Under extreme pressure and NHS NHS the system is under extreme pressures and where the DCO Team Director believes: where there is significant risk to England England Pressures will require a multi-area co-ordinated response; or multiple DTA +11hrs DCO Team Regional To reduce to patients. Director Senior Manager On-call On-call Trust Trust NHS Director Improvement On-call Portfolio Director NHS England If a 12hr breach has occurred: CCG Summary of activity including: DCO Team Director Location, number and length of each 12 hour breach Senior Manager In-hours (i.e. 9am -5pm On-call Actions and activity undertaken On-call who will Monday to Friday) Any other relevant observations inform the NHS 12 hour breaches must be reported as a Serious Incident (SI) on STEISS and a Root Cause England Persons outlined in column B Analysis (RCA) should be completed within agreed timeframes. An initial RCA must be completed Regional Senior immediately informs within 24hrs and shared with Senior Clinical staff to prevent reoccurrence Manager On call respective regional body in Column C Initial RCA analysis to be completed on all 12hr breaches within <24hrs and for this to be – shared with the NHS England Regional Director of Delivery and NHS England Regional Team Trust Trust NHS Senior Manager On call and NHS Improvement Portfolio Director Director Improvement On-call Portfolio Director If a 12hr breach has NHS England CCG Summary of overnight occurred: Out of Hours (i.e. DCO Team Director Location, number and Senior Manager 5pm 9am Monday to – On-call Actions and activity Friday, Weekends and On-call who will Any relevant Public Holidays) inform the NHS >12 hour breaches must be England Analysis (RCA) should be Regional Senior By 1100hrs the following within 24hrs and shared Manager On call
Under extreme pressure and where there is significant risk to multiple DTA +11hrs NHS England DCO Team Director On-call NHS England Regional Senior Manager On-call the system is under extreme pressures and where the DCO Team Director believes: Pressures will require a multi-area co-ordinated response; or To reduce to patients. Trust Director On-call Trust NHS Improvement Portfolio Director If a 12hr breach has occurred: In-hours (i.e. 9am -5pm Monday to Friday) Persons outlined in column B immediately informs respective regional body in Column C CCG Director On-call NHS England DCO Team Senior Manager On-call who will inform the NHS England Regional Senior Manager On call Summary of activity including: Location, number and length of each 12 hour breach Actions and activity undertaken Any other relevant observations 12 hour breaches must be reported as a Serious Incident (SI) on STEISS and a Root Cause Analysis (RCA) should be completed within agreed timeframes. An initial RCA must be completed within 24hrs and shared with Senior Clinical staff to prevent reoccurrence Initial RCA analysis to be completed on all 12hr breaches within <24hrs – and for this to be shared with the NHS England Regional Director of Delivery and NHS England Regional Team Senior Manager On call and NHS Improvement Portfolio Director Trust Director On-call Trust NHS Improvement Portfolio Director If a 12hr breach has occurred: Out of Hours (i.e. 5pm – 9am Monday to Friday, Weekends and Public Holidays) By 1100hrs the following CCG Director On-call NHS England DCO Team Senior Manager On-call who will inform the NHS England Regional Senior Manager On call Summary of overnight Location, number and Actions and activity Any relevant >12 hour breaches must be Analysis (RCA) should be within 24hrs and shared
EN%20Herts%20CCG%20Surge-Escalation-and-Capacity-Plan-Version-19-updated-2nd-November-2016.docx