TEES VALLEY HEALTH SCRUTINY

WINTER PREPAREDNESS19 December 2011

Winter 2011/12How winter and winter pressures have

been managed to date

1. Flu vaccinations2. Daily sitreps and pressure being faced

by services3. Weekly conference calls4. Preparations for Christmas

1. Flu VaccinationSteps taken:Region & Local Communication PlansFlu fighter roadshows/Local GP championsTargeted info to ‘at risk’ groupsClinical BulletinsFlu letters to relevant ‘at risk’ practitioners/professionals

Flu VaccinationLatest data – staff

Flu VaccinationLatest 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

Since 2 November 2011, provided to commissioners and SHA daily by:Acute providersCommunity providersOut of HoursLocal AuthoritiesNEASNHS DirectMental Health

Daily SitrepsDetails 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 dateNorth 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 – 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

NoteNEEP level 1 (normal) and NEEP level 2 (concern) must have been worked

through before arriving at NEEP level 3

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

1. 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 Year

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

3. PCSA arrangements for pharmacy and GP opening times

4. On-call arrangements 5. Arrangements for conference calls over

Christmas/ New Year period