New:Return capacity & carve out Managed return lists Community Provision & Shared Care New drugs/treatments Epidemiology/future proofing ACCESS: Addressing Core Capacity Everywhere in Scotland, Sustainably Embed gains from Quality Drive strands Quality Performance Indicator Dashboard ACCESS Peer Review & Recommendations Implementation Optimise use of Capacity (workforce, beds & theatres) Decisions to Address Balance & Management: Services & Configuration Information & Intelligence Decision making processes 7 lucky questions Continuous drill-down, actions & feedback loops Capacity Balance Boards' ACCESS Trauma & Orthopaedics ACCESS Managing DemandBalancing Capacity Decision Culture Information Ophthalmology ACCESS

Action Plan to Address T&O Capacity 1) Optimise use of capacity –Embed and sustain Quality Drive pathway workstrands –Focus on further opportunities to optimise use of: Workforce – skill mix, priority use of time etc. Beds Theatres

Action Plan to Address T&O Capacity 2) Calculate gap –between current and required activity (OP/IP/DC) to meet demand (recurrent activity and non-recurrent backlog)

…and similar principles apply to Trauma…

Action Plan to Address T&O Capacity 3) Board plans –How much of gap can be sustainably closed with optimised use of existing capacity? –Is additional capacity required? How can this be achieved? Making Sustainable Change – National Support –Quality & Capacity Indicators Dashboard – focus in on your priorities –Coordination of Peer Review –Board-led discussion - Optimising use of Theatre, Workforce and Bed Capacity –Feedback from you on whether focus is on the right priorities –National Leads for Quality Drive workstrands –New T&O Theatres workstrand (initial event 13 th May) –Audit Resource –£££ Funding Support (non-recurring)

Action Plan to Address T&O Capacity 4) National Action Plan – What regional/national solutions are required? Your identification and agreement of actions today is key