De-escalating from Black to Red Plans for week commencing 27 April - - PowerPoint PPT Presentation

RBFT COViD Operational Response De-escalating from Black to Red

Plans for week commencing 27 April

Whilst the hospital remains very busy with COViD-19 patients we have not seen the numbers that were initially forecast and we are therefore able to de-escalate our level of operational readiness from black to red

We need to be deliberate and flexible in our de- escalation given that we are in an unpredictable situation with little evidence or precedent and need to be prepared to re-escalate at any moment. Principles for de-escalation are:

• De-escalation decisions are made by Gold

Command;

• These decisions are tied to operational use of

resources (clinical and support services and PPE supplies) to support our COViD-19 patients;

• We need to be conscious of the need to

maintain social distancing and the shielding of vulnerable patients;

• We need to consider the impact on staff and

the need for leave over the coming weeks;

• We should take steps that are in line with our

wider recovery plan and proposed new end- state for services – including the need for essential estate work.

In week commencing 27 April we propose to start de-escalating from Black to Red. We hope to maintain this position through to the end of May. This will free up staff and estate to support our urgent non COViD patients, conserve scarce PPE and enable periods of rest and leave.

BLACK ITU COViD wards Surgery RED

• ITU to consolidate onto a smaller footprint;
• Loaned equipment returned to Independent

Sector hospitals

• ITU expanded into Redlands Theatres

South Wing Recovery and Theatres (56 beds available)

Staffing

• All ward areas prepared to take

COViD-19 patients.

• Close Caversham, Hurley and Trueta

wards;

• De-escalate Hopkins and Dorrell (Surgical

wards)

• 2nd POD rota running across the week
• All non-medical consultants freed up

for redeployment.

• Stop 2nd POD rota
• No planned redeployment of non-medical

consultants and registrars

• Ward staff numbers rebased to demand
• Surgery consolidated in Central

Theatres;

• One Cancer list a day
• Minimal use of Independent Sector
• Plan to increase surgery – cancer and

elective – for specific groups (all patients to be swabbed);

• Extended use of Independent

Sector.