Heads of Departments Theatres General Manager Normal Working/Low Risk Normal Working/Low Risk Ensure that no patients discharge is delayed due to waiting for an Review theatre capacity for emergency and elective lists, ensure assessment or test plans in place to utilise resources effectively to avoid cancellations Moderate Risk - As above plus:- - Moderate Risk - As above plus:- - Review the level of activity, ensuring that any delays are Review the level of emergency cases, ensuring that patients who escalated to CSC Escalation Lead to be resolved require surgery today receive their treatment Remind requesters of suspended admission procedure Consider with CSC’s if patients can move to day case surgery Check right staff being available Facilitate the cancellation of non-urgent elective activity with Check reporting capacity CSC’s concerned being mindful of RTT targets Check equipment capacity Surgical specialties agree which patients can go to theatres and liaise directly with the Theatre Coordinator and the CHAT CSC Escalation Lead High Risk - As above plus:- High Risk - As above plus:- Discuss and plan for extended opening and enhanced cover with Surgical specialties compile a list of those patients who are DHM and CSC lead for escalation considered clinically urgent and must receive surgery on the day, Ensure extended opening and enhanced cover is provided to and liaise directly with the Theatre Coordinator and the CHAT remove any delays if requested by DHM CSC Escalation Lead Establish additional lists to ensure back log is addressed As lists are cancelled liaise with Matron (staffing) and release staff to wards DHM advised of the number of beds required to support this activity Very High Risk - As above plus:- Very High Risk - As above plus:- Black Provide additional staff to areas of need to assist with balancing Utilise recovery as an escalation area safety
Heads of Departments Theatres General Manager Normal Working/Low Risk Normal Working/Low Risk Ensure that no patients discharge is delayed due to waiting for an assessment or test Review theatre capacity for emergency and elective lists, ensure plans in place to utilise resources effectively to avoid cancellations Moderate Risk - As above plus:- - Moderate Risk - As above plus:- - Review the level of activity, ensuring that any delays are escalated to CSC Escalation Lead to be resolved Remind requesters of suspended admission procedure Check right staff being available Check reporting capacity Check equipment capacity Review the level of emergency cases, ensuring that patients who require surgery today receive their treatment Consider with CSC’s if patients can move to day case surgery Facilitate the cancellation of non-urgent elective activity with CSC’s concerned being mindful of RTT targets Surgical specialties agree which patients can go to theatres and liaise directly with the Theatre Coordinator and the CHAT CSC Escalation Lead High Risk - As above plus:- High Risk - As above plus:- Discuss and plan for extended opening and enhanced cover with DHM and CSC lead for escalation Ensure extended opening and enhanced cover is provided to remove any delays if requested by DHM Establish additional lists to ensure back log is addressed Surgical specialties compile a list of those patients who are considered clinically urgent and must receive surgery on the day, and liaise directly with the Theatre Coordinator and the CHAT CSC Escalation Lead As lists are cancelled liaise with Matron (staffing) and release staff to wards DHM advised of the number of beds required to support this activity Very High Risk - As above plus:- Very High Risk - As above plus:- Black Provide additional staff to areas of need to assist with balancing safety Utilise recovery as an escalation area
Capacity%20Management%20Policy%20inc%20Escalation%20Measures.DOCX