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NHS GREATER GLASGOW AND CLYDE WINTER PLANNING 2011/12. Grant Archibald Director Emergency Care & Medical Services. Winter Planning 2011/12. Experiences/Learning from last year Challenges 2011/12 Response to challenges. Winter Planning 2011/12. Supporting Cross System Working
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NHS GREATER GLASGOW AND CLYDEWINTER PLANNING 2011/12 Grant Archibald Director Emergency Care & Medical Services
Winter Planning 2011/12 • Experiences/Learning from last year • Challenges 2011/12 • Response to challenges
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
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
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
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
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
Response to Challenges ACHIEVING ALL TARGETS • Waiting Times/HEAT Targets • Financial