Winter plan including communications and engagement plan Kingston and Richmond CCGs
Winter plan 2018/19 The Kingston, Richmond and Surrey Downs Accident & Emergency (A&E) delivery board aims to: • Sustain a safe and stable urgent and emergency care pathway for the system (all year) • Manage an anticipated 10% growth in demand during the winter period • Achieve the national four hour waiting time performance (at least 90% during the winter period) • Reduce the length of stay for patients by 1.1 days (compared to the beginning of 2018) A range of actions are underway to avoid the need to increase inpatient capacity at Kingston Hospital during the winter period.
Improv ements in the urgent care system • Increased the physical capacity in Kingston Hospital’s A&E through enhanced majors and resus capacity • Introduced full GP led urgent care centre streaming model at Kingston Hospital • Continued 7-day frailty service embedded between Kingston Hospital and community providers across all boroughs • Sustained delivery of extended primary care access (8am - 8pm, 7 days a week, open to all GP registered population) • Reduced delayed transfers of care • Ran two successful multi-agency discharge events across the system to assist with identification of key priorities for the system in 2018/ 19 • Set up a joint assessment and discharge team including nurses, social workers and therapists co- located and working collaboratively on complex discharges for all boroughs • Delivered “core 24” psychiatry liaison services
Priorities for 2018/19 • Focus on reducing extended length of stay. Following the MADE events and A&E delivery board seminars, partners identified that specific actions were required to support the reductions in delays identified • Focus on out of hospital pathways (responsive community and social services) – surge planning and escalation processes • Establishment of a “silver command” rota for partners for two distinct periods of time: o pre-Christmas period to support generation of bed capacity, daily from 12 – 21 December o post-Christmas from 2 January - mid Feb 2019 • All partners are aiming to exceed the nationally recognised staff flu vaccination uptake rate achieved in 2017/18 to maintain effective workforce capacity during the winter season.
Integrated communications and engagement supporting the winter plan
Kingston and Richmond communications and engagement professionals working NHS together across health and care K&R Local Comms+Eng Healthwatch Authority Group Voluntary Sector
Behaviour change campaigns Self-care Prevention Re-direct
New national campaign
New national campaign
Integrated communications & engagement in Kingston and Richmond Direct engagement with communities Direct engagement with staff Using media and social media to influence behaviour Stakeholder support and promotion on behaviour change change Campaign evaluation
A&E delivery board – agreed areas of focus for partnership communication teams • Children under the age of 5 - communications and engagement activity to divert them away from A&E – to the extended hours service, urgent treatment centres (UTC), pharmacies. • Adults over the age of 75 - communications and engagement activity to galvanise the community and help to combat social isolation.
Communication and engagement priorities • Increase flu vaccination in target groups (as advised by public health) • Increase the number of people seeking advice from pharmacists • Continue to promote the paediatric service at Teddington Urgent Treatment Centre (Richmond) • Continue to promote the extended hours GP service (focus on Chessington) • Increase the numbers of people calling NHS 111 for urgent care needs Local authority campaigns (gritting, winter fuel grants, winter services and activities, healthy drinking)
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