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EAST LANCASHIRE HOSPITALS NHS TRUST TRUST BOARD ...

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3. <strong>EAST</strong> <strong>LANCASHIRE</strong> HEALTH ECONOMY PLANNING<br />

Joint preparation is the foundation to successful management of the extra demands placed<br />

on the health economy over the winter period to ensure appropriate levels of performance<br />

are maintained. Members of the health economy (shown below) have engaged in the<br />

winter planning process and have met on several occasions to contribute to a jointly owned<br />

resilience plan.<br />

• East Lancashire Hospitals <strong>NHS</strong> Trust<br />

• Blackburn with Darwen <strong>NHS</strong> Teaching Care Trust Plus<br />

• <strong>NHS</strong> East Lancashire Primary Care Trust<br />

• Social Services (BwD and Lancashire County Council<br />

• North West Ambulance Service<br />

The Plan is currently in development and will be circulated to the SHA and wider once<br />

finalised.<br />

PCT Escalation Levels<br />

An example of what the PCT escalation tactics might look like following recent discussions:<br />

Escalation Level 1 – extra 24 (inc 12 step down) beds<br />

The planned expansion of Clitheroe Community Hospital to re-open Hodder ward was<br />

considered financially unviable.<br />

A nurse led ward is planned for the BGH site – but will be run via the Community Division<br />

utilising developing pathways around ED deflection and the Virtual Ward.<br />

Escalation Level 2 – extra 15 beds<br />

• Social Services departments temporarily redeploy staff from prevention to discharge<br />

+ 5. There will be no Community social work staff supporting people remaining in the<br />

community as per Escalation Level 1.<br />

• Net result + 15<br />

Page 12 of 57<br />

Retain 30 years<br />

Destroy in conjunction with National Archive Instructions<br />

V:\Management Meeting Records\<strong>TRUST</strong> <strong>BOARD</strong>\2012\MEETING PREP\Part 1\(9) Winter Plan 12 13.docx

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