The Committee received a joint presentation
from Laura Gibson of George Eliot Hospital (GEH), Helen Lancaster
of the Coventry and Warwickshire Integrated Care Board
(C&WICB), together with County Council officers, Zoe Mayhew and
Denise Cross. This presentation on ‘Ambulance Turnaround,
Winter Plan & Discharge Pathways’ included slides on:
- George Eliot Hospital NHS Trust. A
slide showing data for this hospital trust including bed capacity,
emergency department attendances, average data for admissions,
discharges and ambulance visits.
- Ambulance Handover, showing the
weekly numbers of transfers taking over one hour for the period
March to August 2022.
- National Pathway Definitions. There
are four pathways (0,1,2,3). This slide showed the proportion of
people in each pathway and a definition of the respective discharge
arrangements.
- Hospital Social Care and Reablement.
This provided data for such things as referrals, increasing trends,
reablement visits and the provision of equipment in the home.
- Social Care Domiciliary Care. This
reported the data on referrals and increasing demands, domiciliary
care pathways and typical waiting times for packages of care to
begin.
- Length of stay - graphs showing
hospital stays of over 21 days and the numbers of patients who did
not meet criteria to reside in hospital.
- Pathway issues which identified
contributors to delays.
- Joint actions, a slide which
outlined some of the current initiatives being implemented.
- What does the future look like? A
series of key outcomes to provide a process that was
person-centred, strengths-based, and driven by choice, dignity and
respect.
- Winter plan 2022/23.
- Core objectives and key actions for operational
resilience
- New national board assurance
framework key metrics.
- System wide planning aims. These
sought to ensure there were no delays throughout the care pathway,
maintaining services, ensuring sufficient bed capacity, admission
prevention through use of alternate treatment services, timely
discharge, partnership working and workforce wellbeing.
Debate took place on the following areas:
- Officers were thanked by several
members for the presentation.
- The objectives were welcomed, with
questions on the expected timeline for their completion and
progress made to date. Some work was already underway, but a
detailed timeline could not be provided. The challenges of the
forthcoming winter period were not yet known, and some objectives
may need to be reviewed, but the experience of partnership working
over the last two years and moving care away from acute settings
were key aspects raised.
- The system approach to addressing
delayed discharges was welcomed. A point was made that all NHS
services should have a focus on discharge, with specific reference
to delays due medication provision.
- It was noted that private ambulance
services were used, together with Warwickshire Fire and Rescue
Service ‘hospital to home’ scheme.
- Discussion about the collection of
medical equipment that was no longer required, so that it could be
reused by other people. Officers explained that the recycling of
some smaller items was not feasible either for cost or infection
control reasons. There were periodic campaigns where people could
return equipment to designated sites and the service provider,
Millbrook Healthcare could be contacted to collect ...
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