Sat 4th Jan 2025 - 03:02am
System Operational Resilience Group Assessment
East Midlands Ambulance Service
Last updated: 15-hours 55-minutes ago
11:06am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 4 (Black)
| East Midlands Ambulance Service | CRH | RDH | QHB | SHH |
|---|---|---|---|---|
| Ambulance handover delay >15 (prev day) | 53 | 130 | 7 | 12 |
| Ambulance handover delay >30 (prev day) | 13 | 111 | 16 | 9 |
| Ambulance Handovers >60 (prev day) | 0 | 40 | 14 | 6 |
| Average clinical handover time (prev day) | 00:20:59 | 02:44:00 | 01:44:31 | 01:18:35 |
| Lost hours pre handover >15 min (prev day) | 09:11:44 | 361:16:11 | 23:25:40 | 13:48:38 |
| Patients held on ambulances (prev day) | 0 | 40 | 4 | 6 |
Other
- Equipment / IT issues:
- Issues and actions:
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
University Hospital Derby & Burton - Derby Campus
Last updated: 16-hours 31-minutes ago
10:30am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 4 (Black)
- ED department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- CED department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- MAU department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- SAU department
- Opel 3 (Red)
- Staffing resource concern
- Opel 3 (Red)
- NICU department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- ICU department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- Areas of concern
- Ambulances unable to offload with 8 hour breaches, ED waits for admission, long WTBS, queue in ED for MAU = 58, minimal capacity and discharges identified across site.
Forecasted Activity (G&A only):
| Total number of forecasted Admissions and Discharges for the week: This section is to be completed once a week |
|||||||
|---|---|---|---|---|---|---|---|
| W/C: 30/12/2024 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Forecasted Admissions | 134 | 128 | 23 | 151 | 145 | 118 | 112 |
| Forecasted Discharges | 103 | 128 | 24 | 150 | 159 | 119 | 108 |
Actual Discharges (G&A only):
| To be completed daily with numbers from previous day | |||||||
|---|---|---|---|---|---|---|---|
| W/C: 30/12/2024 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Actual no Admissions | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Actual no Discharges | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
- Total number of MFFD
- 72
- P0
- 0
- P1
- 0
- P2a
- 0
- P2b
- 0
- P3
- 0
- Additional comments
Number of patients discharged by pathway previous day:
- P0
- 0
- P1
- 0
- P2a
- 0
- P2b
- 0
- P3
- 0
- Additional comments
Bed capacity
- Total number of beds available
- 1007
- Total number of beds in use
- 937
- Total number of beds closed
- 0
- Comments
- PFS in use, outlier beds in use. Commenced boarding on base wards.
Performance and Breaches
- Yesterday type 1 performance %
- 55%
- Yesterday 4 hr breach
- 198
- Actual risk of 12-hour breaches today
- Yes
- Number of 12-hour breaches for previous day
- 43
- Cancellation of elective surgery - urgent
- No
- Cancellation of elective surgery - non urgent
- No
Other
- Equipment / IT issues:
- None
- Issues and actions:
- Long WTBS in ED - currently 18 hours.
58 in queue for MAU.
MAU utilising all empty beds, outlier capacity and boarding beds in medicine
IPC issues at the front door being reviewed. - Actions to de-escalate:
- Long WTBS, currently 18 hours, work on reducing.
Ensure streaming suitable patients to UTC/mSDEC.
Holding 4 crews, longest on site since 02:08, plans needed for offload, maintain minimum care standards.
Work on decompressing Majors B - 221% occupied.
Down to 23 RNs at 11:00, escalating within division.
Work on reducing doctor processing.
Senior and junior AMED providing in reach in ED.
Corridor capped to 5 due to staffing, out for cover.
2 patients a/w surgery beds, transfer asap.
Early push on discharges, escalate internal/external delays, maximise use of DAU today. Begin boarding on base wards where staffing allows.
Supporting MAU with outliers, escalate if not reviewed. Corridor staffed this morning to be utilised.
Early push on discharges across surgery and trauma.
Work on plans for step outs.
Early push on discharges. Ensure early reviews of MAU patients. Referrals to be sent for EOL bed.
A/w confirmation from DPH re. support w/ electives.
Leads to ensure wards putting icons on whiteboard.
Work on filling W5 FNCH beds.
IDT to review MFFD/pathway lists.
