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SCAS Presentation to Royal Borough of Windsor and Maidenhead HOSC 7 th July 2009

SCAS Presentation to Royal Borough of Windsor and Maidenhead HOSC 7 th July 2009 Mark Ainsworth – Divisional Director Berkshire. THE EFFECT OF HEATHERWOOD CHANGES ON SCAS.

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SCAS Presentation to Royal Borough of Windsor and Maidenhead HOSC 7 th July 2009

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  1. SCAS Presentation to Royal Borough of Windsor and Maidenhead HOSC 7th July 2009 Mark Ainsworth – Divisional Director Berkshire

  2. THE EFFECT OF HEATHERWOOD CHANGES ON SCAS. • SCAS have previously been able to refer 999 medical patients into Heatherwood MAU who are within agreed criteria for admission to this department. • From 1st April 2009 Heatherwood MAU ceased to accept some 999 calls which they would have previously accepted. They will no longer accept patients with chest pains or patients suffering from Cardiac Arrests along with other more serious conditions • They have continued to accept GP admissions until 1st August 2009 • SCAS have been engaged in this process due to the impact these changes will have on us.

  3. CHANGES IN ADMISSION TIMES • We looked at an 8 month period of data for patients admitted to Heatherwood MAU and the average journey times from their home addresses to Heatherwood. We then compared this to the average journey time it will be for these patients to go to Wexham. (sample period from 1/10/08 – 31/05/09) • A detailed analysis from all areas has been provided separately. This presentation focuses on the larger groups of patients. • The changes at Heatherwood do not affect SCAS response to the patients calling 999. We will continue to place our resources, both Ambulances and Rapid Response Cars, in areas to maximise our cover across East Berkshire.

  4. CHANGES IN ADMISSION TIMES • The 999 calls will always be taken to the nearest A&E department which in this example will be The Royal Berkshire Hospital, unless specified by an admitting Doctor to be conveyed to another location. • The GP urgent admissions will be taken to the appropriate hospital where the GP has arranged admission. For the vast majority of East Berkshire patients this will now be Wexham Park Hospital. • We estimate 2 extra patients per day being taken to The Royal Berkshire Hospital or Frimley Park Hospital per day from Bracknell and the surrounding area from 999 responses. • Heatherwood and Wexham Trust have written to the CEO’s of both Frimley Park FT and RBHL FT to inform them of these additional patients.

  5. Effect on Bracknell patients • 910 patients were admitted from the Bracknell area to Heatherwood between March 2008 – March 2009. • 687 were 999 admissions and 223 GP urgent admissions • The Average time from Home to Hospital = 12 min 27 sec • For these patients to now go to Wexham the average time = 33 min 30 Increase in patient transport time of 21 min 03 sec. • Alternatively some of these patients may be conveyed to Royal Berkshire hospital – Travel time = 16 mins (approx)

  6. Effect on Maidenhead patients • 329 patients were admitted from the Maidenhead area to Heatherwood during this sample period. • 92 were 999 admissions and 237 GP urgent admissions • Some of the 999 calls may have been from a GP to be conveyed to H’Wood • The Average time from Home to HWHL = 28 min 28 sec • For these patients to now go to Wexham the average time = 24min 23 sec • A decrease in patient transport time of 4 min 5 sec. • Alternatively some of these patients may be conveyed to Royal Berkshire hospital from the western side of Maidenhead – Travel time = 23 min (approx)

  7. Effect on Windsor patients • 231 patients were admitted from the Windsor area to Heatherwood during the sample period. • 84 were 999 admissions and 147 GP urgent admissions • Some of the 999 calls may have been from a GP to be conveyed to H’Wood • The Average time from Home to Heatherwood Hospital = 17 min 25 sec • For these patients to now go to Wexham the average time = 17 min 46 sec • This is a negligible increase of 21 seconds.

  8. Slough Patients • SCAS recover the excess travel time for the patients living closer to Heatherwood by now conveying Slough patients to Wexham not Heatherwood. • 473 patients were admitted from the Slough area to Heatherwood during the sample period. • 74 were 999 admissions and 399 GP urgent admissions • The 999 calls are more likely to have come from a GP as ambulance staff will routinely convey to the closest A&E Department. • The Average time from Home to Heatherwood Hospital = 29min 04 Sec • For these patients to now go to Wexham the average time = 11 min 20 sec • Decrease transport time of = 17 min 36 Secs

  9. All East Berks Patients • During the sample period we conveyed: • 2,420 Patients to Heatherwood with an average time of 18min 14sec • 21,305 patients to Wexham with an average time of 16min 19sec • Assuming the majority of patients who were previously conveyed to Heatherwood are now conveyed to Wexham SCAS patients will be admitted on average 2 minutes quicker.

  10. QUESTIONS?

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