Status Red As above NSM’s In addition to the above : Consider Consider cancelling Consider cancelling planned & Deputy Director Consider cancelling redeploying planned routine elective elective plus: of Operations planned routine elective additional admissions Paediatric surgical and GM’s admissions medical & Identify planned activity- medical patients 3 Divisional Identify planned activity- nursing staff to e.g. training that may Ensure Consultant Directors e.g. training that may need support ED for need cancellations completes ward rounds as cancellations specified periods Maintain capacity e.g. and when required to Maintain capacity e.g. i.e. CD of ED Produce list of patients review and discharge Produce list of patients consultant is who fall just outside of patients who fall just outside of I.C. responsible for I.C. beds admission Consider cancelling OPD beds admission criteria medical criteria clinics to facilitate senior Consider additional bed mobilisation Consider additional bed ward rounds capacity action capacity Ascertain where cover can Consider cancelling OPD Consider cancelling OPD be obtained from clinics to facilitate senior clinics to facilitate senior neighbouring hospitals ward rounds ward rounds Review nurse staffing Review nurse staffing across ALL Divisions with across ALL Divisions with a view for re-deployments a view for re-deployments and additional capacity and additional capacity e.g. e.g. CNS to support to areas of greatest need Prepare wards for full Prepare wards for full Code Crimson: Capacity Protocol: Status Black As above Director of Operations In addition to the Clinical Director & Clinical Director & Clinical Director & Lead Clinicians Partners from Health above : Lead clinicians Lead clinicians informed of position, cascades and plus: & Social Care Cancel all informed of informed of agrees action plan with Clinical 4 activity position, cascades position, cascades Consider cancellation of clinics and discussion with agrees action plan and agree action redeployment of staff CD and all lead with Clinical Leads plan with clinical Additional Consultant lead rounds clinicians Consider Leads Cancellations of all non-emergency Monitor status and cancellation of Consider activity activity in specialty study time for all cancellation of ED staff clinics and
Status Red As above plus: 3 NSM’s Deputy Director of Operations GM’s Divisional Directors In addition to the above : Consider cancelling planned routine elective admissions Identify planned activity- e.g. training that may need cancellations Maintain capacity e.g. Produce list of patients who fall just outside of I.C. beds admission criteria Consider additional bed capacity Consider cancelling OPD clinics to facilitate senior ward rounds Review nurse staffing across ALL Divisions with a view for re-deployments and additional capacity e.g. Prepare wards for full Code Crimson: Consider redeploying additional medical & nursing staff to support ED for specified periods i.e. CD of ED consultant is responsible for medical mobilisation action Consider cancelling planned routine elective admissions Identify planned activity- e.g. training that may need cancellations Maintain capacity e.g. Produce list of patients who fall just outside of I.C. beds admission criteria Consider additional bed capacity Consider cancelling OPD clinics to facilitate senior ward rounds Review nurse staffing across ALL Divisions with a view for re-deployments and additional capacity e.g. CNS to support to areas of greatest need Prepare wards for full Capacity Protocol: Consider cancelling planned & elective Paediatric surgical and medical patients Ensure Consultant completes ward rounds as and when required to review and discharge patients Consider cancelling OPD clinics to facilitate senior ward rounds Ascertain where cover can be obtained from neighbouring hospitals Status Black As above plus: 4 Director of Operations Partners from Health & Social Care In addition to the above : Cancel all activity discussion with CD and all lead clinicians Monitor status and activity in specialty Clinical Director & Lead clinicians informed of position, cascades agrees action plan with Clinical Leads Consider cancellation of study time for all ED staff Clinical Director & Lead clinicians informed of position, cascades and agree action plan with clinical Leads Consider cancellation of clinics and Clinical Director & Lead Clinicians informed of position, cascades and agrees action plan with Clinical Consider cancellation of clinics and redeployment of staff Additional Consultant lead rounds Cancellations of all non-emergency activity
EN%20Herts%20CCG%20Surge-Escalation-and-Capacity-Plan-Version-19-updated-2nd-November-2016.docx