DRAFT ESCALATION PLANS FOR ARISE AND CLAYPONDS HOSPITAL CLAYPONDS HOSPITAL ARISE Definition 2 beds available for OPRAC. Beds available for all Definition: Able to accept all referrals. Priority 1-4 WHITE booked Admissions. Empty beds. No patients FFT on Waiting List patients seen within agreed time frames. Action: Daily monitoring of bed availability by Senior Management Action: Normal duty processes- refer to borough wide at Clayponds escalation plan. Definition: 2 beds available for OPRAC. Beds available for all Definition: Waiting list for priority 4.s only GREEN booked Admissions. No discharges planned for next 24 hours. 1-4 on Waiting List Action: Weekly monitoring of waiting list at team meeting. Inform team leader of outcome/ service Action: Senior Management to check with wards and Discharge Co- escalation (Wednesdays) ordinator that all planned discharges will be going ahead and to highlight any potential problematic discharges to Team Leader. Definition: No beds available for OPRAC. All beds full. No Level: Waiting list for priority 4 and delay for priority 3 to AMBER discharges planned for next 24 hours. 5+ on Waiting List. have 1st visit. Action: As above Team Leader to discuss with Matron ,Therapy Action: Re screen priority 4. Allocated worker to decide Coordinator and Doctors possibility of bringing forward any planned on intensity/time of first and subsequent visits for discharge date. ? Refer to ARISE. priority 3’s . Definition: No beds available for OPRAC, All beds full. No Definition: Waiting list for priority 4 and limited RED discharges planned for next 48 hours, 10 + on waiting list. availability for priority 3 (new) and decreased intensity of visits for priority 3 (current). Action: As above Team Leader//Discharge Coordinator to contact Action: Inform A. Brooke/B. Nicholls. Review current Social Services to alert them to bed situation and to request caseload with team at meeting. Request support from assistance with any delayed discharges i.e. Stepdown bed, interim District Nursing service. placement. Either: a. Leave low priority cases open/delay final visit and closure. Or b. Telephone call to consider review date for final visit visit and more prompt closure. Consider referral to voluntary sector services. Definition: Unfunded beds open. No beds available for OPRAC. No Definition: Only able to accept priority 1 & 2 referrals BLACK discharges planned for next 48 hours. 10 + on Waiting List. Action: Cancel visit for 3 & 4 centralise staff duty only. Action: Senior Management to review with discharge coordinator all Limited visits for priority 1-2. inpatients for potential discharges. Appendix Definition of priority for ARISE service. Priority 1 Prevention of admission (P.O.A.)referrals from the community. GP, DN’s and CM’s Priority 2 P.O.A. for patients in A&E. (EHT and other) Priority 3 Supported discharge from hospital. i.e. therapy and package of care. Priority 4 Community therapy only. ARISE service will report their escalation level weekly, on a Wednesday, after the two team meetings. Initially this will be based on clinicians reporting back on their caseload. It is hoped that we will develop a case weighting tool similar to that used by the DN service to ensure better consistency. Currently these plans are for the individual services, and both services also have a role in responding to the Borough wide escalation plans, and specifically that of EHT.