EAST LANCASHIRE HOSPITALS NHS TRUST TRUST BOARD ...

6. ELHT ESCALATION PLAN
The Bed Management Team (Chair, Senior Manager, Medial Representative, Matron,
Surgical Representative, Matron, Business Manager, Bed Facilitator and Senior Clinician of
the day), are the custodians of the escalation process and are responsible for all the
technical details relating to:
• The calculation of trigger points (in liaison with clinical staff)
• The institution of status levels (in liaison with Senior Manager on Call / Duty Matron).
• The communication of status levels during the health economy teleconference
• The maintenance of processes and procedures.
In order to provide robust operational management, the daily bed meeting will be chaired by
the Director of Operations or a Divisional General Manager. The floor of the Emergency
Department will have an Operations Manager in place each working day (Monday to Friday)
and a Business Manager or Matron will coordinate bed availability at ward level as follows;
Each morning the Bed Facilitator’s will establish each hospital site’s status by predicting the
future bed state position over the next 24 hours utilising:
• Historical performance data
• Current actual position
• Clinical judgement
STATUS LEVEL PRESSURES TYPE OF ACTIONS
GREEN Normal Routine proactive bed management.
YELLOW
AMBER
RED
Higher than Normal
High
Extreme
Highlighting problems and making
contingency plans in case pressures
continues.
Deployment of increasing scales of
counter-measures to decrease short
term demand and increase short term
capacity.
Large scale interventions to increase
capacity and decrease demand,
including regional load sharing, this
may include the establishment of a
cross divisional forum chaired by
Medical Director, Director of
Operations “Red Leader”.
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