Key concerns for the system Sample Clauses

Key concerns for the system. The continued rise in NEL attendances at Chelsea & Westminster NHS Trust has seen a continued rise in NEL attendances by 6.5% on average over the year to date. This continued rise will exert additional pressure on the system to deliver the efficiencies required to continue to deliver a safe system for patients. A number of winter initiatives are in place to manage demand in the urgent care pathway which includes LAS demand management programmes , implementation of SDEC on both sites and the enhanced capacity within the IUC to support ED and Cat 3&4 dispositions. The greatest workforce pressures are seen within the A&E departments and the increasing difficulty to recruit middle grades as well as ensuring there is sufficient nursing workforce to maintain safe working. The Acute Trust has well developed detailed plans to mitigate the risks to ensure sufficient capacity over the winter period. There are also significant pressures within Adult & Social Care to maintain Domiciliary Care capacity over the holiday period and plans have been developed with providers to ensure that patient care is not compromised. The system appreciates the risk that a reduction in flow and an increase in DTOCs presents to patients who are either waiting in A&E for a bed or waiting to be discharged to a more appropriate community setting for assessment. The system is committed to ensuring there is sufficient flow in the system and a reduction in DTOCs through the implementation of the discharge to assess pathways to ensure patients receive the right care at the right time in the right place. The following plan provides the detail to support the system and ensure that the system pressures are managed effectively over the Winter period.
Sample 1
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Related to Key concerns for the system

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