Emergency Ambulance Access Improvement Project

Presentation Overview

• Red 1 & 2 Targets • Current Performance (Red 1 & 2)• Current Performance (Turn around Time)• Improvement project - Examples• Questions

Red One & Two Performance Targets

Red 1(Respiratory / cardiac

arrest)

Response in 8 minutes Response in 8 minutes

Red 2 (All other life threatening

emergencies.)

Current Performance

Standard Measure Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 YTD

75.00% RED 1 (8mins) 51.20% 69.10% 64.60% 68.90% 67.90% 75.00% 69.23% 49.09% 69.70% 65.10% Call Volume 41 55 49 46 53 44 52 55 66 461

75.00% RED 2 (8mins) 61.90% 63.90% 68.60% 62.40% 63.10% 61.80% 61.50% 59.58% 65.40% 63.10% Call Volume 734 682 809 784 743 805 892 881 954 7,284

95.00% ALL RED (19mins) 92.00% 94.60% 96.10% 92.30% 93.80% 93.00% 94.40% 91.97% 94.10% 93.60% Call Volume 775 737 858 830 796 849 944 936 1,020 7,745

Current PerformanceHandover: Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16Average Turnaround Times:

Note 1 MDGH 27:36 26:33 26:09 25:11 25:55 25:45 25:39 26:33 26:51 27:20 Cheshire & Merseyside 31:05 28:42 27:43 27:08 26:42 28:46 30:04 30:37 32:45 37:17 NWAS 29:49 27:40 27:15 27:13 27:25 28:50 29:52 30:48 31:45 35:09

MDGH Clinical Handover by Timeband: 0m-15m% 79.97% 78.24% 82.49% 80.55% 83.26% 86.34% 78.98% 77.23% 82.02% 78.34% 15m-30m% 17.94% 18.87% 15.88% 17.72% 15.32% 12.25% 19.13% 20.48% 16.74% 19.80% 30m-45m% 1.95% 2.20% 0.98% 1.59% 1.28% 1.27% 1.65% 2.17% 1.01% 1.73% 45m-60m% 0.00% 0.69% 0.16% 0.14% 0.14% 0.14% 0.12% 0.00% 0.11% 0.12% 60m-75m% 0.14% 0.00% 0.16% 0.00% 0.00% 0.00% 0.00% 0.12% 0.00% 0.00% >75m% 0.00% 0.00% 0.16% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Note 1 MDGH better than both Cheshire-Merseyside & NWAS Overall

July 2015

Deep Dive

Event

1st Group Meeting

Aug 2015

Dec 2015

Oct 2015

Jan 2015

Feb 2015

Nov 2015

Sept2015

3rdGroup Meeting

2nd Group Meeting

4th Group Meeting

5thGroup Meeting

Inter-trusttransfers Meeting

Heart Failure Team

Meeting

Transfer Type

Mapping event

Patient Campaign

GP Locality Presentation

AdditionalVehicles in

place

Red 1 - Improvement in Sept 15 only Data not available

Emergency Ambulance Improvement Project Overview

Example One: Building Capacity

Example Two: Hospital Transfers -

Clinical Need

STEMI - POST TREATMENT

Non STEMI Stable condition

Type Of Ambulance Trolley or Chair?

Unstable STEMI In A&E Requires urgent Primary

Urgent Care Service Chair

Multi occupancy opportunities?

Yes/No?

Yes (Multi Ocuupancy)

A&E

Dept

CCU

or W

ardDe

pt

Not Applicable. Return journey not required. Patient admitted to UHNS and discharged from UHNS. Length of Stay up to 3 days.

Inter Trust Transfer Mapping - Return

Yes (Multi Ocuupancy)

Urgent Care Service Chair/Trolley

Example Four:1st Responder Recruitment

Chest pains and cardiac arrests in East Cheshire (Jan 15 –Jan 16).

Any questions?

Julia Curtis, Service Delivery Manager (Quality)julia.curtis2@nhs.net