Rachana vyas-presentation-(urgent-care)-final

LLR Urgent & Emergency Care Improvement Plan Rachna Vyas, Cluster Unscheduled Care Lead 29th September 2011

Governance ,[object Object],[object Object],[object Object],[object Object],[object Object],Local Authorities LPT GEH EMAS UHL Clinical Comm. Groups PCT ECN

Key multi-agency challenges tackled through the ECN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 1: Rising demand on acute services affects service delivery in the ED ,[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 2: The response to ED by the Crisis Response Team causes delays in the patient journey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 3a: The ‘re-bedding’ of patients causes unnecessary delays in the patient journey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Progress: Average number of rebeds per week for 11/12 has been 9. 10/11 Q3/4 average was 12 per week.

Challenge 3b: Late cancellations of PTS services reduces availability of crews and interrupts service delivery ,[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 4: Multi factorial delays in discharging medically fit patients block beds – reportable & non reportable delays ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 5: Winter planning needs to be both innovative and meticulous to ensure a robust urgent care system through winter 11/12 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 6 – Application of ‘Systems thinking’ to ensure that we work across agencies to deliver an innovative and tailored system of care for LLR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 7: Promoting independence and reducing demand through reablement Action: Collaborative proposals drawn up and currently going through governance processes Summary of proposals for each area below: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 8: Implementing pathways for Frail Older People to deliver a coordinated and high quality service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Action: Frail Older People service implemented with the aim achieving a 20% reduction in admissions to base wards for those patients referred to the service.

Challenge 9: Improving UHL Discharge processes to facilitate patient flow through the system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 10a: Improving ED Processes to offer a streamlined and efficient pathway through the Emergency Department ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 10b: Development & mobilisation of a UHL workforce development strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge 11: Integrate the current 11 ‘single points of access’ across health and social care to enable 1 single point of access across LLR ,[object Object],[object Object],[object Object],[object Object],Health SPA Regional piloting of the NHS 111 project Leics County LA SPA Leics City LA SPA

Critical issues to address in the next few months: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Thank you for your time. Please feel free to ask any questions.

Rachana vyas-presentation-(urgent-care)-final

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