Winter Planning: key risks

Sheena Macleod

Delayed Discharges• Working with Highland and A&B Councils to reduce length of festive ‘shutdown’• Use of ACPAs, SPARRA & inpatient data, Extended Community & Primary Care Teams• ACPAs available to admission wards/assessment units• Board rounds with traffic lighted patients and ‘community pull’• Complex case discharge coordinator in Lochaber• Change Fund – capacity building• Rapid response, virtual ward and intermediate care available and being built further via Change Fund initiatives

Boarding• Main risk area – Raigmore• 2010/11 reduced LoS, reduced

boarding• 2011/12 Kaizen work undertaken,

actions ongoing• 3xbed state meetings per day

normal practice

Escalation• Robust and longstanding policy in place linked with business continuity arrangements• Bed state management robust• EDD is routine practice• Transport booking arrangement in place with SAS – RGH• Criteria led discharge• 18RTT – mainstreamed activity

Communications• On call systems in place• 2010/11 complexity arising from daily reporting

requirement – needs to add value• Severe weather, difficult conditions is ‘what we

do’ in Highland• Business continuity systems in place year round

- expect the unexpected!• Partnerships - Red Cross, SAS, Coastguard, Police

for 4x4 vehicle support for staff/patient transport• Know who to turn to and get ready for winter

campaigns in place