Health and Well Being Board February 2015Recent Issues Affecting Southend Hospital

Everybody Matters. Everything Counts. Everyone’s Responsible.

Performance against Four Hour A&E Standard

Recent performance across EssexDaily A&E Performance

Period Ending Day of Week

Total >4hrs % Total >4hrs % Total >4hrs % Total >4hrs % Total >4hrs %01/01/2015 Thursday 327 65 80.12% 216 83 61.57% 209 46 77.99% 216 19 91.20% 240 53 77.92%

02/01/2015 Friday 357 116 67.51% 184 43 76.63% 243 26 89.30% 253 34 86.56% 274 81 70.44%

03/01/2015 Saturday 334 56 83.23% 189 78 58.73% 232 51 78.02% 243 26 89.30% 275 82 70.18%

04/01/2015 Sunday 339 55 83.78% 192 58 69.79% 246 73 70.33% 227 38 83.26% 284 99 65.14%

05/01/2015 Monday 363 74 79.61% 199 68 65.83% 256 80 68.75% 253 45 82.21% 253 80 68.38%

06/01/2015 Tuesday 326 74 77.30% 195 58 70.26% 228 78 65.79% 247 61 75.30% 278 108 61.15%

07/01/2015 Wednesday 314 25 92.04% 179 44 75.42% 227 39 82.82% 229 34 85.15% 201 57 71.64%

08/01/2015 Thursday 306 12 96.08% 157 38 75.80% 218 34 84.40% 214 1 99.53% 221 11 95.02%

09/01/2015 Friday 355 4 98.87% 156 39 75.00% 216 18 91.67% 180 5 97.22% 263 60 77.19%

10/01/2015 Saturday 303 7 97.69% 173 56 67.63% 209 61 70.81% 241 12 95.02% 213 14 93.43%

11/01/2015 Sunday 292 27 90.75% 196 51 73.98% 193 43 77.72% 223 15 93.27% 235 31 86.81%12/01/2015 Monday 371 50 86.52% 180 57 68.33% 248 66 73.39% 241 11 95.44% 276 110 60.14%

13/01/2015 Tuesday 356 62 82.58% 178 56 68.54% 228 83 63.60% 215 2 99.07% 218 65 70.18%

14/01/2015 Wednesday 332 56 83.13% 195 73 62.56% 179 45 74.86% 221 25 88.69% 222 81 63.51%

15/01/2015 Thursday 329 23 93.01% 188 87 53.72% 222 45 79.73% 211 4 98.10% 253 67 73.52%

16/01/2015 Friday 302 50 83.44% 192 55 71.35% 206 29 85.92% 234 11 95.30% 243 57 76.54%

17/01/2015 Saturday 246 1 99.59% 198 60 69.70% 225 28 87.56% 191 1 99.48% 218 41 81.19%

18/01/2015 Sunday 299 2 99.33% 178 39 78.09% 196 34 82.65% 203 4 98.03% 220 48 78.18%

19/01/2015 Monday 351 31 91.17% 191 70 63.35% 263 89 66.16% 232 16 93.10% 240 75 68.75%

20/01/2015 Tuesday 351 59 83.19% 195 64 67.18% 230 77 66.52% 243 19 92.18% 223 25 88.79%

21/01/2015 Wednesday 270 11 95.93% 188 82 56.38% 205 14 93.17% 224 2 99.11% 203 34 83.25%

22/01/2015 Thursday 333 16 95.20% 177 56 68.36% 219 13 94.06% 226 3 98.67% 250 64 74.40%

23/01/2015 Friday 334 44 86.83% 201 68 66.17% 224 27 87.95% 259 16 93.82% 227 57 74.89%

24/01/2015 Saturday 308 59 80.84% 195 51 73.85% 206 28 86.41% 206 5 97.57% 231 33 85.71%

25/01/2015 Sunday 298 23 92.28% 173 45 73.99% 256 46 82.03% 241 7 97.10% 253 50 80.24%

26/01/2015 Monday 345 66 80.87% 226 89 60.62% 261 72 72.41% 253 4 98.42% 275 65 76.36%

27/01/2015 Tuesday 283 29 89.75% 0.00% 244 59 75.82% 246 7 97.15% 227 56 75.33%

28/01/2015 Wednesday 321 23 92.83% 0.00% 220 76 65.45% 257 18 93.00% 231 53 77.06%

Basildon & Thurrock

University Hospitals NHS

Foundation Trust

Colchester Hospital

University NHS Foundation

Trust

Mid Essex Hospital

Services NHS Trust

Southend University

Hospital NHS Foundation

Trust

Princess Alexandra

Hospital NHS Trust

Black Alert and Internal Major Incident 29 December 2014 – 8 January 2015

Cause• Significant Increase in Emergency Admissions after Christmas• By 5 January the wards were full so Internal Major Incident declared

Response• Postponed 79 Routine Elective cases • Opened additional 35 beds• Cancelled Routine outpatients • Called in additional staff and redeployed others to support additional beds.• Pharmacy staff released to support wards by using FP10s in Clinics

Black Alert and Internal Major Incident 29 December 2014 – 8 January 2015

External Escalation• GPs alerted to situation• Media announcements in local press and radio.• Excellent support from partners – additional community beds opened,

additional social work support and extended working to help maintain discharge, some Community Nurses volunteered to work at the hospital.

Recovery

Incident Stepped Down 8 January

Quick return to normal operating and very strong performance since.

Progress and Next Steps

Staffing and Recruitment• Fully recruited for Nursing, Admin. Junior, middle grade and clinical

specialist staff. • New Advanced Care Practitioner starts Mid February• 2 Consultant vacancies covered by Locums.

Capacity• New Clinical Decision Unit Opens 9 February• New Children’s A&E Unit Opens 17 February• Additional 3 Majors and 3 Minors Cubicles Opened.• Hospital to Home Team now operating 7 days a week.