DOCSLIB.ORG

Major Emergency Procedures

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Major Emergency Procedures Borders MAJOR EMERGENCY PROCEDURES MAJOR INCIDENT DECLARED ACTIVATE PLAN ALERT STAFF ESTABLISH EMERGENCY RESPONSE TEAMS DEPLOY RESOURCES NHS BORDERS MAJOR EMERGENCY PROCEDURES MAJOR EMERGENCY PROCEDURES PLAN IN THE EVENT OF A MAJOR EMERGENCY TURN IMMEDIATELY TO THE ACTION CARD RELEVANT TO YOUR AREA Unique Identifier Master document held by Issue Date 1 Lorna Paterson 31 May 2011 Resilience Manager Review Date May 2012 CURRENT VERSION IS HELD ON THE NHS BORDERS INTRANET PAGE http://intranet/new_intranet/microsites/index.asp?siteid=32&uid=5 PLEASE CHECK THAT THIS PRINTED COPY IS THE LATEST VERSION NHS Borders Major Emergency Procedures Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES IMMEDIATE ACTIONS If you have received notification that a Major Incident has been declared and you have not read the plan DO NOT READ IT NOW Find your relevant action card in • Section 2a – Chief Executive or Executive on call, Consultant in Public Health Medicine on call • Section 5 – BGH Response • Section 7 – Primary and Community Services, Mental Health and Learning Disabilities AND FOLLOW THE INSTRUCTIONS NHS Borders Major Emergency Procedures Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES MAJOR EMERGENCY LOG Everyone involved in the Major response must keep a record of their actions and make copies available for debrief purposes. The Major Emergency Log must record dates and times of all information given and received, decisions, actions and all other communications relating to the incident. All written documents, letters, emails and fax messages should be dated and time of receipt recorded, with cross reference to the log where appropriate. All staff involved should keep a log of their activities and actions throughout the incident. These should be signed, countersigned and dated and handed to the Hospital Controller. All records must be kept secure as they may be used in evidence in the event of a public enquiry or criminal prosecution. A Blank log sheet as attached is located on the Emergency Planning microsite on the intranet. Business Continuity Recoveryflow TM Member of ERT completing Responsible for Log Form Number Issue/Activity Actioned by When Agreed Deadline action/comments/costs incurred NHS Borders Major Emergency Procedures Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES Business Continuity Recoveryflow TM Member of ERT completing Responsible for Log Form Number Issue/Activity Actioned by When Agreed Deadline action/comments/costs incurred NHS Borders Major Emergency Procedures Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES FOREWORD NHS Borders recognises that planning for emergencies is an integral part of good business practice for any organisation. It is particularly important that public service organisations can continue to deliver their essential functions and that they are able to respond to the needs of the community, businesses and the environment in emergency situations. The Civil Contingencies Act 2004 (Contingency Planning) (Scotland) Regulations 2005 is part of government legislation which came into force in November 2005 and focuses on local arrangements for civil protection, establishing a statutory framework of roles and responsibilities for local responders such as NHS Borders. These procedures outline the actions to be taken by NHS Borders in the event of a major emergency occurring within the Scottish Borders. While the document reflects the procedures to deal with major emergencies, these procedures can be used to manage any level of emergency affecting the organisation, whether caused by events originating outwith, or within NHS Borders, in conjunction with our Business Continuity plans. During an emergency, as in the day to day operation of NHS Borders, we all have a role to play. The successful implementation of this response plan requires commitment from staff at all levels and each individual who may be involved has an obligation to ensure that they are aware of and understand their role in the NHS Borders response. Heads of Clinical Service and NHS Borders Managers at all levels must ensure that their staff are aware of their Directorate/ Departmental plan and make every effort to take part in training events. Calum Campbell Chief Executive NHS Borders Major Emergency Procedures 1 Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES SECTION 1 STRATEGIC CONTEXT CONTENTS Sub Section Introduction 1.1 Emergency Planning Responsibilities 1.2 Aim of Emergency Planning 1.3 Definition of an emergency 1.4 Objective of emergency planning 1.5 Principles of emergency planning 1.6 Scope of emergency plans 1.7 Potential Major Incidents 1.8 Structure for planning and response 1.9 Lothian and Borders Strategic Co-ordinating group (SCG) 1.10 NHS Borders Resilience Committee 1.11 Business Continuity 1.12 Lockdown 1.13 NHS Borders Major Emergency Procedures 1 Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES SECTION 1 SECTION 1 – STRATEGIC CONTEXT 1.1 INTRODUCTION 1.1.1 NHS Borders has the responsibility to meet the healthcare needs of the population of the Scottish Borders including those needs that are unpredictable or change unexpectedly. A major incident does not remove this statutory duty but its fulfilment may require sudden alterations as to how, where and when the care and treatment of patients is carried out. 1.1.2 Under the Civil Contingencies Act (2004), NHS Borders is a Category 1 organisation and is required to have plans in place to deal with any emergencies that may affect maintaining the normal activity of the service. 