PRIMARY AND SCOTTISH SOCIAL WORK ED and INPATIENT COMMUNITY CARE AMBULANCE SERVICES DIRECTORATES SERVICE (SAS) Indicators Indicators Indicators Indicators Number of elective/emergency admission is causing significant pressure on Increasing pressure No capacity to Bed availability – available bed capacity on bed capacity accommodate reduction in beds Considerable pressure on staffing levels to provide safe and appropriate within community transport requests at available across the care i.e. bed setting short notice for care home sector Delays in beds available in Ward 7 Considerable outpatient Staffing levels-vacancy pressure on staffing appointments factor unable to recruit Patients in ED waiting > 4 hours for transfer to wards levels to provide safe to key posts Impacting on elective admissions and appropriate care Domiciliary care- no ED department breaching 4 hour target Infection control availability of service concerns from the independent Adult ITU/HDU beds under pressure Any incident that sector/in-house Emergency theatre available significantly affects Equipment- waiting lists Intermediate problems reported with clinical support services (Theatres, admission or and delay in supply and Pathology, Pharmacy, Supplies etc) discharge fitting Any incident that significantly affects patient flow Pressure to meet Infection control concerns that may impact on bed availability (see relevant deadlines as per infection control policy) Admission, Discharge & Transfer procedure Intervention DUMFRIES AND CAPACITY MANAGEMENT PROCEDURE AMBER STATUS – Escalating pressure in one or more parts of the system and need for affirmative action across the system to manage capacity and demand
ED and INPATIENT PRIMARY AND COMMUNITY CARE DIRECTORATES SCOTTISH AMBULANCE SERVICE (SAS) SOCIAL WORK SERVICES Indicators Indicators Indicators Indicators Number of elective/emergency admission is causing significant pressure on available bed capacity Considerable pressure on staffing levels to provide safe and appropriate care i.e. Delays in beds available in Ward 7 Patients in ED waiting > 4 hours for transfer to wards Impacting on elective admissions ED department breaching 4 hour target Adult ITU/HDU beds under pressure Emergency theatre available Intermediate problems reported with clinical support services (Theatres, Pathology, Pharmacy, Supplies etc) Any incident that significantly affects patient flow Infection control concerns that may impact on bed availability (see relevant infection control policy) Increasing pressure on bed capacity within community bed setting Considerable pressure on staffing levels to provide safe and appropriate care Infection control concerns Any incident that significantly affects admission or discharge No capacity to accommodate transport requests at short notice for outpatient appointments Bed availability – reduction in beds available across the care home sector Staffing levels-vacancy factor unable to recruit to key posts Domiciliary care- no availability of service from the independent sector/in-house Equipment- waiting lists and delay in supply and fitting Pressure to meet deadlines as per Admission, Discharge & Transfer procedure Intervention DUMFRIES AND CAPACITY MANAGEMENT PROCEDURE – AMBER STATUS Escalating pressure in one or more parts of the system and need for affirmative action across the system to manage capacity and demand
NHS_D_G_Outline_Winter_Plan_2015-16.docx