NHS Dumfries and Galloway & Partners CAPACITY MANAGEMENT PROCEDURE Indicators DUMFRIES AND CAPACITY MANAGEMENT PROCEDURE STATUS – Early warnings of pressure in one or more parts of the system and need to manage pressure out of the system PRIMARY AND SCOTTISH AMBULANCE SOCIAL WORK SERVICES ED and INPATIENT (Acute) COMMUNITY CARE SERVICE (SAS) DIRECTORATES Indicators Indicators Indicators Indicators Reduction in capacity to meet elective and emergency Pressure on available Pressure on available Pressure on beds across the admissions i.e. capacity to meet elective capacity to care home sector Challenge to meet ED 4 hours target and emergency admissions accommodate additional Staffing levels under pressure All electives allocated a bed Staffing levels under notice transport to meet demand pressure to deliver requests Staffing levels-vacancy factor, Staffing levels pressure to deliver workload workload Staffing levels under inability to recruit to key posts ITU/HDU beds available pressure to meet Domiciliary care-reduced Emergency theatre available additional demand availability of service from the No significant problems reported with clinical support services independent sector/in-house (theatres, pathology, pharmacy, supplies/equipment etc.) sector Equipment -reduced availability and in supply and fitting Pressure to meet deadlines as per Admission, Discharge & Transfer procedure All patients funded by Local Authority discharged by 48 hours
NHS Dumfries and Galloway & Partners CAPACITY MANAGEMENT PROCEDURE Indicators DUMFRIES AND CAPACITY MANAGEMENT PROCEDURE – STATUS Early warnings of pressure in one or more parts of the system and need to manage pressure out of the system ED and INPATIENT (Acute) PRIMARY AND COMMUNITY CARE DIRECTORATES SCOTTISH AMBULANCE SERVICE (SAS) SOCIAL WORK SERVICES Indicators Indicators Indicators Indicators Reduction in capacity to meet elective and emergency admissions i.e. Challenge to meet ED 4 hours target All electives allocated a bed Staffing levels pressure to deliver workload ITU/HDU beds available Emergency theatre available No significant problems reported with clinical support services (theatres, pathology, pharmacy, supplies/equipment etc.) Pressure on available capacity to meet elective and emergency admissions Staffing levels under pressure to deliver workload Pressure on available capacity to accommodate additional notice transport requests Staffing levels under pressure to meet additional demand Pressure on beds across the care home sector Staffing levels under pressure to meet demand Staffing levels-vacancy factor, inability to recruit to key posts Domiciliary care-reduced availability of service from the independent sector/in-house sector Equipment -reduced availability and in supply and fitting Pressure to meet deadlines as per Admission, Discharge & Transfer procedure All patients funded by Local Authority discharged by 48 hours
NHS_D_G_Outline_Winter_Plan_2015-16.docx