1.1.3 It is not possible to predict the exact form and nature of a possible major incident, nor the amount of time available to prepare for it. Any part of NHS Borders might need to contribute to the response and must be prepared accordingly. Planning and managing the NHS Borders major incident response must be regarded as integral to the planning and management of every service NHS Borders provides. 1.1.4 This plan is based on the following Scottish Government guidance documents: • NHS Scotland Manual of Guidance: Responding to Emergencies • Managing Incidents Presenting Actual or Potential Risks to the Public’s Health: Guidance on the Roles and Responsibilities of Incident Control Teams • Preparing Scotland: Scottish Guidance on Preparing for Emergencies 1.1.5 The plan provides the framework for NHS Borders’ response to any major incident requiring immediate response by the NHS in collaboration with the emergency services and others. It includes the major incident plans held by Borders General Hospital, Primary and Community Services, Mental Health Services and Learning Disabilities Services. Other specific plans include: • Major Outbreak Plan for Borders • Borders Multi-Agency Contingency Plan for Pandemic Influenza and other Respiratory Viruses • Blood Management Plan Adjustment to the plan might be required in particular circumstances including: • Incidents involving Ionising Radiation - see Plan for in Section 8 • Decontamination of People Exposed to Hazardous Chemical, Biological or Radioactive Substances – see Section 8 1.2 EMERGENCY PLANNING RESPONSIBILITIES 1.2.1 NHS Borders is required to provide strategic leadership to secure the health of the population of Borders for which it is accountable to the Scottish Government and to Scottish Ministers. 1.2.2 NHS Borders is also responsible for planning the NHS Borders response to meet the needs of any major incident which might occur in its area. 1.2.3 Similarly, Borders General Hospital, Primary and Community Services, Mental Health Services, Learning Disabilities and Support Services have the duty to plan to overcome the effects of any major incident which might threaten the continuation or alteration of NHS Borders Major Emergency Procedures 2 Issue date 31 May 2011 Review date May 2012 NHS BORDERS MAJOR EMERGENCY PROCEDURES SECTION 1 the service they are responsible for providing. 1.2.4 Therefore, whilst detailed operational emergency planning is delegated to the Borders General Hospital, Primary and Community Services, Mental Health Services, Learning Disabilities and Support Services, NHS Borders will maintain an overall strategic plan in respect of its response to a major incident. This plan will outline: • The roles and responsibilities of the Borders General Hospital, Primary and Community Services, Mental Health Services, Learning Disabilities and Support Services • The arrangements for the control and co-ordination of the NHS Borders response • The processes to be used Sections 1 and 2 of the MEP set out the strategic response. 1.3 AIM OF EMERGENCY PLANNING 1.3.1 The aim of emergency planning within NHS Borders is to respond to a major incident and ensure that essential healthcare needs are met effectively when normal services become overloaded, restricted or non-operational for whatever reason. 1.3.2 The process of emergency planning should be to ensure that a co-ordinated, single integrated response to a major incident is mounted from the onset. 1.4 DEFINITION OF AN EMERGENCY 1.4.1 Emergency Emergency is an event or situation which threatens serious damage to human welfare. It is a situation which arises unexpectedly and requires urgent action to resolve. The National Health Service (NHS) faces many emergencies in the course of its routine activities. While each separate instance requiring urgent NHS action might
Load more

Recommended publications
  • Emergency Department Activity
    NHS Scotland - Emergency Department Activity Attendances and Performance against the 4-hour Waiting Time Standard This is an ISD Scotland National Statistics release. The Scottish Government waiting time standard for emergency departments is that 98 % of all attendances should be seen within 4 hours. The figures presented in these tables detail the performance of each individual site and NHS board against the standard. Time Period: Apr-10 to Mar-11 Source: A&E data mart, ISD Scotland Date: 07 May 2012 List of Tables Table 1: Attendances and performance against 4-hour standard, Apr-10 to Mar-11 Total attendances, number of attendances breaching standard and attendances meeting standard (number and percentage). Figures are given at site and NHS Board level. Table 2: Attendances, Apr-10 to Mar-11 Summary table of attendances only. Figures are given at site and NHS Board level. Table 3: Performance against 4-hour standard, Apr-10 to Mar-11 Summary table of percentage of attendances meeting standard. Figures are given at site and NHS Board level. Notes: 1) The waiting time is defined as the time of arrival until the time of discharge, admission or transfer. 2) New presentations only; excludes planned return and recall attendances. 3) There are two types of site that provide emergency care; • ED - Emergency Departments; sites that provide a 24 hour emergency medicine consultant led service • MIU/Other - sites including minor injuries units (MIU), small hospitals and health centres in rural areas that carry out emergency department related activity and are GP or Nurse led. They may or may not be open 24 hours.
