NHS Grampian and Local Authorities Winter Planning 10/11

Challenges 2009/10 Everything else! (Pandemic flu, severe weather, demand, norovirus, festive period and 4 day closing. 3 LAs, 3 CHPs and Acute Sector Discharging patients Inaccurate Community Hospital bed state No Nursing Home Panel mtns on 24th/31st Dec Communications and Perceptions Patient transport availability at short notice

Progress Joint Winter Planning meetings and workshop Integrated Strategic Management Team (MH, LA, Acute & CHP) Implementation of DB 2008/09 report recommendations Greater understanding between Organisations

Actions/ Improvements Better communication On duty senior management Additional staff on-call Improved escalation process Increased involvement of voluntary sector Many areas, normal working on 4th day Better monitoring and use of data

Actions/ Improvements Additional care packages Frequency of assessment  (joint OT teams) Access to rapid response teams Hospital at home team available Anticipatory care plans  Real time information to clinicians if necessary Better management of elective activity

Challenges 2010/11 Everything else! (Pandemic flu, severe weather, demand, norovirus, festive period and 4 day closing. 3 LAs, 3 CHPs and Acute Sector Communications and Perceptions