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AROUND 44 DAYS OF CHALLENGING NORMAL
Torch in Camden Opening Ceremony
Olympic Games (14 days - Busiest Period) Gap (17 days) Paralympic Games (11 days) 26 July 27 July 28 July – 12 Aug 13 Aug – 29 30 Aug – 9 Sep
UCLH preparations for Olympic Games 2012 Daniel Wallis, Clinical - - PowerPoint PPT Presentation
UCLH preparations for Olympic Games 2012 Daniel Wallis, Clinical - - PowerPoint PPT Presentation
UCLH preparations for Olympic Games 2012 Daniel Wallis, Clinical Director Emergency Services Tara Donnelly, Managing Director Medicine Clinical Board AROUND 44 DAYS OF CHALLENGING NORMAL Paralympic Torch Olympic Games Gap Opening Games in
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2012 Olympic and Paralympic Games
- UCLH designated hospital for Olympic Family
- London - 510,000 additional visitors per day
Kings Cross/St Pancras & Euston Stations – 200,000 additional passengers per day
- Response to any Major Incident
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Overview
Challenges
- Capacity & staff
- Infrastructure
- Major Incident / CBRN incident
- Reputation
Planning
- 2012 Steering Group
- Regular reports to Executive Board
- Peer review of plans by University Hospitals Birmingham
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ED attendances
250 270 290 310 330 350 370 390 410 430 450 470
F r i d a y ( 2 7 / 7 / 2 1 2 ) S a t u r d a y ( 2 8 / 7 / 2 1 2 ) S u n d a y ( 2 9 / 7 / 2 1 2 ) M
- n
d a y ( 3 / 7 / 2 1 2 ) T u e s d a y ( 3 1 / 7 / 2 1 2 ) W e d n e s d a y ( 1 / 8 / 2 1 2 ) T h u r s d a y ( 2 / 8 / 2 1 2 ) F r i d a y ( 3 / 8 / 2 1 2 ) S a t u r d a y ( 4 / 8 / 2 1 2 ) S u n d a y ( 5 / 8 / 2 1 2 ) M
- n
d a y ( 6 / 8 / 2 1 2 ) T u e s d a y ( 7 / 8 / 2 1 2 ) W e d n e s d a y ( 8 / 8 / 2 1 2 ) T h u r s d a y ( 9 / 8 / 2 1 2 ) F r i d a y ( 1 / 8 / 2 1 2 ) S a t u r d a y ( 1 1 / 8 / 2 1 2 ) S u n d a y ( 1 2 / 8 / 2 1 2 )
A&E Attendances
Revised Baseline Extra_20pc_AE Extra_40pc_AE
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Increased capacity 1
- St Pancras Hospital – 10+ patients
- Hospital @ Home (PACE) ~ 6 patients / week
- OP IV antibiotic service
- Current Paediatric OPD in EGA to become
extended low acuity ED treatment area
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Increased capacity 2
Pilot FLOW initiatives
- clearing of predicted beds required
- twice daily consultant / senior registrar WR in emergency areas
- discharge planning (TTAs, summaries), nurse led discharge
15-30 min. response time to referrals from ED / GPs
- > early clinical decision making
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Olympic Family / VIP pathways
- Clinically appropriate pathways
- Side rooms on Acute Medicine Unit where possible
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Staffing 1
- Leave restricted
- Clinical Boards working with Recruitment to maximise new starters
- Redeployment of professional staff to ward
- Urgent Care Centre GPs redeployed to extend evening hours
- Planned database of staff with ED experience
- No planned home working
- Suspend routine meetings and reduce training
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Staffing 2
All Clinical Boards have returned assurances on staffing, but some are subject to additional staff (Emergency Services, ITU, theatres) Bank/agency
- 3049 shifts requested, > 1137 filled to date
- general bank recruitment with allocation to follow
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Queens Square
UCH
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Travel
- Repeated highlighting of travel guidance to staff
- Adjust start/finish times
- Overnight accommodation
- Staff mapping (post codes, transport routes)
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Infrastructure
Supplies & deliveries
- Night time deliveries to all sites
- Second pharmacy van & driver
- Increased NHS Supply Chain stock at departmental level (12 days)
- Critical areas to ensure adequate non-stock items
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Communication & media
Patients
- Information leaflets
- Banners in hospital
Managing the media
- Protecting VIPs / Olympic Family
- LOCOG communications pathway
- NHS London pathway
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Major Incident / CBRN
Risk level to be raised to Severe (= likely) Preparations
- Exercises
- Training
- Equipment, drugs, information support
- Increased security staff
- Business continuity
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Finance
- Olympic Funding £600 K
- Expected to pay for majority of Olympic costs excl. beds
at St Pancras
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Outstanding risks
- Assumptions about demand
- Delivery of pilot FLOW recommendations
- Recruitment of additional staff, transport effect
- Major Incident risk Severe; CBRN preparedness
- Patient pathway for ED patients to be seen in EGA
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Managing the response during the Olympics 2012 Operations Room
- Available 24/7
- HOPLO, EPLO, Clinical Lead
- Monitoring activity, Sit Reps, etc
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Questions?
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Emergency attendances & admissions
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