    [Show full text]
  • Accident and Emergency: Performance Update
    Accident and Emergency Performance update Prepared by Audit Scotland May 2014 Auditor General for Scotland The Auditor General’s role is to: • appoint auditors to Scotland’s central government and NHS bodies • examine how public bodies spend public money • help them to manage their finances to the highest standards • check whether they achieve value for money. The Auditor General is independent and reports to the Scottish Parliament on the performance of: • directorates of the Scottish Government • government agencies, eg the Scottish Prison Service, Historic Scotland • NHS bodies • further education colleges • Scottish Water • NDPBs and others, eg Scottish Police Authority, Scottish Fire and Rescue Service. You can find out more about the work of the Auditor General on our website: www.audit-scotland.gov.uk/about/ags Audit Scotland is a statutory body set up in April 2000 under the Public Finance and Accountability (Scotland) Act 2000. We help the Auditor General for Scotland and the Accounts Commission check that organisations spending public money use it properly, efficiently and effectively. Accident and Emergency | 3 Contents Summary 4 Key messages 7 Part 1. A&E waiting times 9 Part 2. Reasons for delays in A&E 20 Part 3. Action by the Scottish Government 37 Endnotes 41 Appendix 1. NHS Scotland A&E departments and minor injury units 43 Appendix 2. National context for A&E and unscheduled care, 2004 to 2014 45 Exhibit data When viewing this report online, you can access background data by clicking on the graph icon. The data file will
    [Show full text]
  • Mental Health Bed Census
    Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Data Collection Documentation Document Type: Guidance Notes Collections: 1. Mental Health and Learning Disability Bed Census: One Day Audit 2. Mental Health and Learning Disability Patients: Out of Scotland and Out of NHS Placements SG deadline: 30th November 2014 Coverage: Census date: Midnight, 29th Oct 2014 Page 1 – 10 Nov 2014 Scottish Government One Day Audit of Inpatient Bed Use Definitions for Data Recording VERSION 2.4 – 10.11.14 Document Details Issue History Version Status Authors Issue Date Issued To Comments / changes 1.0 Draft Moira Connolly, NHS Boards Beth Hamilton, Claire Gordon, Ellen Lynch 1.14 Draft Beth Hamilton, Ellen Lynch, John Mitchell, Moira Connolly, Claire Gordon, 2.0 Final Beth Hamilton, 19th Sept 2014 NHS Boards, Ellen Lynch, Scottish John Mitchell, Government Moira Connolly, website Claire Gordon, 2.1 Final Ellen Lynch 9th Oct 2014 NHS Boards, Further clarification included for the following data items:: Scottish Government Patient names (applicable for both censuses) website ProcXed.Net will convert to BLOCK CAPITALS, NHS Boards do not have to do this in advance. Other diagnosis (applicable for both censuses) If free text is being used then separate each health condition with a comma. Mental Health and Learning Disability Bed Census o Data item: Mental Health/Learning Disability diagnosis on admission Can use full description option or ICD10 code only option. o Data item: Last known Mental Health/Learning Disability diagnosis Can use full description option or ICD10 code only option.
