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12 Hour Breach Review
Laura Kelso
Improvement Advisor
NHS Ayrshire & Arran
The why…..
The new approach….
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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(Analyst Workshop 19) Laura Kelso

  • 1. 12 Hour Breach Review Laura Kelso Improvement Advisor NHS Ayrshire & Arran
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Editor's Notes

  1. Slide 1: Notes for background information.
  2. Why are we focussing on 12 hour breaches? An unusually high number since the beginning of the year
  3. System pressures including the increasing number of delayed discharges but that’s not the whole story
  4. CNMs completed the template as part of the weekly service pressures return What happened to them? Were they reviewed? Spoke with Fraser who advised that nothing happened with them! Agreed to develop a local template firstly for 12 hrs with the potential to extend to all breaches.
  5. Developed a business objects report that was sent out daily to the CNMs for the previous day Information used to populate an excel spreadsheet and note any escalation, staffing issues, actions taken etc Same information but displayed in a more meaningful way.
  6. Breach reason by hour of arrival
  7. Breaches by reason and day of arrival
  8. Heat map to show the hotspots