DToCs <10 10-15 15-20 >20 Planned Discharges >10% in 24 >5% in 24 >2% in 48 0% in 48 hours hours hours hours Staffing levels >90% 80-90% 60-79% <60% ICT priority 1-4 1-3 1 1 (difficulties) HCT Triggers OPEL 1 OPEL description: Community capacity available across system. Patterns of service and acceptable levels of capacity are for local determination Capacity available across all HCT services to meet demand No expected reductions in capacity Staffing = 90-100% (includes medical cover) Bed state/capacity = 9-10% of bedded capacity available or becoming available for capacity or being transferred into today Total DTOCs are not effecting patient flow and closer to 5% 100% of patients offered a bed within 24 hours No patients waiting longer than 72 hours for transfer to a community bed and within 90% Number of patients on the waiting list not exceeding the 72 hour target of transfer. All priority patients being seen within ICTs No planned bed closures No operational issues services operating as business as usual – All patients that require repatriation are accepted No other pressures in the system OPEL 2 OPEL description: Patients in community and / or acute settings waiting for community care capacity Lack of medical cover for community beds Infection control issues emerging levels of staff available, but are sufficient to maintain services Staffing = 80-90% (includes medical cover) Bed state/capacity = 5% of bedded capacity available or becoming available for capacity or being transferred into today Total DTOCs are starting to increase further and influence patient flow and closer to 10%-15% 100% of patients offered a bed within 24 hours 30% of patients transferred waiting longer than 72 hours for transfer to a community bed Patients on the waiting list now highlighted as likely to wait longer than the 72 hour target for transfer. Expected discharges in the next 24 hours reduced to 5% or less of bed base All priority 1- 3 patients being seen within ICTs with priority 4 being No planned bed closures No significant operational issues services operating as business as – usual All patients that require repatriation are accepted but are now also waiting Isolated infection control issues, ward closure due to outbreak of infectious disease or Estates issues (e.g. flooding, disruption to utilities)
DToCs <10 10-15 15-20 >20 Planned Discharges >10% in 24 hours >5% in 24 hours >2% in 48 hours 0% in 48 hours Staffing levels >90% 80-90% 60-79% <60% ICT priority 1-4 1-3 1 1 (difficulties) HCT Triggers OPEL 1 OPEL description: Community capacity available across system. Patterns of service and acceptable levels of capacity are for local determination Capacity available across all HCT services to meet demand No expected reductions in capacity Staffing = 90-100% (includes medical cover) Bed state/capacity = 9-10% of bedded capacity available or becoming available for capacity or being transferred into today Total DTOCs are not effecting patient flow and closer to 5% 100% of patients offered a bed within 24 hours No patients waiting longer than 72 hours for transfer to a community bed and within 90% Number of patients on the waiting list not exceeding the 72 hour target of transfer. All priority patients being seen within ICTs No planned bed closures No operational issues – services operating as business as usual All patients that require repatriation are accepted No other pressures in the system OPEL 2 OPEL description: Patients in community and / or acute settings waiting for community care capacity Lack of medical cover for community beds Infection control issues emerging levels of staff available, but are sufficient to maintain services Staffing = 80-90% (includes medical cover) Bed state/capacity = 5% of bedded capacity available or becoming available for capacity or being transferred into today Total DTOCs are starting to increase further and influence patient flow and closer to 10%-15% 100% of patients offered a bed within 24 hours 30% of patients transferred waiting longer than 72 hours for transfer to a community bed Patients on the waiting list now highlighted as likely to wait longer than the 72 hour target for transfer. Expected discharges in the next 24 hours reduced to 5% or less of bed base All priority 1- 3 patients being seen within ICTs with priority 4 being No planned bed closures No significant operational issues – services operating as business as usual All patients that require repatriation are accepted but are now also waiting Isolated infection control issues, ward closure due to outbreak of infectious disease or Estates issues (e.g. flooding, disruption to utilities)