1. NHS Grampian and Local Authorities Winter Planning 10/11

2. 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

3. 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

4. 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

5. 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

6. 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