PRIMARY AND SCOTTISH SOCIAL WORK ED and INPATIENT (Acute) COMMUNITY CARE AMBULANCE SERVICES DIRECTORATES SERVICE (SAS) Intervention Intervention Intervention Intervention All Green Status Interventions completed All Green Status All Interventions All Green Interventions Additional consultant ward rounds will be initiated in all wards Interventions made made Nurse in Charge to inform Capacity Manager / Site Manager or Duty completed Manager Nurse in Charge to inform No short notice requests Inform all other Consultant presence required on ward 7 and in ED DGRI and medical Cottage Hospital Service for ambulance transport agencies of situation presence in GCH Manager of current to be accepted Consider delaying all Capacity Manager / Duty Manager inform Cascade List and initiate following status, non-critical respite actions:- Community Service admissions to care Discharge awaiting investigation identified in Green Manager to inform homes Inform Community Care, NHS 24, Out of Hours Service and SAS of amber Capacity Manager / Site Contact all relevant status Manager or Duty agencies to assist Establish as early as possible staffing potential for Opening all closed beds Manager, Cancel all including Day Surgery Unit for overnight care. elective admissions Where appropriate identify low clinical patients and transfer out to cottage GP ward rounds within hospitals. Community hospitals to identify and facilitate Consider based on intelligence informing communications team to prepare discharges press/media statement Maximise ALL resources Consider based on intelligence and with medical support cancelling all available in Community, elective activity (excluding angiograms) within Medicine i.e. Consider on intelligence and with medical support identifying and Intermediate care cancelling non-urgent elective surgery (including specialist services, District Nursing orthopaedics, gynaecology and medical angiograms) activity in discussion Services with the clinical director/manager Community rehabilitation teams Actions to be taken before moving to Red CPN teams Capacity Manager / Site Manager or Duty Manager inform Cascade List and Full use of infection initiate following actions:- control team All surgical specialties to identify and prioritise urgent surgical patients for potential cancellation
ED and INPATIENT (Acute) PRIMARY AND COMMUNITY CARE DIRECTORATES SCOTTISH AMBULANCE SERVICE (SAS) SOCIAL WORK SERVICES Intervention Intervention Intervention Intervention All Green Status Interventions completed Additional consultant ward rounds will be initiated in all wards Nurse in Charge to inform Capacity Manager / Site Manager or Duty Manager Consultant presence required on ward 7 and in ED DGRI and medical presence in GCH Capacity Manager / Duty Manager inform Cascade List and initiate following actions:- Discharge awaiting investigation identified in Green Inform Community Care, NHS 24, Out of Hours Service and SAS of amber status Establish as early as possible staffing potential for Opening all closed beds including Day Surgery Unit for overnight care. Where appropriate identify low clinical patients and transfer out to cottage hospitals. Consider based on intelligence informing communications team to prepare press/media statement Consider based on intelligence and with medical support cancelling all elective activity (excluding angiograms) within Medicine Consider on intelligence and with medical support identifying and cancelling non-urgent elective surgery (including specialist services, orthopaedics, gynaecology and medical angiograms) activity in discussion with the clinical director/manager Actions to be taken before moving to Red Capacity Manager / Site Manager or Duty Manager inform Cascade List and initiate following actions:- All surgical specialties to identify and prioritise urgent surgical patients for potential cancellation All Green Status Interventions completed Nurse in Charge to inform Cottage Hospital Service Manager of current status, Community Service Manager to inform Capacity Manager / Site Manager or Duty Manager, Cancel all elective admissions GP ward rounds within Community hospitals to identify and facilitate discharges Maximise ALL resources available in Community, i.e. Intermediate care District Nursing Services Community rehabilitation teams CPN teams Full use of infection control team All Interventions made No short notice requests for ambulance transport to be accepted All Green Interventions made Inform all other agencies of situation Consider delaying all non-critical respite admissions to care homes Contact all relevant agencies to assist
NHS_D_G_Outline_Winter_Plan_2015-16.docx