UCLH preparations for Olympic Games 2012 Daniel Wallis, Clinical - PowerPoint PPT Presentation

UCLH preparations for Olympic Games 2012 Daniel Wallis, Clinical Director Emergency Services Tara Donnelly, Managing Director Medicine Clinical Board

AROUND 44 DAYS OF CHALLENGING NORMAL Paralympic Torch Olympic Games Gap Opening Games in (14 days - Busiest Period) (17 days) Ceremony (11 days) Camden 28 July – 12 Aug 30 Aug – 9 Sep 26 July 27 July 13 Aug – 29

2012 Olympic and Paralympic Games • UCLH designated hospital for Olympic Family • London - 510,000 additional visitors per day Kings Cross/St Pancras & Euston Stations – 200,000 additional passengers per day • Response to any Major Incident 2

Overview Challenges • Capacity & staff • Infrastructure • Major Incident / CBRN incident • Reputation Planning • 2012 Steering Group • Regular reports to Executive Board • Peer review of plans by University Hospitals Birmingham 3

ED attendances 470 450 430 410 A&E Attendances 390 Revised Baseline Extra_20pc_AE 370 Extra_40pc_AE 350 330 310 290 270 250 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) 2 2 ) 2 2 2 ) 2 2 2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 / / / / / / / / / / 7 / 7 7 7 / 8 / 8 / 8 8 8 / 8 / 8 / 8 7 8 8 8 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 / / / / / / / / / / 7 8 / 9 0 1 / 2 3 4 / 5 / 6 7 / 9 0 / / 1 8 1 2 2 2 2 3 3 0 0 0 0 0 0 0 0 0 1 1 1 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( y y y y y y y y y y y y y y y y y a a a a a a a a a a a a a a a a a d d d d d d d d d d d d d d d d d i r n n s s s i r n n s s s i r n r u r u r u F u o e e r F u o e e r F u u u t S M u n t S M u n t S a h a h a T d T d S T S T S e e W W 4

Increased capacity 1 • St Pancras Hospital – 10+ patients • Hospital @ Home (PACE) ~ 6 patients / week • OP IV antibiotic service • Current Paediatric OPD in EGA to become extended low acuity ED treatment area 5

Increased capacity 2 Pilot FLOW initiatives • clearing of predicted beds required • twice daily consultant / senior registrar WR in emergency areas • discharge planning (TTAs, summaries), nurse led discharge 15-30 min. response time to referrals from ED / GPs -> early clinical decision making 6

Olympic Family / VIP pathways • Clinically appropriate pathways • Side rooms on Acute Medicine Unit where possible 7

Staffing 1 • Leave restricted • Clinical Boards working with Recruitment to maximise new starters • Redeployment of professional staff to ward • Urgent Care Centre GPs redeployed to extend evening hours • Planned database of staff with ED experience • No planned home working • Suspend routine meetings and reduce training 8

Staffing 2 All Clinical Boards have returned assurances on staffing, but some are subject to additional staff (Emergency Services, ITU, theatres) Bank/agency • 3049 shifts requested, > 1137 filled to date • general bank recruitment with allocation to follow 9

10 Queens Square UCH

Travel • Repeated highlighting of travel guidance to staff • Adjust start/finish times • Overnight accommodation • Staff mapping (post codes, transport routes) 11

Infrastructure Supplies & deliveries • Night time deliveries to all sites • Second pharmacy van & driver • Increased NHS Supply Chain stock at departmental level (12 days) • Critical areas to ensure adequate non-stock items 12

Communication & media Patients • Information leaflets • Banners in hospital Managing the media • Protecting VIPs / Olympic Family • LOCOG communications pathway • NHS London pathway 13

Major Incident / CBRN Risk level to be raised to Severe (= likely) Preparations • Exercises • Training • Equipment, drugs, information support • Increased security staff • Business continuity 14

Finance • Olympic Funding £600 K • Expected to pay for majority of Olympic costs excl. beds at St Pancras 15

Outstanding risks • Assumptions about demand • Delivery of pilot FLOW recommendations • Recruitment of additional staff, transport effect • Major Incident risk Severe ; CBRN preparedness • Patient pathway for ED patients to be seen in EGA 16

Managing the response during the Olympics 2012 Operations Room • Available 24/7 • HOPLO, EPLO, Clinical Lead • Monitoring activity, Sit Reps, etc 17

18 Questions?

19 Emergency attendances & admissions

20 Pressure on AMU beds (above 87% capacity) in 20% and 40% scenarios Bed demand on AMU