Bed Manager to confirm with modern matrons in Bed Manager and older peoples that all actions outlined in the amber escalation have been taken and ensure actions/support taken are confirmed back. All inpatient consultants and CATT/IOT Managers Service line lead asked to urgently review service users for whom / Clinical Director leave or discharge with intensive support may be appropriate. Clinical leads to review service users for whom Matrons/ Acute leave or discharge with intensive support may be Service line lead appropriate, if the above action is unsuccessful at providing additional capacity. Clinical Directors, Medical Leads, Service Line Team Leader / Leaders and Matrons aware of the need to Modern Matron implement high risk actions above. Feed back progress to bed manager/on call within 2 hours of the alert. Consideration given to breaching Same Sex Lead Nurse / Acute Accommodation in a managed way. Service Line Lead To plan in advance for increased escalation during Bed out of hours and particularly weekends. Manager/Service Line Lead To predict the length of the shortage of beds to inform directors. On call consultants must be consulted out of On call managers hours admissions during red bed alert periods Consider private sector hospital bed for admissions Managing Director / pending. Clinical Director Service line lead to confirm with all modern Acute Service line matrons and service leads in older peoples that all lead actions outlined in the red escalation have been taken. Clinical Directors to ensure that all inpatient Clinical Directors consultants and CATT/IOT Managers have reviewed the inpatient caseload; must provide assurance that all current inpatients require admission on basis of risk Agree if a bed management executive meeting Service line needs to be convened COO, Director of Quality lead/Managing – and Safety , Medical Director in attendance with Director MDs and Clinical Directors. The decision will be based on the length of time the status is likely to remain black and will be convened if likely length is more than 3 days This can be a virtual meeting. Bed Management Exec meeting to consider further Managing Director / purchase of private sector hospital beds, (possibly Chief Operating out of county for admissions pending). Officer
Bed Manager to confirm with modern matrons in and older peoples that all actions outlined in the amber escalation have been taken and ensure actions/support taken are confirmed back. Bed Manager All inpatient consultants and CATT/IOT Managers asked to urgently review service users for whom leave or discharge with intensive support may be appropriate. Service line lead / Clinical Director Clinical leads to review service users for whom leave or discharge with intensive support may be appropriate, if the above action is unsuccessful at providing additional capacity. Matrons/ Acute Service line lead Clinical Directors, Medical Leads, Service Line Leaders and Matrons aware of the need to implement high risk actions above. Feed back progress to bed manager/on call within 2 hours of the alert. Team Leader / Modern Matron Consideration given to breaching Same Sex Accommodation in a managed way. Lead Nurse / Acute Service Line Lead To plan in advance for increased escalation during out of hours and particularly weekends. To predict the length of the shortage of beds to inform directors. Bed Manager/Service Line Lead On call consultants must be consulted out of hours admissions during red bed alert periods On call managers Consider private sector hospital bed for admissions pending. Managing Director / Clinical Director Service line lead to confirm with all modern matrons and service leads in older peoples that all actions outlined in the red escalation have been taken. Acute Service line lead Clinical Directors to ensure that all inpatient consultants and CATT/IOT Managers have reviewed the inpatient caseload; must provide assurance that all current inpatients require admission on basis of risk Clinical Directors Agree if a bed management executive meeting needs to be convened – COO, Director of Quality and Safety , Medical Director in attendance with MDs and Clinical Directors. The decision will be based on the length of time the status is likely to remain black and will be convened if likely length is more than 3 days This can be a virtual meeting. Service line lead/Managing Director Bed Management Exec meeting to consider further purchase of private sector hospital beds, (possibly out of county for admissions pending). Managing Director / Chief Operating Officer
EN%20Herts%20CCG%20Surge-Escalation-and-Capacity-Plan-Version-19-updated-2nd-November-2016.docx