Cold Weather alerts Maintain routine active monitoring of external risk factors including Flu, Weather. Trust Status OPEL 2 Conference calls Redistribute staff where LM’s escalate reductions Redistribute staff Ensure continue and agree on individual units are in capacity and/or demand where individual corporate system call(s) if further experiencing difficulties to DGM units are teams are required Escalation of to Review RAG rating and experiencing aware of DGM on the call(s) as appropriate agencies to staffing levels at each shift difficulties status required expedite discharges including a plan for gaps Escalation of DToCs Corporate Escalation information to Task wards with bringing that are at significant risk to appropriate teams unlisted be cascaded to all forward discharges to allow Source temporary staffing agencies to expedite community providers with transfers in as appropriate. as required discharges as necessary the intention of avoiding Consider further flow Consider deferring P4 Task with pressure wherever conference calls with IDT activity bringing forward possible. Maximise use Additional ward rounds Consider deferring all discharges to allow of re-enablement beds within community providers non-urgent training, transfers in as Community providers to to expedite discharge and appraisals and non-face appropriate. lower create capacity to face activity Additional ward admission/treatment Bring forward discharges Discuss and identify rounds within thresholds wherever as appropriate mutual aid and/or cross community providers possible through Community hospitals to locality working including to expedite implementation of liaise with Social and utilisation of community discharge and create previously agreed flexible Healthcare providers to matrons and rapid capacity working arrangements to expedite discharge from response to deliver P1 Bring forward alleviate pressure community hospitals. activity Escalation of RRT discharges as IDT /Discharge and Bed DTOCs appropriate Bureau team to proactively Integrated nursing and Community hospitals identify and progress therapy teams prioritise to liaise with Social patient discharges over the caseloads. Mutual Aid and Healthcare coming days arrangements established providers to expedite IDT/Discharge team to to ensure minimum discharge from establish priority waiting list staffing levels are community hospitals. (in conjunction with Bed maintained in all areas IDT /Discharge and Bureau) to ensure forward Bed Bureau team to planning of discharges proactively identify and progress patient discharges over the coming days
Cold Weather alerts Maintain routine active monitoring of external risk factors including Flu, Weather. Trust Status OPEL 2 Conference calls continue and agree on system call(s) if further required DGM on the call(s) as required Escalation information to be cascaded to all community providers with the intention of avoiding pressure wherever possible. Maximise use of re-enablement beds Community providers to lower admission/treatment thresholds wherever possible through implementation of previously agreed flexible working arrangements to alleviate pressure Redistribute staff where individual units are experiencing difficulties Escalation of to appropriate agencies to expedite discharges Task wards with bringing forward discharges to allow transfers in as appropriate. Consider further flow conference calls with IDT Additional ward rounds within community providers to expedite discharge and create capacity Bring forward discharges as appropriate Community hospitals to liaise with Social and Healthcare providers to expedite discharge from community hospitals. IDT /Discharge and Bed Bureau team to proactively identify and progress patient discharges over the coming days IDT/Discharge team to establish priority waiting list (in conjunction with Bed Bureau) to ensure forward planning of discharges LM’s escalate reductions in capacity and/or demand to DGM Review RAG rating and staffing levels at each shift including a plan for gaps that are at significant risk Source temporary staffing as required Consider deferring P4 activity Consider deferring all non-urgent training, appraisals and non-face to face activity Discuss and identify mutual aid and/or cross locality working including utilisation of community matrons and rapid response to deliver P1 activity Escalation of RRT DTOCs Integrated nursing and therapy teams prioritise caseloads. Mutual Aid arrangements established to ensure minimum staffing levels are maintained in all areas Redistribute staff where individual units are experiencing difficulties Escalation of DToCs to appropriate agencies to expedite discharges Task with bringing forward discharges to allow transfers in as appropriate. Additional ward rounds within community providers to expedite discharge and create capacity Bring forward discharges as appropriate Community hospitals to liaise with Social and Healthcare providers to expedite discharge from community hospitals. IDT /Discharge and Bed Bureau team to proactively identify and progress patient discharges over the coming days Ensure corporate teams are aware of status Corporate teams unlisted as necessary