IPC to review ED/MAU patients and side rooms on base wards to identify suitable patients to de-escalate. - Support requested of system partners:
- None
- Business continuity issues to report:
- None
- Escalate a call:
- No
Chesterfield Royal Hospital Foundation Trust
Last updated: 17-hours 37-minutes ago
09:24am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 4 (Black)
- ED department
- Opel 4 (Black)
- Staffing resource concern
- Opel 3 (Red)
- EMU department
- Opel 3 (Red)
- Staffing resource concern
- Opel 3 (Red)
- SAU department
- Opel 2 (Amber)
- Staffing resource concern
- Opel 3 (Red)
- ICU department
- Opel 3 (Red)
- Staffing resource concern
- Opel 3 (Red)
- Areas of concern
- 12 patients over 2 areas 4 x level 3, 7 x level 2,
Forecasted Activity (G&A only):
| Total number of forecasted Admissions and Discharges for the week: This section is to be completed once a week |
|||||||
|---|---|---|---|---|---|---|---|
| W/C: 08/12/2024 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Forecasted Admissions | 82 | 90 | 88 | 87 | 89 | 67 | 51 |
| Forecasted Discharges | 88 | 94 | 90 | 87 | 101 | 63 | 43 |
Actual Discharges (G&A only):
| To be completed daily with numbers from previous day | |||||||
|---|---|---|---|---|---|---|---|
| W/C: 08/12/2024 | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Actual no Admissions | 144 | 150 | 145 | 149 | 145 | 96 | 71 |
| Actual no Discharges | 128 | 166 | 156 | 152 | 153 | 85 | 52 |
- Total number of MFFD
- P0
- 39
- P1
- 14
- P2a
- 8
- P2b
- 2
- P3
- 6
- Additional comments
Number of patients discharged by pathway previous day:
- P0
- 20
- P1
- 25
- P2a
- 13
- P2b
- 1
- P3
- 7
- Additional comments
Bed capacity
- Total number of beds available
- 14
- Total number of beds in use
- 538
- Total number of beds closed
- 1
- Comments
- Opel 4 56 Pts in ED wait to be seen 4 hours 11 pts in ED over 12hours ED Attendances: By ambulance handover: 86 ED Attendances: Walk In : 176 ED Attendances: other: 13 ED attendances: Total: 275 UTC: Total: 37 Non-Elective Admissions: From ED: 80 Non-Elective Admissions: From other Sources: 32 Non-Elective Admissions: Total: 112
Performance and Breaches
- Yesterday type 1 performance %
- 55%
- Yesterday 4 hr breach
- 152
- Actual risk of 12-hour breaches today
- Yes
- Number of 12-hour breaches for previous day
- 28
- Cancellation of elective surgery - urgent
- No
- Cancellation of elective surgery - non urgent
- Yes
Other
- Equipment / IT issues:
- Issues and actions:
- OPEL 4 actions
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Derbyshire Healthcare Foundation Trust - Mental Health Services
Last updated: 14-days 17-hours 50-minutes ago
09:11am Fri 20th Dec 2024
OPEL rating
- OPEL:
- Opel 3 (Red)
- Percentage of bed occupancy %
- 100%
- Crisis caseload
- Opel 1 (Green)
- Out of area beds in use
- 26
- PICU bed numbers
- 18
- Step down requests from PICU
- 0
- ED – Liaison wait time from referral to assessment (% compliance)
- 67
- Acute ward – Liaison wait time from referral to assessment (% compliance)
- 92
- Number of calls to helpline
- 82
- 12- hour breached
- 0
Other
- Equipment / IT issues:
- Issues and actions:
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Derbyshire Community Health Services
Last updated: 17-hours 2-minutes ago
09:59am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 3 (Red)
Urgent Treatment Centres
- Buxton Hospital
- Opel 3 (Red)
- Ilkeston Hospital
- Opel 3 (Red)
- Ripley Hospital
- Opel 3 (Red)
- Whitworth Hospital
- Opel 3 (Red)
Community Services
- Community nursing
- Opel 3 (Red)
- Community therapy
- Opel 3 (Red)
- Community hospital beds flow
- Opel 3 (Red)
- Community Response Team
- Opel 3 (Red)
Older People's Mental Health
- OPMH Walton Hospital bed occupancy
- 100%
Community hospital beds
- Total bed capacity
- 84
- Closed beds
- 0
- Available beds
- 1
- Discharges today
- 2
Delays to discharge from community hospitals
- Packages of care
- 10
- Nursing home
- 5
- Residential home
- 2
Waiting for transfer to community hospitals
- UHDB total
- 5
- UHDB waiting more than 24hrs
- 5
- CRH total
- 2
- CRH waiting more than 24hrs
- 2
- Out of area total
- 2
- Out of area waiting more than 24hrs
- 2
Other
- Equipment / IT issues:
- Issues and actions:
- ◦ UTCs - all OPEL 3, due to staffing, cross cover and over reliance on agency. However, capacity provision is higher than seasonal plan.
