2. key objectives for the project
To increase the physical capacity within the WRH A&E
Department to safely accommodate the current and
projected growth in demand for emergency attendances:
o from known demographic changes in the local population and
o from the potential for the WRH site to develop further as the
emergency centre for the whole of Worcestershire, thereby
providing a greater degree of resilience than currently exists.
3. Key Benefits (1)
• Improved service resilience;
• A reduction in the numbers of people who wait for
longer than 4 hours in the department;
• Improved patient privacy and dignity and patient
experience;
• A reduced need for patients to be accommodated
in corridors or in ambulances at times of peak
activity
4. Key Benefits (2)
• An increase in the numbers of invasive procedures
which can be carried out in the department;
• The new accommodation will feel more like a MIU
than an A&E department which will improve the
patient experience;
• The establishment of an Ambulatory Emergency
Care “lite” service;
• Improved patient flows
5.
6.
7.
8. Operational Model
Function – Minors exam
Lead – Emp/CB
What (role & responsibilities)- Assess Pt
When- 24/7
Who - Enp/SN/Clinician
Establishment – Minors Team
Relationships – Dpt/Minors/Xray
Function – Minors GP
Lead - JW
What (role & responsibilities)- Assess
selected Pts
When- 10hrs/day 7/7
Who – GP, 1per shift
Establishment -
Relationships – ED Team/Triage
Function – Minors eye
Lead - CB
What (role & responsibilities)- Eye
Assess + Rx
When- 24/7
Who – Eye Pts
Establishment – Minors/Nurse/Emp
Relationships – Minors/Nurse/Clinical
Function – Minors Treatment
Lead – ENP/CB
What (role & responsibilities)- Assess Pt
When- 24/7
Who – Evp/SN/Clinician
Establishment -
Relationships -
Function – Minors Isolation
Lead - JF
What (role & responsibilities)-
When-
Who -
Establishment -
Relationships -
Function – Minors Plaster
Lead - CB
What (role & responsibilities)-
When- 24/7
Who - Pts
Establishment – In/Out
Relationships – Minors/Nurse/Evp
Function – Waiting
Lead – CB/JW
What (role & responsibilities)- Area Pt
wait
When- 24/7
Who – Triage/Minors/SN
Establishment – 2wte 24/7
Relationships – Reception/Triage/
Minors Enps
Function – Reception
Lead -
What (role & responsibilities)- Booking
When- On arrival
Who – All patients
Establishment -
Relationships – Triage/MC/Wmas
Function – MAU+IA/Xray
Lead -
What (role & responsibilities)-
When-
Who -
Establishment -
Relationships -
Function – Staff Hot desk Office
Lead – Minors/Evp
What (role & responsibilities)- Manage
Support Minors
When- 24/7
Who -
Establishment -
Relationships – Minors staff/Admin
Function – Psychometric, Alcoholic,
Social Work & Discharge
Lead -
What (role & responsibilities)- Assess
specific referred Pts
When- Extend office hours
Who – Referred Pts
Establishment -
Relationships – ED/SS/Outside Agencies
Function – Major Exam
Lead – JW/CB
What (role & responsibilities; Assess and
Rx Patients
When- 24/7
Who – Majors Pts
Establishment – 1:4 RN
Relationships – NIC/TRIAGE/HCAS/
CLINICIAN/SPEC/WMAS/RESUS/
PHARMACY
Function – Adolescent Wait
Lead – BW/CB
What (role & responsibilities)- Teens
When- 24/7
Who - >12 YEARS
Establishment – RN Paeds
Relationships – As Paeds wait 24/7
Function – Staff Base
Lead – JW/CB
What (role & responsibilities)-
Control Hub
When- 24/7
Who – All staff
Establishment – All staff
Relationships - All
Function – ITU STANDARD PC
Lead – (NO CHANGE)
What (role & responsibilities)-
When-
Who -
Establishment -
Relationships -
Function – RAT
Lead - ; JF/LJ
What (role & responsibilities)-
Arrivals
When- 4hrs PM
Who – ST4 + Clinician+ IA Nurse
Establishment -
Relationships – Resus/MC/Majors/
Minors
Function – Paeds
Lead – BW,CB
What (role & responsibilities)- Assess/
Rx <16s
When-24/7
Who – PAEDS RN
Establishment -
Relationships – MC/Triage/RESUS/
Clinicians/Paeds/Specialities
Function – Paeds Wait;
Lead - BW CB
What (role & responsibilities)- <16s
awaiting assessment
When- 24/7
Who - RESUS
Establishment -PAEDS RN/ COVERING
PAEDS area
Relationships – RECEP/NIC/TRIAGE
Function – High Care
Lead – JF,CB,DSM
What (role & responsibilities)- RESUS
Step down, Major step up
When- 24/7
Who – Critically unwell, not req Resus
Establishment -
Relationships – MC Patient Clinician,
Specialities, RESUS
Function – Ambulance Reg;
Lead - Matron
What (role & responsibilities)-
AMB Offload/1.4/CAD/Escalate
When- 24/7 7/7
Who – AMB Conveyed Pts
Establishment – I SN 24/7
Relationships – WMAS,NIC,Patient
Resus Corridor Nurse, Relative
Function – CDU
Lead - JF
What (role & responsibilities)- 24hr
stays
When- 24/7
Who – Criteria Spec
Establishment – 1+1 (RN+HCA)
Relationships – MC/Pharmacist/RRN/
PF/Specialities/Hub/Clinic/Transport
Services
Function – MAU
Lead - JR
What (role & responsibilities)- Ass
Medical
When- 24/7
Who – All Medical
Establishment -
Relationships – AEC/ED/Wards/
Radioligy/GP’s/Specialities
Function – Teaching MH + MP
Lead – BW/JF/CB
What (role & responsibilities)-
EDUCATION
When- As required
Who – All staff
Establishment – MH+MP
Relationships – All staff
Function – Resus
Lead – JW/CB
What (role & responsibilities)-
When- 24/7
Who – 2 SN + Clinician as req
Establishment -Rest Dpt +
Relationships -
Function – Triage
Lead – CB/JW
What (role & responsibilities)- Assess/R
When-24/7
Who – Paeds NIC RESUS
Establishment -
Relationships – MC/Triage/RESUS/
Clinicians/Paeds/Specialities/
RN+ENP+RN (Fwx)(MINORS)
