1 / 9

Surge Capacity

Surge Capacity. Secondary & Community care, mental health & learning disability (Trusts). Ensuring readiness. PHA/HSCB/BSO Surge Assessment group Reviewed Trust Plans Regional workshop mid-June Trust self-assessment checklists Report on readiness 30 th June Plans resubmitted end July

rusty
Download Presentation

Surge Capacity

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Surge Capacity Secondary & Community care, mental health & learning disability (Trusts)

  2. Ensuring readiness • PHA/HSCB/BSO Surge Assessment group • Reviewed Trust Plans • Regional workshop mid-June • Trust self-assessment checklists • Report on readiness 30th June • Plans resubmitted end July • Face to face meetings with Trusts • Resubmitted checklists – significant progress • Surge assessment report to next programme Board

  3. Regional Business Cases • Virology equipment & staff • Critical care expansion • Adult • Paediatric • Neonatal intensive care expansion • Nursing & AHP training • Appointment of staff to nurse banks • Community respiratory equipment • Beds & mattresses • Other community equipment

  4. Critical Care CapacityEstimated demand for critical care admission in NI • Scenarios • 30% Clinical Attack Rate, 2% hospitalisation rate & 25% critical care admission (all age groups) • 50% CAR, 2% hospitalisation rate & 25% cc admission rate (children) • 50% CAR, 1% hospitalisation rate & 25% admission rate (children)

  5. Critical Care CapacityEstimated demand for critical care admission in NI

  6. Additional paediatric critical care beds needed in peak week (7 day average length of stay & 98% occupancy)

  7. Critical care expansion plans • Adult ICU beds - currently 57 + 13 CSICU During peak surge will rise to 158 (increase of 126%) Requires 47 extra ventilators and 215 pumps @ £1.4m • Paediatric ICU beds – currently 8 in RBHSC During peak surge will rise to 29 in BHSCT plus 20 in DGHs (increase of 510%) Requires 38 extra ventilators and 220 pumps @ £1.6m • Neonatal (level 1) beds – currently 21 During peak surge will rise to 63 (increase of 200%) Requires 36 extra ventilators & 179 pumps @ £2.3m

  8. Challenges • Critical Care capacity versus demand • Application of triage (SOFA) and reverse triage • As yet no agreed triage process for children • Uncertainty on scale of cases of premature labour & hence neonatal demand • Lead time for equipment procurement • Phasing of increased critical care capacity (staff ratios & locations) • Firm plans for staff redeployment (no double-counting)

  9. Challenges • Ensuring PPE availability and match to fit-testing • Time for staff to have training for redeployment • Core regional services – equity of access • Timing of turndown of elective work • Business case processes • Variation in Trust proposals (quantity and costs) to deliver similar services • Capacity of Trusts to develop cases to DHSSPS standards • Public (& professional) expectation • Timely & transparent communication to the public & professionals of changes in service access

More Related