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Winter Evaluation 2013/14: Making a Difference

A comprehensive review of Winter 2013/14 compared to the previous year, highlighting successful strategies and planning for the future. Learn about the challenges faced, improvements made, and the impact on admissions and patient flow.

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Winter Evaluation 2013/14: Making a Difference

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  1. Winter Evaluation 2013/14 Board of Directors Wednesday 16 July 2014 Kirsten Major, Ellen Ryabov & Lisa Needham

  2. A Winter Story…

  3. Outline • The beginning - description of Winter 2013/14 compared to 2012/13. • The middle – what did we do? What worked well? • The end – planning for next winter.

  4. In the beginning…

  5. Winter 2012/13…

  6. Last Winter…. We’re running out of ideas… Never seen so much pressure for such a long time Relentless Considerable staff pressure

  7. What about 2013/14 then?

  8. National Picture – 2013/14 • Emergency admissions highest level ever during the last 10 years • Total of 3.8m admissions in 2013/14 versus 2.8m in 2004/05 - +38% • 2% increase between 2012/13 and 2013/14 • Reduced A&E attendances by 0.3%

  9. STH’s experience…

  10. 4062 more admissions

  11. Was it easier work?

  12. No real change in ambulance arrivals 12/13 & 13/14 - Overall Acuity Same

  13. The middle…

  14. What things did we do differently?

  15. Expansion of Clinical Decisions Unit (CDU) increased throughput +27%

  16. Extended weekday opening hours to 8pm and w/e opening improved usage

  17. The Trust has an internal mechanism for recharging medical outliers to the responsible speciality The recharge value for 2012/13 was £3,574m as compared with £1,334m for 2013/14 An overall reduction of 6042 bed nights equating to £2,240m fines reduction of 63%

  18. A summary of flow in ngh…

  19. Performance in Q3/4 2012/13 = 91.1% whereas Q3/4 in 13/14 = 95.48%

  20. the end…

  21. New & next… More & ongoing • System change – working with partners internally and externally • Cultural change – wide ownership from the outset • Discharging and discharge processes • More systematic processes and escalation • Admissions avoidance and admissions process • Managing sickness absence • Profiling work across week and days and responding • Managing elective flow • Planning for bank holidays

  22. An epilogue…

  23. We did more work We performed better We performed better than many others We did a lot and what we did made a difference Winter is coming…

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