3 units remain fully open with Ilkeston operating an appointment only service between 8am - 8pm, 7 days/wk with a phasing approach to open to walk-ins
pending additional recruitment. Reliance on agency to maintain 4 unit service in the interim
Capacity reported to SCC 2 X daily.
◦ Community teams reporting OPEL 3 with nursing and therapy remaining under pressure across all teams. Business continuity plans reviewed in all areas
ahead of anticipated challenges with weather and system pressures.
◦ Bedded Care OPEL 3 and Flow OPEL 3, due to no criteria to reside levels and high occupancy levels. Additional capacity and boarding patients being offered
to support system demand, but this is compromised by failures to arrive. High occupancy continues with significant pressures on ward teams to meet
increasing demands. Clinical Nav team continue to support with flow into and out of P2 beds with increased focus on timely discharge to support wider
system pressures.
◦ Community Care Division are OPEL 3. - Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Derbyshire County Council Social Care
Last updated: 17-hours 7-minutes ago
09:54am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 3 (Red)
- Overall home care capacity
- Opel 2 (Amber)
- Overall bed capacity
- Opel 3 (Red)
- Staffing resource
- Opel 1 (Green)
- Hospital contact request
- None
- Pathway 1
- Opel 2 (Amber)
- P2a beds
- Opel 3 (Red)
| Residential and nursing care bed Capacity Per unit: | Beds available today | Planned discharges today | Closed Beds |
|---|---|---|---|
| Florence Shipley | 0 | 0 | 0 |
| Holmlea | 0 | 0 | 0 |
| Ada Belfield Centre | 0 | 1 | 4 |
| Oakland | 0 | 1 | 0 |
| Staveley Centre | 1 | 0 | 1 |
| The Grange | 0 | 0 | 0 |
| Thomas College | 0 | 0 | 0 |
| Thomas Fields | 3 | 0 | 0 |
Other
- Equipment / IT issues:
- Issues and actions:
- Ada Belfield closed to admissions due to infection control measures
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Derby City Council Social Care
Last updated: 16-hours 19-minutes ago
10:43am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 2 (Amber)
- Hospital to home team
- Opel 1 (Green)
- Community teams
- Opel 2 (Amber)
- Brokerage
- Opel 1 (Green)
- Pathway 1
- Opel 2 (Amber)
- Pathway 2
- Opel 2 (Amber)
- D2A beds across 3 sites
- ?
- P3 beds across 3 sites
- ?
| Overall bed capacity | Bed type | No. of beds occupied | Planned discharges today | No. beds open for admissions | No. of admissions can take | No. of beds closed | |
|---|---|---|---|---|---|---|---|
| Perth House | 24 | P2A | 23 | 0 | 24 | 1 | 0 |
- Pathway 1 home first
- amber
- Pathway 1 discharges avaialble
- 1 am, 2 lunch, 0 tea, 1 bed
Other
- Equipment / IT issues:
- Issues and actions:
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Derby Urgent Treatment Centre
Last updated: 18-hours 54-minutes ago
08:07am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 1 (Green)
- Capacity
- Opel 1 (Green)
- Staffing
- Opel 1 (Green)
- Number of patients seen on previous day
- 185
Other
- Equipment / IT issues:
- nil
- Issues and actions:
- nil
- Actions to de-escalate:
- nil
- Support requested of system partners:
- nil
- Business continuity issues to report:
- nil
- Escalate a call:
- No
DHU GP Streaming
Last updated: 15-hours 59-minutes ago
11:02am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 2 (Amber)
- CRH/DHU UTC
- Opel 1 (Green)
- No. of attendances previous day %
- %
- RDH/DHU UTC
- Opel 2 (Amber)
- No. of attendances previous day %
- %
Other
- Equipment / IT issues:
- RDH - sickness - mitigations are being progressed internally
- Issues and actions:
- Actions to de-escalate:
- None
- Support requested of system partners:
- None
- Business continuity issues to report:
- No
- Escalate a call:
- No
DHU NHS 111
Last updated: 18-hours 8-minutes ago
08:54am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 1 (Green)
- Call volume
- Opel 1 (Green)
- Staffing resource
- Opel 1 (Green)
Other
- Equipment / IT issues:
- No issues.
- Issues and actions:
- Morning hotspot being managed well. Expected queueing around 09:30. Some IT issues overnight with problems connecting to Worcestershire landlines, which is continuing to be monitored but no issues reported since taking over shift. Clinical staffing low for the day.
Currently over forecast on calls by 5% but still being managed well. Clinical queue beginning to see pressure and expected to worsen due to poor staffing. - Actions to de-escalate:
- All pathways trained resources available are planned in to front-end, additional resources allocated i.e Clinical, training team, cqi etc
- Support requested of system partners:
- N/A
- Business continuity issues to report:
- None.
