions Reviewing all key performance metrics (pan system) Reviewing National Messages/Examples of Good Practice

4. Planning for Winter 2010/11 Assessment of what has changed Acute Service Changes Potential Impact of New Economic Climate

5. Planning for Winter 2010/11 Capacity Plan Escalation Policy Board Resilience and Business Continuity Plans Communication - “Know Where to Go to” campaign will be aligned to GGC Winter Campaign Winter Booklet Adverts on Local Radio, Television and Newspapers Adverts in Local Authority papers Updated information on Web Site and Health News Weekly information reports to all agencies and Scottish Government via Information Services

6. Planning for Winter 2010/11 Examples of Winter Initiatives Daily Bed Meetings Use of Predictive Information to manage and plan capacity and demand EDD - proactive discharge planning Increased consultant/clinical presence in downstream wards to support discharge planning Retained capacity across all systems over the Festive Holiday period Additional Bed Capacity Norovirus – Escalation Plan agreed

7. Planning for Winter 2010/11 Examples of Winter Initiatives (2) Additional ambulance support in the Out of Hours Joint City Centre Initiative with SAS and British Red Cross Priority Access to Aids and Adaptations Direct Access to Home Care Access to Mental Health Services Out of Hours GPOOH support to NHS24 – telephone triage Direct Access to OOH Dental Services GP Opening to 6.00 p.m. on days prior to holidays and open appointment systems during days following holidays

8. Planning for Winter 2010/11 Summary Of Key Components Involving all partners Using past experience / lessons learned Assessment of what has changed Defined escalation plans Communication