each Friday in preparation for the support the management of acute oncology following day. emergency presentations Involvement of medical staff with the booked Saturday patients is minimal. 4. Headline approach & next steps to progressing towards Keogh seven day working compliance 4.1 The introduction of any of the examples described necessitates adoption of a whole health and social care system approach without which the value of introducing service change will fail. Action By when By who Undertake 3x weekend audit and range of wards/patients to determine what would make the August 2014 Clinical Leads difference to treatment and/or ability to discharge if available over the weekend Establish baseline position LOS, discharge rates, admissions etc August 2014 Dir Ops Commence reporting on KPIs by weekend and by week ensure this information displayed outside September 2014 Dir Ops – each ward multidisciplinary ward rounds Sundays - all wards to receive single ward round (acute areas to November 2014 Clinical Leads receive 2 rounds) to focus on discharge and help to ease Monday pressures. Use to determine what services (internal/external) required to ensure benefit from Sunday rounding. Review existing job contract for all clinical, support service and therapy to determine how October 2014 Dir HR future flexibility /requirement for rota working to ensure 7 day cover can be built in. Cost proposals and consider ensuring all new staff employed on these contracts. Determine new approaches to collating feedback re. weekend or midday use of hospital/admission September 2014 Head of Governance Determine key service interdependencies October 2014 Dir Ops/Clinical Leads Determine extent to existing Hospital Out of Hours team roles/responsibilities could be October 2014 Dir Ops/Clinical Leads extended to support 7 day working Determine priority services for pilot of any new arrangements. October 2014 Dir Ops/Clinical Leads Identify training/recruitment needs (eg. Upskilling). Cost proposals. October 2014 Dir Ops/Clinical Leads Commence/continue discussions with support services and therapies regarding options to secure 7 December 2014 Dir Ops day working including generic workers, extended new rotas. Determine KPIs for each service change
each Friday in preparation for the following day. Involvement of medical staff with the booked Saturday patients is minimal. support the management of acute oncology emergency presentations 4. Headline approach & next steps to progressing towards Keogh seven day working compliance 4.1 The introduction of any of the examples described necessitates adoption of a whole health and social care system approach without which the value of introducing service change will fail. Action By when By who Undertake 3x weekend audit and range of wards/patients to determine what would make the difference to treatment and/or ability to discharge if available over the weekend August 2014 Clinical Leads Establish baseline position LOS, discharge rates, admissions etc August 2014 Dir Ops Commence reporting on KPIs by weekend and by week – ensure this information displayed outside each ward September 2014 Dir Ops multidisciplinary ward rounds Sundays - all wards to receive single ward round (acute areas to receive 2 rounds) to focus on discharge and help to ease Monday pressures. Use to determine what services (internal/external) required to ensure benefit from Sunday rounding. November 2014 Clinical Leads Review existing job contract for all clinical, support service and therapy to determine how future flexibility /requirement for rota working to ensure 7 day cover can be built in. Cost proposals and consider ensuring all new staff employed on these contracts. October 2014 Dir HR Determine new approaches to collating feedback re. weekend or midday use of hospital/admission September 2014 Head of Governance Determine key service interdependencies October 2014 Dir Ops/Clinical Leads Determine extent to existing Hospital Out of Hours team roles/responsibilities could be extended to support 7 day working October 2014 Dir Ops/Clinical Leads Determine priority services for pilot of any new arrangements. October 2014 Dir Ops/Clinical Leads Identify training/recruitment needs (eg. Upskilling). Cost proposals. October 2014 Dir Ops/Clinical Leads Commence/continue discussions with support services and therapies regarding options to secure 7 day working including generic workers, extended new rotas. Determine KPIs for each service change December 2014 Dir Ops
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