Tees valley health scrutiny
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TEES VALLEY HEALTH SCRUTINY. WINTER PREPAREDNESS 10 OCTOBER 2011 Celia Weldon, Director of Corporate Development Peter Kelly, Executive Director of Public Health Toks Sangowawa, Clinical Director of Public Health. Winter pressures.

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Tees valley health scrutiny



10 OCTOBER 2011

Celia Weldon, Director of Corporate Development

Peter Kelly, Executive Director of Public Health

Toks Sangowawa, Clinical Director of Public Health

Winter pressures

Winter pressures

What plans does the local NHS have in place to deal with any additional pressures on services that come from issues associated with seasonal flu? This includes inpatient beds, as well as other non-inpatient services?

All provider organisations (STFT, NTFT, TEWV and NDUC) have a Winter Assurance Frameworks, a North East Escalation Plan (NEEP) and a Flu Plan. All provider organisations have presented these plans to their Boards for approval in September 2011

NHS Tees maintains the system NEEP for Tees

Provider mutual assistance

Provider Mutual Assistance

To what extent do hospital trusts have ‘mutual assistance’ agreements to maximise any spare bed capacity should it be needed due to winter pressures?

There is a mutual aid process between NHS organisations which has been in place since 2010 and is currently being refreshed, for use when:

Pressures on bed capacity

When an A&E department is experiencing significant pressure

Can be requested at NEEP level 3 – relates to time or numbers of patients

Agreed process in place and involves NEAS Ambulance Control Room

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

Role of sha

Role of SHA

What role does the SHA play in supporting the local system to deal with winter pressures and in assuring itself of the system’s ability to respond to winter pressures?

The SHA performancemanages PCTs on their winter planning arrangements

Winter assurance letter 2011/12 – highlights key risks for 2011/12, mitigating actions that should be considered, NHS and social services collaboration. Critical care management and delivery and Business Continuity arrangements

The SHA establishes a winter cell – SHA, PCT and critical care

Support for flu vaccination campaign – staff and eligible patients

Daily SITREP from November (acute, community and ambulance)

Weekly vaccination uptake reports for NHS Staff



Are there any areas of concern for Directors of Public Health relating to winter preparedness?

Usual concern of inadequate vaccine supply addressed

Perhaps a pandemic situation, although plans in place

What would a successful winter period look like to Directors of Public Health?

Arrangements worked well between all NHS organisations, Local Authorities and other providers

Plans put in place were utilised effectively

Patient Safety and Quality of Service was not compromised

Flu vaccine

Flu Vaccine

What steps has the NHS in the North East taken to highlight the availability of the flu vaccine and specifically target it to ‘at risk’ groups?

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



Do directors of Public Health feel confident that they can command the necessary resources to ensure sufficient resilience in the North East?

NEEP as described earlier

Regional coordinated Flu vaccination programme - monthly, then weekly teleconferences with flexibility to escalate as required

Exercised Emergency Planning/Business Continuity Plans

Flu vaccine1

Flu vaccine

What sort of percentage of those eligible, taking up the vaccine would be viewed as ‘good’ take up?

75% for >65s

60% for <65s at risk incl. pregnant women

60% for frontline health & social care staff