ENHT Actions Divisional Strategic Actions Medicine Emergency Care Surgical Women & Clinical Support Alert Capacity Meeting Specialties Children Services Status Attendees Trust Status Green – Meeting Chair GM’s Business as usual Flag potential 4 hour Business as Daily Ensure Surgery Matrons to assess and standard breach to site usual morning Diagnostic ED Op Lead mitigate safe staffing team at 3 hours and Matrons to Consultant Delays are Bed Managers levels for all areas for 3.5 hours in assess and Ward highlighted in Medical Bed Bleep medicine accordance with ED mitigate safe Rounds time for Holder Ensure patient safety triggers. staffing levels for Promote pre capacity Surgical Bed Bleep and quality maintained Notify WSCC Bed all areas for morning meetings Holder (use of DL, AMU ward managers and Lead medicine discharges Have Nurse in charge ED rounds continue, daily Nurse of any staffing Ensure patient Escalate any accurate OCM at 16.00 weekdays consultant ward rounds, or Operational issues safety and quality delays or daily data Ambulance Transport escalate delays to which may impact on maintained (use issues to detailing Discharge Lounge WSCC, EDD’s updates patient flow or safety. of DL, SAU ward Paediatric equipment Paediatric Designate on BIMS, outlier Maintain CDU ward round, Clinical availability Critical Care Designate reviews) round prioritization of Coordinator Ensure any Imaging representative OOH matron to monitor Maintain triage and theatre list for Maintain pharmacy Pharmacy representative safe staffing levels and DART Models of care. next day, daily CAU ward issues/ Maternity Designate attend 17:00 capacity consultant ward round delays are meetings rounds, escalate SDM to see escalated delays to WSCC, ED referrals EDD’s updates in 30 on BIMS, outlier minutes. reviews) OOH matron to monitor safe staffing levels and attend 17:00 capacity meetings
ENHT Actions Alert Status Capacity Meeting Attendees Divisional Strategic Actions Medicine Emergency Care Surgical Specialties Women & Children Clinical Support Services Trust Status – Green Meeting Chair GM’s Surgery ED Op Lead Bed Managers Medical Bed Bleep Holder Surgical Bed Bleep Holder Nurse in charge ED OCM at 16.00 weekdays Ambulance Transport Discharge Lounge Paediatric Designate Critical Care Designate Imaging representative Pharmacy representative Maternity Designate Business as usual Matrons to assess and mitigate safe staffing levels for all areas for medicine Ensure patient safety and quality maintained (use of DL, AMU ward rounds continue, daily consultant ward rounds, escalate delays to WSCC, EDD’s updates on BIMS, outlier reviews) OOH matron to monitor safe staffing levels and attend 17:00 capacity meetings Flag potential 4 hour standard breach to site team at 3 hours and 3.5 hours in accordance with ED triggers. Notify WSCC Bed managers and Lead Nurse of any staffing or Operational issues which may impact on patient flow or safety. Maintain CDU ward round Maintain triage and DART Models of care. Business as usual Matrons to assess and mitigate safe staffing levels for all areas for medicine Ensure patient safety and quality maintained (use of DL, SAU ward round, prioritization of theatre list for next day, daily consultant ward rounds, escalate delays to WSCC, EDD’s updates on BIMS, outlier reviews) OOH matron to monitor safe staffing levels and attend 17:00 capacity meetings Daily morning Consultant Ward Rounds Promote pre morning discharges Escalate any delays or issues to Paediatric Clinical Coordinator Maintain CAU ward round SDM to see ED referrals in 30 minutes. Ensure Diagnostic Delays are highlighted in time for capacity meetings Have accurate daily data detailing equipment availability Ensure any pharmacy issues/ delays are escalated
EN%20Herts%20CCG%20Surge-Escalation-and-Capacity-Plan-Version-19-updated-2nd-November-2016.docx