1. Understanding Christmas Pressures

2. Methodology Time period selected 1 st Dec -11 th Jan Data profiling Pressure points for NEL selected Tool development to understand what happened in primary care just prior to acute care interface GP returns

3. Information sought on Reasons for admission, change in functional status pre and post discharge, who triggered the admissions, was GP aware of admission, what support services Patient on risk register

4. Findings Time Period1 st Dec -11 th Jan A&E attendances11,945 NEL Admissions3569 Dates for pressure points selected from NEL 15 th and 17 th Dec (total of 209 patients) Returns received from 29 practicesDetails for 106 patients received but had to exclude 9 from analysis due to lack of information. Information on 97 patients analysed. Main reasonsRespiratory, falls or chest pain. A few couldn't manage at home and some needed IV therapy

5. Direction of travel for patients functional status Row LabelsCount Died4 Improved4 No Change82 Still Admitted2 Worsened5 Grand Total97 What was the reasoning behind the decision to admit? Row LabelsCount BLANK9 Admitted to CDU - No Discharge Note3 Chest Pain2 What additional services were arranged prior to admission? Row Labels Count of Count None79 District Nursing5 ERRS3 Social Care3 Nursing Home2 Bloods/Urine tests1 Physio Appointments1 Renal Unit Pt1 Seem OOH Drs ref to surgery1 Didn’t know patient was admitted1 Grand Total97 Were you aware at the time that the admission was taking place? Row LabelsCount No71 Yes18 BLANK8 Grand Total97