Unscheduled Care Learning event

Escalation Workstream

Michael Bloomfield/Debbie Burns

19 March 2015

Key Issues

• Regional Unscheduled Care Escalation Plan updated

• Trusts reviewed/revised local Escalation Plans

• Trust tests of local escalation plans• Effectiveness of ED dashboard reviewed• NIAS role to manage GP calls to ED

Escalation – What Worked Well?

• Commitment of staff• Early, senior intervention• Command/control co-ordination• Senior manager presence at

weekends/holidays• HALOs

Escalation - challenges

• Sustained periods of escalation• Accessing community care over holiday periods• Securing additional staffing• Cancellation of elective activity• Repatriation of patients• Cross-Trust discharges• Patient/family choice• Extent of 7-day services• Access to real time information

Escalation - Learning

• Earlier identification of pressures/triggers• Earlier confirmation of winter pressures funding• Improve timeliness of information on bed status• Communication with patients and families• Early discharge planning