Emergency Ambulance Access Improvement Project

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Matthew Cunningham

Presentation to the Governing Body of NHS Eastern Cheshire CCG

Healthcare

Emergency Ambulance Access
Improvement Project

Presentation Overview
• Red 1 & 2 Targets
• Current Performance (Red 1 & 2)
• Current Performance (Turn around Time)
• Improvement project - Examples
• Questions

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.)

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

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

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

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

Chest pains and cardiac arrests
in East Cheshire (Jan 15 –Jan 16).

Any questions?
Julia Curtis, Service Delivery Manager (Quality)
julia.curtis2@nhs.net

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