Winter Plan - The Royal Wolverhampton Hospitals NHS Trust
Winter Plan - The Royal Wolverhampton Hospitals NHS Trust
Winter Plan - The Royal Wolverhampton Hospitals NHS Trust
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<strong>The</strong> <strong>Royal</strong> <strong>Wolverhampton</strong> <strong>Hospitals</strong> <strong>NHS</strong> <strong>Trust</strong><br />
‘WINTER LESSONS’
Concerns from 2007/08<br />
‣ Increased demands for admissions<br />
‣ Emergency v Elective ~ Balancing<br />
‣ Norovirus<br />
‣ Lack of Nursing staff<br />
‣ Inability to utilise physical capacity<br />
‣ Communication issues<br />
‣ Poor morale<br />
‣ LACK OF PLANNING
Drivers to Change<br />
‣ Patients have a better experience<br />
‣ Safe and timely transfers for patients<br />
‣ Infection Prevention management<br />
‣ Manage 08/09 better<br />
‣ Engagement of DOH/SHA<br />
‣ Joint working across the Health Economy<br />
‣ Static staffing
Aims of <strong>Winter</strong> <strong>Plan</strong>ning<br />
‣ To ensure patients are managed and cared for by<br />
the right person, in the right place at the right<br />
time<br />
‣ To minimise stress and pressure on New Cross<br />
healthcare staff and managers<br />
‣ Ensure targets are met without sacrificing<br />
patient care delivery {4hour standard,<br />
Ambulance turnaround, 18weeks}<br />
‣ To minimise HCAI
<strong>The</strong> <strong>Plan</strong> ~ 2008/09
To Provide ~<br />
‣ Additional Capacity<br />
‣ Pre – Recruitment of staff<br />
‣ Daily Monitoring<br />
‣ Weekly Executive Team meeting<br />
‣ KPI’s<br />
‣ Infection Prevention Monitoring
<strong>The</strong> Reality ~<br />
‣ Disseminated <strong>Trust</strong> wide <strong>Winter</strong> plan<br />
‣ Temporary staffing<br />
‣ Opening and Flexing of Capacity<br />
‣ Daily Elective Patient Management<br />
‣ Critical Care Requirements<br />
‣ Oncology Outlier <strong>Plan</strong><br />
‣ Health Economy Wide Impact
Did it Work?<br />
‣ 4 Hour Standard achieved<br />
‣ Ambulance Turnaround<br />
‣ 4 Hour Standard ~ Breaches of Target<br />
‣ Escalation Levels<br />
‣ Oncology Outliers<br />
‣ Delayed Discharges<br />
‣ Weekend Discharges
<strong>The</strong> Way Forward<br />
‣ Focus on Quality<br />
‣ Patient Safety<br />
‣ Bed Modelling<br />
‣ Resource <strong>Plan</strong>ning<br />
‣ Partnership working
“If Best is Possible then<br />
Good is not Good<br />
Enough”
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