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Winter Planning: key risks

Winter Planning: key risks. Sheena Macleod. Delayed Discharges. Working with Highland and A&B Councils to reduce length of festive ‘shutdown’ Use of ACPAs, SPARRA & inpatient data, Extended Community & Primary Care Teams ACPAs available to admission wards/assessment units

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Winter Planning: key risks

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  1. Winter Planning: key risks Sheena Macleod

  2. Delayed Discharges • Working with Highland and A&B Councils to reduce length of festive ‘shutdown’ • Use of ACPAs, SPARRA & inpatient data, Extended Community & Primary Care Teams • ACPAs available to admission wards/assessment units • Board rounds with traffic lighted patients and ‘community pull’ • Complex case discharge coordinator in Lochaber • Change Fund – capacity building • Rapid response, virtual ward and intermediate care available and being built further via Change Fund initiatives

  3. Boarding • Main risk area – Raigmore • 2010/11 reduced LoS, reduced boarding • 2011/12 Kaizen work undertaken, actions ongoing • 3xbed state meetings per day normal practice

  4. Escalation • Robust and longstanding policy in place linked with business continuity arrangements • Bed state management robust • EDD is routine practice • Transport booking arrangement in place with SAS – RGH • Criteria led discharge • 18RTT – mainstreamed activity

  5. Communications • On call systems in place • 2010/11 complexity arising from daily reporting requirement – needs to add value • Severe weather, difficult conditions is ‘what we do’ in Highland • Business continuity systems in place year round - expect the unexpected! • Partnerships - Red Cross, SAS, Coastguard, Police for 4x4 vehicle support for staff/patient transport • Know who to turn to and get ready for winter campaigns in place

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