6EA Learning Workshop October 2019

1. Fiona MacKenzie
ISD Scotland
System Watch
@ISD_Scotland

2. Preparing for Winter CEL
3 September 2019
“Health Boards will be expected to evidence
that System Watch has been used to develop
detailed demand and capacity projections to
inform their planning assumptions.”

3. • Information resource to inform planning of
emergency & urgent care across NHS services
• Predicts emergency admissions / bed days
• Monitors trends and patterns in demand
• Data is updated daily / weekly
What is System Watch?

4. What’s in System Watch
• Daily/weekly emergency admissions activity, &
predictions up to 6 weeks ahead – updated weekly
• Primary Care OOH contacts by day & hour – updated
weekly
• Scottish Ambulance Service incidents by day and hour
- updated daily with data up to two days previous
• NHS 24 calls by day and hour – updated daily with data
up to the previous day

5. •A&E attendances by day and hour – updated monthly
•A&E attendances by week – updated weekly
•GP consultation rates for influenza-like-illness -
updated weekly
• NHS 24 episodes of care for respiratory illnesses and
diarrhoea & vomiting – updated weekly
•NRS Deaths by week and broad age group – updated
weekly
•Number of delayed discharges by week – updated
weekly
What’s in System Watch – cont.

6. How to access System Watch
Go to
https://useraccess.nhsnss.scot.nhs.uk - System Watch
Dashboard
Contact:
www.isdsystemwatch@nhs.net
****Come and visit our stand at lunch ****

7. Emergency Admissions:
for Mon 7 Oct – 1927 admissions
Current demand around the seasonal norm
NHS 24:
increasing
SAS:
Activity consistent over recent weeks
A&E: Attendances continuing to rise
GP consultations for Influenza Like Illnesses are similar to
last year
What System Watch is telling us today –
Scotland

8. Predicting Admissions

9. NHS 24 calls D&V

10. Baseline
Moderate
Influenza Like Illnesses (GP consults)
14/1/18 peak

11. Collated overview of NHS
Services
NHS 24
ED/MIU
SAS
OOH

12. •Usage
•wider than the stats suggest
•Variety of roles – Bed mangers, clinicians, information
•Benefits highlighted
•prediction/seasonal lines
•data timeliness
•monitoring syndromic
•monitoring OOH demand/activity
•Developments Suggested
•summary information/ easier navigation
•additional admissions intelligence – specialty
•develop the presentation of OOH data
•improve the response time of SW
User Survey

13. • Turning data into intelligence
• User Group
• Feedback from users
• Identification and prioritisation of
developments
• Virtual – make use of Trello
Sign up - www.isdsystemwatch@nhs.net
System Watch Team

14. System Watch Developments
Admissions Activity & 6 Week Predictions by HSCP
Over the next few weeks:
• Year on Year Trends Emergency Admissions
• Specialty group (Medical, Paediatric & Surgical)
• Age bands(Under16,16-64 & 65+)
• Enhanced Syndromic Surveillance
• OOH contacts by broad diagnostic groups and age
groups (Scotland only)

15. System Watch Developments Cont
• Weekly Admissions, Discharges & ALOS
• Specialty group (Medical, Paediatric & Surgical)
• Age bands(Under16,16-64 & 65+)
• Pointillist - Helen
• Take 10 – Iain