1. NHS Grampian Winter Plan 2011/12 Risks and Resilience

2. Risks It’s going to be cold! Patients will be sick! Some staff will be absent! Festive music will start too early! It might even snow! We might remember winter 2010/11!

3. Key Risks Increased demand beyond predicted Reduced capacity Patient Flow too slow Pandemic Flu Norovirus Adverse weather Festive period Quality and Performance drop

4. Resilience Winter planning group/ programme Business Continuity Plans Pandemic/ Seasonal Flu Plans Escalation Plans Seasonal flu vaccination programme Predictive demand analysis Bed Management/ Flow coordination Integrated working

5. Sector/ Partner Reviews G-MED Scottish Ambulance Service Acute MHSCP/LA Aberdeenshire CHP/LA Aberdeen City/LA Mental Health Pharmacy Dentistry NHS24

6. Action Greater “buy-in” to WP Monitored activity data closely Active Bed Management/ Flow Early discharge planning Anticipatory care plans- Change Fund Additional CHP staff and care packages Regular teleconference – HPS Mutual aid National and local media information Lobbied CEO re PH working affecting patients/ staff.