1. NHS GREATER GLASGOW AND CLYDE WINTER PLANNING 2011/12 Grant Archibald Director Emergency Care & Medical Services

2. Winter Planning 2011/12 Experiences/Learning from last year Challenges 2011/12 Response to challenges

3. Winter Planning 2011/12 Supporting Cross System Working Key Partners involved in planning for 2011/12 Scottish Ambulance Service NHS 24 GP OOH Service Mental Health and Addiction Services ACUTE CH(C)Ps Dental Services Pharmacy

4. Experiences from 2010/11 Delayed Discharges - impact of changes in Local Authority spending during October/ November 2010 affected capacity and A&E performance; Extreme weather conditions Patient Discharges/Transport Activity Equipment Activity Flu

5. Challenges for 2011/12 CAPACITY Managing Capacity/Demand Norovirus/Flu Severe Weather Workforce Impact of Change Fund initiatives on supporting early discharge/preventing admissions Local Authority engagement/Social Care Packages WAITING TIME/HEAT TARGETS FINANCE

6. Response to Challenges CAPACITY MANAGEMENT Modelling Predictive Tools Workforce Planning –Weekend Consultant Ward Rounds –Review Annual Leave/Study Leave –Rotas matched to predicted demand Discharge Planning –EDD Reduce length of stay Discharge Targets –Additional discharge Vehicles –Access to social care packages/aids Flu/Norovirus Severe Weather

7. Response to Challenges DEMAND MANAGEMENT –Continue to review patient pathway through A&E to reduce attendances/ admissions –improve utilisation of Minor Injury areas –Direct admission to assessment areas –DART/IRIS –City Centre Initiative –Chronic Disease Management –Mental Health Partnership –Severe Weather –Local Authority Engagement/Change Fund Initiatives

8. Response to Challenges ACHIEVING ALL TARGETS –Waiting Times/HEAT Targets –Financial