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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



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


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:


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


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


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