De-escalating from Black to Red Plans for week commencing 27 April - PowerPoint PPT Presentation

RBFT COViD Operational Response De-escalating from Black to Red Plans for week commencing 27 April

Whilst the hospital remains very busy with COViD-19 patients we have not seen the numbers that were initially forecast and we are therefore able to de-escalate our level of operational readiness from black to red We need to be deliberate and flexible in our de- escalation given that we are in an unpredictable situation with little evidence or precedent and need to be prepared to re-escalate at any moment. Principles for de-escalation are: • De-escalation decisions are made by Gold Command; • These decisions are tied to operational use of resources (clinical and support services and PPE supplies) to support our COViD-19 patients; • We need to be conscious of the need to maintain social distancing and the shielding of vulnerable patients; • We need to consider the impact on staff and the need for leave over the coming weeks; • We should take steps that are in line with our wider recovery plan and proposed new end- state for services – including the need for essential estate work.

In week commencing 27 April we propose to start de-escalating from Black to Red. We hope to maintain this position through to the end of May. This will free up staff and estate to support our urgent non COViD patients, conserve scarce PPE and enable periods of rest and leave. BLACK RED • • ITU to consolidate onto a smaller footprint; ITU expanded into Redlands Theatres • South Wing Recovery and Theatres Loaned equipment returned to Independent ITU (56 beds available) Sector hospitals • Close Caversham, Hurley and Trueta COViD • All ward areas prepared to take wards; COViD-19 patients. wards • De-escalate Hopkins and Dorrell (Surgical wards) • Stop 2 nd POD rota • 2 nd POD rota running across the week Staffing • No planned redeployment of non-medical • All non-medical consultants freed up consultants and registrars for redeployment. • Ward staff numbers rebased to demand • Plan to increase surgery – cancer and • Surgery consolidated in Central elective – for specific groups (all patients Surgery Theatres; to be swabbed); • One Cancer list a day • Extended use of Independent • Minimal use of Independent Sector Sector.