    [Show full text]
  • NHS Borders NHS Borders Education Centre Planning & Performance Borders General Hospital Melrose Roxburghshire TD6 9BD 01896 825545 [email protected]
    NHS Borders NHS Borders Education Centre Planning & Performance Borders General Hospital Melrose Roxburghshire TD6 9BD 01896 825545 [email protected] Environmental Information Regulations Request 127-20 Request Under FOI legislation can I please request the following: The EPC (Energy Performance Certificates) rating of buildings (including hospitals, treatment centres and offices) within the health boards’ estate? Response The table below lists the current EPC ratings of all premises within NHS Borders: Site Name Current EPC Rating Borders General Hospital G Crumhaugh E+ Galavale House F Hawick Community Hospital D+ Hay Lodge Hospital G Huntlyburn House F+ Kelso Hospital F+ Knoll Hospital E Melburn Lodge E Coldstream Health Centre E+ Eyemouth Health Centre D Galashiels Health Centre D Hawick Health Centre E+ Innerleithen Health Centre F+ Jedburgh Health Centre C Kelso Health Centre D Lauder Health Centre B Newcastleton Health Centre E+ Selkirk Health Centre E Andrew Lang Unit G Coldstream Dental Unit G Eyemouth Day Hospital D Newstead E West Grove, Melrose E+ If you are not satisfied with the way your request has been handled or the decision given, you may ask NHS Borders to review its actions and the decision. If you would like to request a review please apply in writing to, Freedom of Information Review, NHS Borders, Room 2EC3, Education Centre, Borders General Hospital, Melrose, TD6 9BS or [email protected]. The request for a review should include your name and address for correspondence, the request for information to which the request relates and the issue which you wish to be reviewed.
    [Show full text]
  • ED Monthly Metadata
    Emergency Department Activity and Waiting Times Monthly Update Publication Metadata (including revision details) Metadata Description Indicator Publication Emergency Department Activity and Waiting Times. title Description This publication reports key statistics on new and unplanned return attendances at Accident and Emergency (A&E) services across Scotland. The information presented in the publication includes trends in the number of attendances and admissions, and performance against the four hour waiting time standard. Theme Health and Social Care. Topic Emergency Care. Format Webpage, Excel workbook and CSV. Data source(s) A&E datamart. Date that data 10th of the month prior to publication. are acquired Release date First Tuesday of the month. Frequency Monthly Timeframe of New data for the month two months prior to publication (e.g. March data and publication contains the data for January). timeliness Continuity of 1) A&E discharge times at hospitals in NHS Lothian were not data accurately recorded up to November 2017. The Academy of Medical Royal Colleges was commissioned by Scottish Government to ascertain the causes for the data issues in NHS Lothian. The review findings were published 26 June 2018. 2) A small number of records reported in this publication as over 12 hour waits prior to March 2014 reflect errors in recording, and are not genuine long waits. Figure 1 shows the information provided to us from NHS boards with approximate counts for the number of over 12 hour waits which are in error in 2011/12 to 2013/14. It is important to note that based on 1.6million attendances per year, these erroneous records do not impact at all on the percentage compliance with the 4 hour standard either within a Board or at a Scotland level.
    [Show full text]
  • Scotland) 15 June 2021
    Version 1.6 (Scotland) 15 June 2021 ISARIC/WHO Clinical Characterisation Protocol UK (Scotland) Recruitment Procedures for FRONTLINE CLINICAL RESEARCH STAFF The most up to date versions of the protocol and case report form are available at isaric4c.net/protocols/ A virtual site visit is available at isaric4c.net/virtual_site_visit/ AIM: Please recruit the following patients only: • Vaccine failure (positive COVID test - rather than displaying symptoms – >28d after having received a vaccine) • Reinfection (proven after proven) • Co-infection (flu/RSV) • COVID associated hyper inflammation (MIS-A/MIS-C/PINS-TS) at any age • Samples from patients with pathogens of public health interest including people identified as infected with SARS-CoV “variants of concern” • All children CONSENT: once the form is signed by a participant it is hazardous. To record consent, we suggest an independent witness observes the completed form then signs a fresh copy outside of the isolation area. Consent can also be obtained by telephone from participants or from relatives for proxy consent. RECRUITMENT PACKS: Sample collection kits will be supplied to sites. Sample collections kits can be requested from: [email protected] Each kit will have a specific kit ID number, with each component within showing this kit ID and its own respective component ID for audit purposes. Pods and bio-bags for shipping will also be supplied to sites. These can be requested from [email protected] OBTAIN SAMPLES according to the schedule. You can find out which tier you are operating at in the front page of the site file. If you have capacity to recruit at TIER 2: Day 1 2 3 4 5 6 7 8 9 28 days after discharge Samples R S S C Sample priority 1 2 3 4 R: recruitment sample; S: serial sample; C: convalescent sample.