- Escalate a call:
- No
DHU GP OOH
Last updated: 10-hours 52-minutes ago
4:09pm Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 3 (Red)
- Staffing resource
- Opel 2 (Amber)
- PCC demand
- Opel 1 (Green)
- Home visit demand
- Opel 1 (Green)
- Telephone advice demand
- Opel 3 (Red)
Other
- Equipment / IT issues:
- None
- Issues and actions:
- CNH - increasing demand. Sourcing additional telephone advice for the evening.
Liaising with EMAS to support C3/4 patients. - Actions to de-escalate:
- Support requested of system partners:
- No
- Business continuity issues to report:
- None
- Escalate a call:
- No
DHU Community Nursing OOH
Last updated: 16-hours ago
11:01am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 1 (Green)
- Staffing resource
- Opel 1 (Green)
- Demand/activity
- Opel 1 (Green)
Other
- Equipment / IT issues:
- none reported
- Issues and actions:
- None
- Actions to de-escalate:
- None
- Support requested of system partners:
- None
- Business continuity issues to report:
- No
- Escalate a call:
- No
Non-Emergency Patient Transport Service - EMAS PTS
Last updated: 19-hours 17-minutes ago
07:44am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 2 (Amber)
| Non-Emergency patient transport service - EMAS PTS | UHDB | CRH |
|---|---|---|
| Number of on the day discharges from previous day | 31 | 29 |
| Number of outpatients total today | 215 | 51 |
| Number of pre-planned discharges today | 3 | 9 |
- Staff resourcing level (County)
- Opel 2 (Amber)
- On the day demand (County) – do you foresee any concerns to manage the current predicted volume for the next 24 hours
- Opel 2 (Amber)
Other
- Equipment / IT issues:
- Issues and actions:
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
General Practices grouped by local PLACE alliances
Last updated: 1-day 12-hours 12-minutes ago
2:49pm Thurs 2nd Jan 2025
OPEL rating
- OPEL:
- Opel 2 (Amber)
- Issues and actions:
- Data based on 61/109 practice responses
| General Practices grouped by local PLACE alliances | Opel rating | Overall PLACE score | |||
|---|---|---|---|---|---|
| Black (Opel 4) | Red (Opel 3) | Amber (Opel 2) | Green (Opel 1) | ||
| Total responses | Opel 4 (Black) = 2 | Opel 3 (Red) = 20 | Opel 2 (Amber) = 27 | Opel 1 (Green) = 12 | |
| Amber Valley (14) | 0 | 2 | 3 | 1 | Amber (OPEL 2) |
| Bolsover and Northeast Derbyshire (23) | 1 | 4 | 10 | 1 | Amber (OPEL 2) |
| Chesterfield and Dronfield (9) | 1 | 3 | 1 | 0 | Red (OPEL 3) |
| Derbyshire Dales (12) | 0 | 0 | 3 | 2 | Amber (OPEL 2) |
| Derby City (28) | 0 | 9 | 6 | 3 | Amber (OPEL 2) |
| Erewash (10) | 0 | 1 | 1 | 0 | Red (OPEL 3) |
| High Peak (including Glossop) (13) | 0 | 0 | 2 | 5 | Green (OPEL 1) |
| South Derbyshire (5) | 0 | 1 | 1 | 0 | Red (OPEL 3) |
Other
- Equipment / IT issues:
- Actions to de-escalate:
- Support requested of system partners:
- Business continuity issues to report:
- Escalate a call:
- No
Ashgate Hospice
Last updated: 18-hours 7-minutes ago
08:54am Fri 3rd Jan 2025
OPEL rating
- OPEL:
- Opel 2 (Amber)
- Overall bed capacity
- 15
- Planned discharges
- 0
- Beds available for admissions
- 1
- Beds closed
- 0
- Staffing resource - IPU
- Opel 2 (Amber)
- Staffing resource - community
- Opel 3 (Red)
- Issues for escalation from other Hospice Providers
- None
Other
- Equipment / IT issues:
- None
- Issues and actions:
- None
- Actions to de-escalate:
- None
- Support requested of system partners:
- None
- Business continuity issues to report:
- IPU:
Nursing staffing levels satisfactory
Medical staffing levels satisfactory
Bed occupancy = 14
Planned Discharges = 0
Service available for 1 admission
IPU waiting list = 2
COMMUNITY:
CNS staffing levels significantly reduced
Community caseload + referrals awaiting triage = 210
CNS referrals awaiting triage = 25
Unstable patients on caseload = 7
VW staffing reduced
Virtual Ward caseload = 1
Service available for 1 to 2 admissions - Escalate a call:
- No