HCT Actions HCT Actions by service line Bed bases and Bed Integrated community Adult Specialist Children’s Corporate Alert wide and Capacity Bureau services (inc Neuro) services services Status Meeting actions Trust Status OPEL 1 – Business as usual Con calls Bed bureau to LM’s monitor capacity DToC con call held – – conference calls represent HCT on and demand daily once a week for including daily reporting conference calls ensuring safe staffing each side of the DGM’s monitor daily bed DToC con call held once levels met county and chaired – situation and operational a week for each side of the Forward planning rosters by Patient flow issues throughout the county and chaired by for weekends and bank manager including a day. IDT/discharge team Patient flow manager holidays lead executive have a good including a lead executive declaration of Business as usual understanding of the Sit rep release (0930) capacity status management of predicted levels of Produce once a day Integrated Community patients at ward level demand and monitor capacity reports / sit rep via Team capacity including community bed and ICT bed bureau to include communicated weekly to management of capacity. staffing, bed state, etc. DGM via locality DTOCs Bed states available via Appropriately structured for managers, with any the Business Intelligence internal and external teams reporting Amber to Portal and Bed Bureau. distribution. be escalated immediately Bed Bureau team Business as usual to DGM proactively review bed management of patients at and community capacity ward level including in conjunction with management of DTOCs operational managers. Ensure all planned Active monitoring of discharges to community infection control issues beds and teams occur. Maintain timely updating of information systems Ensure all pressures are communicated regularly to all local partner organisations, and communicate all escalation actions taken Proactive public communication strategy eg. Stay Well messages,
HCT Actions Alert Status wide and Capacity Meeting actions HCT Actions by service line Bed bases and Bed Bureau Integrated community Adult Specialist services (inc Neuro) Children’s services Corporate services Trust Status – OPEL 1 Business as usual conference calls including daily reporting DGM’s monitor daily bed situation and operational issues throughout the day. IDT/discharge team have a good understanding of the predicted levels of demand and monitor community bed and ICT capacity. Bed states available via the Business Intelligence Portal and Bed Bureau. Bed Bureau team proactively review bed and community capacity in conjunction with operational managers. Active monitoring of infection control issues Maintain timely updating of information systems Ensure all pressures are communicated regularly to all local partner organisations, and communicate all escalation actions taken Proactive public communication strategy eg. Stay Well messages, Con calls – Bed bureau to represent HCT on conference calls DToC con call – held once a week for each side of the county and chaired by Patient flow manager including a lead executive Sit rep release (0930) Produce once a day capacity reports / sit rep via bed bureau to include staffing, bed state, etc. Appropriately structured for internal and external distribution. Business as usual management of patients at ward level including management of DTOCs Ensure all planned discharges to community beds and teams occur. LM’s monitor capacity and demand daily ensuring safe staffing levels met Forward planning rosters for weekends and bank holidays declaration of capacity status Integrated Community Team capacity communicated weekly to DGM via locality managers, with any teams reporting Amber to be escalated immediately to DGM DToC con call – held once a week for each side of the county and chaired by Patient flow manager including a lead executive Business as usual management of patients at ward level including management of DTOCs
EN%20Herts%20CCG%20Surge%20Escalation%20and%20Capacity%20Plan%20V21.docx