Board Meeting Agenda July 2012 - Birmingham Children's Hospital
Board Meeting Agenda July 2012 - Birmingham Children's Hospital
Board Meeting Agenda July 2012 - Birmingham Children's Hospital
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High Risks<br />
One high clinical risk is recorded on the risk register, this relates to the cardiac waiting list.<br />
Specialty<br />
/Area<br />
Issue<br />
Consequence<br />
Likelihood<br />
Action<br />
Cardiac Services<br />
RISK No: 1234<br />
There are a number of patients<br />
defined as clinically urgent that are<br />
awaiting cardiac surgery. Continued<br />
capacity issues in PICU mean that<br />
these patients cannot be offered<br />
dates for their operations.<br />
4 4 There are a number of ongoing actions to manage this risk, and the length of<br />
the waiting list has decreased over the last two weeks.<br />
Continued close monitoring of patients and availability of PICU beds.<br />
Reassessment of patients by cardiologists. Reprioritisation of patients based<br />
on changes to clinical condition. Restrictions on out of region referrals.<br />
Waiting list management has been reviewed by NHS IMAS to ensure that this<br />
is optimal. Additional PICU beds will open in September <strong>2012</strong> which will<br />
increase capacity. There are also longer term plans to explore the potential to<br />
expand the PIC network and to explore a further increase the number of PIC<br />
beds at BCH over the next 10 years.<br />
A critical care outreach team (PACE), an increase in MHDU beds and increased<br />
Consultant General Paediatrician posts will also increase PICU capacity for<br />
cardiac patients.
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