Tees valley health scrutiny
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TEES VALLEY HEALTH SCRUTINY. WINTER PREPAREDNESS 19 December 2011. Winter 2011/12. How winter and winter pressures have been managed to date Flu vaccinations Daily sitreps and pressure being faced by services Weekly conference calls Preparations for Christmas. 1. Flu Vaccination.

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TEES VALLEY HEALTH SCRUTINY

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Tees valley health scrutiny

TEES VALLEY HEALTH SCRUTINY

WINTER PREPAREDNESS

19 December 2011


Winter 2011 12

Winter 2011/12

How winter and winter pressures have been managed to date

Flu vaccinations

Daily sitreps and pressure being faced by services

Weekly conference calls

Preparations for Christmas


1 flu vaccination

1. Flu Vaccination

Steps taken:

Region & Local Communication Plans

Flu fighter roadshows/Local GP champions

Targeted info to ‘at risk’ groups

Clinical Bulletins

Flu letters to relevant ‘at risk’ practitioners/professionals


Flu vaccination

Flu Vaccination

Latest data – staff


Flu vaccination1

Flu Vaccination

Latest data – at risk groups:

Over 65s – target 75 %, actual 71%

Under 65 with underlying condition – target 60%, actual 47%

Pregnant women – target 60%, actual 29%

Letter to midwives


2 daily sitreps and pressures being faced by services

2. Daily Sitreps and Pressures Being Faced by Services

Since 2 November 2011, provided to commissioners and SHA daily by:

Acute providers

Community providers

Out of Hours

Local Authorities

NEAS

NHS Direct

Mental Health


Daily sitreps

Daily Sitreps

Details include:

NEEP level

Serious operational issues in last 24 hours and remedial actions

A&E – closures, diverts, trolley waits

Cancelled operations

Ambulance queuing

Beds available

Beds closed due to D & V / norovirus

Beds unavailable due to delayed transfers of care

Critical care beds

Media interest

Staff levels


Daily sitreps key issues to date

Daily Sitreps – key issues to date

North Tees and Hartlepool:

NEEP 1

12 December delayed discharges - 10

South Tees Hospitals:

NEEP 1 / 2

12 December delayed discharges - 26

County Durham and Darlington:

NEEP 2 / 3

12 December delayed discharges - 29


Neep level 3 pressure triggers

NEEP level 3 – Pressuretriggers

Evidence of significantly increased activity across Tees. Activity is placing real pressure on organisations

Actions taken at NEEP level 2 have not reduced pressure on organisations

2 or more organisations in Tees reporting NEEP level 3

Deterioration in weather conditions, or severe weather forecast that threatens to cause widespread disruption

SHA identify need to regional command and control of NHS

Declared major incident affecting 1 NHS organisation on Tees

Note

NEEP level 1 (normal) and NEEP level 2 (concern) must have been worked through before arriving at NEEP level 3


3 commissioner sha conference calls

3. Commissioner/SHA Conference Calls

Weekly – unless required more frequently, as of 14 December 2011, only 2 additional calls required so far

2 calls – Commissioner with providers at 11am, commissioners with SHA at 12 noon

Daily when 1 or more NE organisations are at NEEP 3

Key issues for SHA so far:

Justification/challenge of NEEP level reported

Mutual aid requests and procedures

Bed availability/step down from CCU/HDU/ITU

Delayed discharges

Delayed handovers


4 preparations for christmas and new year

4. Preparations for Christmas and New Year

twitter, facebook, Hartlepool Mail, Evening Gazette, LA publications, general press releases, radio campaigns, television adverts

Vaccinations

Choose well/choose the right service

Keep warm

Order prescriptions in advance

Opening times


4 preparations for christmas and new year1

4. Preparations for Christmas and New Year

General press releases – ‘keep winter bugs out of hospital’, ‘don’t become another statistic this Christmas’, ‘don’t forget your winter prescriptions’

PCSA arrangements for pharmacy and GP opening times

On-call arrangements

Arrangements for conference calls over Christmas/ New Year period


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