    [Show full text]
  • NHS Borders NHS Borders Education Centre Planning & Performance Borders General Hospital Melrose Roxburghshire TD6 9BD 01896 825545 [email protected]
    NHS Borders NHS Borders Education Centre Planning & Performance Borders General Hospital Melrose Roxburghshire TD6 9BD 01896 825545 [email protected] Environmental Information Regulations Request 418-17 Request Please would you be able to provide me with information for the years 2010 to 2016 inclusive and for the following premises; Borders General Hospital, Crumhaugh House, East West Brig, Gala Vale Hospital, Hawick Community Hospital, Hay Lodge Hospital, Huntlyburn House, Kelso Hospital, Knoll Hospital Duns and Melburn Lodge? The Information I require is; • the means of providing heat to the building e.g. warm air heater, gas heating etc • the source of the fuel used in the heating system e.g. diesel, national grid gas etc • The fuel source for the power Generation used in the building e.g. national grid electricity, diesel fuelled stand-alone Generator. • the type of secondary/emeregency Systems available for heating • the type of secondary/emeregency System available for power • the tyoe of fuel used for each secondary/emeregency system • if the answer is turbine/Generator or motor then please identify make, Maximum amount of Watts that the Generator can produce and the Efficiency of the Generator. • if the answer is turbine/generator or Motor, the System employed to track the greenhoues gas emissions from this plant Please also identify for the years 2010 to 2016; • the sources of all plant that must be registered under the EU ETS • the value in pounds sterling of all EU ETS credits traded • the amount of credits/allowances surrender each year to cover all emissions Response Please see attached document with data as per request: EIR - Heating System.pdf The organisation falls outwith the scope of the EU ETS scheme therefore the question set relating to this topic is not applicable.
    [Show full text]
  • FOI Response
    NHS Borders NHS Borders Education Centre Planning & Performance Borders General Hospital Melrose Roxburghshire TD6 9BD 01896 825545 [email protected] Freedom of Information request 2-21 Request Under the Freedom of Information Act, I would like you to supply me with the following information: How many people have died in your hospitals from Covid 19 alone? As in they died ONLY from Covid 19. I can see the figures that you publish online, but these are deaths that occurred within 28 days of a positive covid test, so they could have died from other causes. I would like to know the exact figures, from 1st February 2020 until the 31st December 2020, of people who have died from Covid-19 ONLY, and not from other causes please. Please can you show these numbers separately for each of the following hospitals: • Borders General Hospital. • Hawick Community Hospital. • Hay Lodge Hospital. • Kelso Community Hospital. • Knoll Hospital Response The table below details the deaths with the only cause of death coded and recorded by NHS Borders as COVID-19 only between 1 February and 31 December 2020, broken down by hospital:. Hospital Deaths Borders General Hospital 22 Hawick Community Hospital <5 Hay Lodge Hospital <5 Kelso Community Hospital 0 Knoll Hospital 0 TOTAL 25 Please note that as the number of events in some areas is very small, in accordance with the Code of Practice for Official Statistics for any number that is less than five, actual numbers and potentially identifiable information are withheld to help maintain patient confidentiality due to potential risk of disclosure.
    [Show full text]
  • Emergency Care Monthly Metadata
    Emergency Department Activity and Waiting Times Monthly Update Publication Metadata (including revision details) Metadata Description Indicator Publication Emergency Department Activity and Waiting Times. title Description This publication reports key statistics on new and unplanned return attendances at Accident and Emergency (A&E) services across Scotland. The information presented in the publication includes trends in the number of attendances and admissions, and performance against the four hour waiting time standard. Theme Health and Social Care. Topic Emergency Care. Format Webpage, Excel workbook and CSV. Data source(s) A&E datamart. Date that data 10th of the month prior to publication. are acquired Release date First Tuesday of the month. Frequency Monthly Timeframe of New data for the month two months prior to publication (e.g. March data and publication contains the data for January). timeliness Continuity of 1) A&E discharge times at hospitals in NHS Lothian were not data accurately recorded up to November 2017. The Academy of Medical Royal Colleges was commissioned by Scottish Government to ascertain the causes for the data issues in NHS Lothian. The review findings were published 26 June 2018. 2) A small number of records reported in this publication as over 12 hour waits prior to March 2014 reflect errors in recording, and are not genuine long waits. Figure 1 shows the information provided to us from NHS boards with approximate counts for the number of over 12 hour waits which are in error in 2011/12 to 2013/14. It is important to note that based on 1.6million attendances per year, these erroneous records do not impact at all on the percentage compliance with the 4 hour standard either within a Board or at a Scotland level.
