Urgent and Emergency Care programme

on .

Pin It

From Cheryl Hardisty, Programme Director

In the last month, we have made progress against each of our milestones:

Simplified access:

  • The Test of Change for NHS111 / MPFT took place in August and meetings have been held to finalise the pathways and inclusion criteria for NHS111
  • Progress towards the implementation of Direct Booking continues

Integrated UEC Model and Consolidation:

  • The PCBC engagement events have now finished and a PCBC inter-dependency workshop was held
  • The Case for Change for the UEC model was presented at Clinical Senate
  • Clinicians were invited to a clinical group to develop hurdle criteria

Working Together as One Health and Care System:

  • High level review of Demand and Capacity submissions undertaken, and further iterations requested from organisations where appropriate
  • Draft version of new UEC Dashboard reporting format presented and agreed at UEC Programme Board
  • Second draft of Winter/Surge Plan submitted to NHSE-I and third draft begun
  • Winter Pulse Check distributed by NHSE-I. Staffordshire STP system agreed to review and trial w/c 16 September
  • Predictive version of Resilience Planning trigger tool for RSUH launched on 16 September

Wider System Delivery:

  • Local Enhanced Service discussed with North Staffs LMC Chair
  • Roll-out of new LES specification commenced in South West Staffordshire
  • Admission avoidance CRIS launched across two PCNs
  • All Red Bag Scheme documentation now approved, and plans are in place for acute training and communications (targeting care homes)
  • Plan in development to roll out 50 Red Bags across East Staffordshire, and NHSE funding applied for to deliver Red Bags in the South

Emergency Department Front Door and Hospital Flow:

  • ED Improvement plan continues and a BC for additional staffing approved and recruitment commenced. 10 Junior Doctors commenced to support overnight
  • Phase 1 of the Urgent Care Model now implemented with a larger Majors template
  • Acute Frailty Pathway in review re: capacity requirements across AMRA and straight to FEAU model
  • Ambulance conveyance work continuing with current Falls Response Service
  • Options paper completed for GP urgent care referrals, and NHSE Transformation funding applied for to pilot Consultant Connect
  • FEAU pathway from the ED has been revised with six protected beds allocated for direct admission from the ED. A report has been requested to monitor the effectiveness of the pathway.
  • Identified frailty projects as part of the Midlands Frailty Collaborative and presented to NHSE.

Hospital Discharge:

  • Plan refreshed to consolidate repetitive actions and articulate at milestone level and to include additional actions in line with PDSA approach to implementing the High Impact Changes. MPFT have refreshed the governance and strengthened the PMO around the Urgent Care Programme to support delivery
  • ‘End-to-end’ SOP discharge process ‘as is’ state SOP approved for RSUH
  • Focused work with care homes in place, as PP quality and some problematic discharges have caused issues with Trusted Assessor confidence in some homes.
  • Further work on the development of proposal to rollout Track and Triage in the South. High level model agreed. System-wide weekly task and finish group to support mobilisation put in place. Priority is to define the operational model and pathways.