1. Emergency Access an operational perspective
Dr Veronica Devlin
Emergency Access Programme Manager
NHS Lanarkshire

2. Increase in attendances

3. Arrival Profile

4. Department Activity

5. Flow Group Spread

6. Referral Source

7. Referral Source

8. Referral Source

9. 999 call disposal November 2008

10. 999 calls who did not wait to be seen November 2008

11. 999 DNW vs total

12. Reducing Attendances How do we identify patient groups?
Where do we redirect them?
How do we redirect them?
How will our partners support this?
How are we helping patients to access care appropriately?

13. Caveats Beware judgements based on flawed definitions
Gaming with this target is simple
Shared data is not available

14. You can’t improve a system if you don’t understand it

15. There are known knowns. These are things we know that we know
There are known knowns. These are things we know that we know. There are known unknowns. That is to say, there are things that we know we don't know. But there are also unknown unknowns. There are things we don't know we don't know.
Donald Rumsfeld