    [Show full text]
  • Property & Asset Management Strategy
    NHS BORDERS PROPERTY AND ASSET MANAGEMENT STRATEGY 2017 Page 1 of 59 EXECUTIVE SUMMARY NHS Borders is committed to helping people sustain and improve their health, delivering safer, more effective, person-centred healthcare for the people of the Scottish Borders and beyond. As NHS Borders continues to deliver high quality services to its communities, the work to shift the balance of care from acute to community health services and supporting individuals to manage their own health and wellbeing more proactively, will continue as different ways of working are explored and more services are moved out of hospitals and into communities, re-prioritising spend on these services. Where NHS Borders makes investment in its infrastructure this will be in the context of the design of health and care services that reflect and address future need; that have been developed to take full advantage of latest advances and best practice; and that are designed in collaboration with partners and with flexibility to evolve and meet future challenges. The Board has and is continuing to invest to maintain and improve the quality of its assets and infrastructure to allow high quality services to be provided to the population of the Borders. Key areas of focus over the last 2 years have been investment in primary care premises, energy efficiency projects and the rolling programmes of work. The backlog maintenance requirement for NHS Borders is estimated at £8.29m, an increase of £1.43m from that reported within PAMS 2015, yet we have managed to maintain 98% of the estate in a ‘satisfactory condition’.
    [Show full text]
  • Partnership Improvement and Outcomes Division.Dot
    Balance of Care / Continuing Care Census Definitions and data recording manual Revised September 2009 CONTENTS 1 Introduction 1.1 Purpose of this Paper 3 1.2 Background 3 1.3 Coverage and context of census 3 2 Data Requirements 2.1 Census Data 4 2.2 Census Date 4 2.3 Data Quality 4 2.4 Guidance for Data Input 4 2.4.1 Example of Excel Spreadsheet 4 3 NHS Continuing Care Census Data Items 3.1 Location Code 5 3.2 Location Name 5 3.3 CHI (Community Health Index) 6 3.4 Patient Identifier 6 3.5 Patient Name 7 3.6 Gender 7 3.7 Date of Birth 7 3.8 Date of Admission 8 3.9 Ethnicity 9 3.10 Speciality 10 3.11 Patient’s Postcode of Home address 12 3.12 Patient’s town/city of residence (if postcode unavailable) 12 3.13 Patient’s area of town/city (only required for larger cities, only required if postcode unavailable) 13 3.14 Delayed Discharge check (Y/N) 13 4 Submissions of Data 4.1 Census Data Collection 14 4.2 Date of Submission 14 4.3 Method of Submission 14 5 Contacts 5.1 NHS National Services Scotland 15 6 Appendix 1 What is NHS Continuing Health care Appendix 2 Location codes reported at previous census Version 3.3, September 2009 2 1 Introduction 1.1 Purpose of this Paper This paper provides guidance to NHS Boards on definitions, procedures and information concerning the Balance of Care / Continuing Care Census. 1.2 Background There is no method for identifying all patients who are receiving NHS care that is on-going non-acute care, delivered as an inpatient, and often over an extended period, in whatever setting (including hospice or care home).
    [Show full text]
  • Emergency Care Monthly Metadata
    Out of Hours Primary Care Services in Scotland Publication Metadata (including revision details) Metadata Description Indicator Publication Out of Hours Primary Care Services in Scotland. title Description This publication reports statistics on patient contacts at OOH Primary Care Services across Scotland during 1 April 2014 to 30 April 2021. The information presented includes numbers of contacts at OOH Primary Care, consultation type, age band, Deprivation Quintile, and patient outcome. Day of week and time of day is also included along with comparative Emergency Department activity data. Information is presented for Scotland and each NHS Board. Theme Health and Social Care. Topic Urgent and Emergency Care. Format Excel workbook and PDF. Data source(s) GP OOH Data mart. Date that data April 2021. are acquired Release date 8 June 2021. Frequency Annual. Timeframe of Data presented for 1 April 2014 to April 2021. data and timeliness Continuity of 1) A&E discharge times at hospitals in NHS Lothian were not data accurately recorded up to November 2017. The Academy of Medical Royal Colleges was commissioned by Scottish Government to ascertain the causes for the data issues in NHS Lothian. The review findings were published 26 June 2018. 2) A small number of records reported in this publication as over 12 hour waits prior to March 2014 reflect errors in recording, and are not genuine long waits. Figure 1 shows the information provided to us from NHS boards with approximate counts for the number of over 12 hour waits which are in error in 2011/12 to 2013/14. It is important to note that based on 1.6million attendances per year, these erroneous records do not impact at all on the percentage compliance with the 4 hour standard either within a Board or at a Scotland level.
    [Show full text]