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Emergency Ambulance Access Improvement Project

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Presentation to the Governing Body of NHS Eastern Cheshire CCG

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Emergency Ambulance Access Improvement Project

  1. 1. Emergency Ambulance Access Improvement Project
  2. 2. Presentation Overview • Red 1 & 2 Targets • Current Performance (Red 1 & 2) • Current Performance (Turn around Time) • Improvement project - Examples • Questions
  3. 3. Red One & Two Performance Targets Red 1 (Respiratory / cardiac arrest) Response in 8 minutes Response in 8 minutes Red 2 (All other life threatening emergencies.)
  4. 4. Current Performance Standard Measure Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 YTD 75.00% RED1(8mins) 51.20% 69.10% 64.60% 68.90% 67.90% 75.00% 69.23% 49.09% 69.70% 65.10% CallVolume 41 55 49 46 53 44 52 55 66 461 75.00% RED2(8mins) 61.90% 63.90% 68.60% 62.40% 63.10% 61.80% 61.50% 59.58% 65.40% 63.10% CallVolume 734 682 809 784 743 805 892 881 954 7,284 95.00% ALLRED(19mins) 92.00% 94.60% 96.10% 92.30% 93.80% 93.00% 94.40% 91.97% 94.10% 93.60% CallVolume 775 737 858 830 796 849 944 936 1,020 7,745
  5. 5. Current Performance Handover: Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Oct-15 Nov-15 Dec-15 Jan-16 Average TurnaroundTimes: Note1 MDGH 27:36 26:33 26:09 25:11 25:55 25:45 25:39 26:33 26:51 27:20 Cheshire &Merseyside 31:05 28:42 27:43 27:08 26:42 28:46 30:04 30:37 32:45 37:17 NWAS 29:49 27:40 27:15 27:13 27:25 28:50 29:52 30:48 31:45 35:09 MDGHClinicalHandoverbyTimeband: 0m-15m% 79.97% 78.24% 82.49% 80.55% 83.26% 86.34% 78.98% 77.23% 82.02% 78.34% 15m-30m% 17.94% 18.87% 15.88% 17.72% 15.32% 12.25% 19.13% 20.48% 16.74% 19.80% 30m-45m% 1.95% 2.20% 0.98% 1.59% 1.28% 1.27% 1.65% 2.17% 1.01% 1.73% 45m-60m% 0.00% 0.69% 0.16% 0.14% 0.14% 0.14% 0.12% 0.00% 0.11% 0.12% 60m-75m% 0.14% 0.00% 0.16% 0.00% 0.00% 0.00% 0.00% 0.12% 0.00% 0.00% >75m% 0.00% 0.00% 0.16% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Note1 MDGHbetterthanbothCheshire-Merseyside&NWASOverall
  6. 6. July 2015 Deep Dive Event 1st Group Meeting Aug 2015 Dec 2015 Oct 2015 Jan 2015 Feb 2015 Nov 2015 Sept 2015 3rd Group Meeting 2nd Group Meeting 4th Group Meeting 5th Group Meeting Inter-trust transfers Meeting Heart Failure Team Meeting Transfer Type Mapping event Patient Campaign GP Locality Presentation Additional Vehicles in place Red 1 - Improvement in Sept 15 only Data not available Emergency Ambulance Improvement Project Overview
  7. 7. Example One: Building Capacity
  8. 8. Example Two: Hospital Transfers - Clinical Need STEMI - POST TREATMENT Non STEMI Stable condition Type Of Ambulance Trolley or Chair? Unstable STEMI In A&E Requires urgent Primary Urgent Care Service Chair Multi occupancy opportunities? Yes/No? Yes (Multi Ocuupancy) A&EDeptCCUorWardDept Not Applicable. Return journey not required. Patient admitted to UHNS and discharged from UHNS. Length of Stay up to 3 days. Inter Trust Transfer Mapping - Return Yes (Multi Ocuupancy) UrgentCare Service Chair/Trolley
  9. 9. Example Four: 1st Responder Recruitment
  10. 10. Chest pains and cardiac arrests in East Cheshire (Jan 15 –Jan 16).
  11. 11. Any questions? Julia Curtis, Service Delivery Manager (Quality) julia.curtis2@nhs.net

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