Director on Call Log – w/b 11th January 2013
Chloe Cox
12 Jan
Conference call @ 2pm
A+E waits ok, numbers ok. 1 breach since midnight E cons has no concerns
Beds in surgery, med, cardiac, neuro, ICUs Extra staff seeing outliers Rob has no concerns , except transport 1
crew member down due to sickness. Has been escalated but unable to fill
6pm - Text from Julia Crawshaw
A+e ok, 5 breaches since midnight
Beds ok, medicine to outlie in cardiac if necessary
10pm - call from Julia
No A+E waits, still 5 breaches
Beds + in all areas
13 Jan - 2pm conference call
Low waits in A+E, 2 breaches since midnight. 3 drs down until 8pm - no luck with agency. Consultant managing
it.
Star team stretched between CDU + AMU but prioritising.
Beds in all areas. Plan is to reopen Champneys 4 bedder if needed, + outlie in surgery + cardiac. Rob will
contact us if A+E becomes a problem
7pm text from Julia - all ok despite lack of drs, 11 AMU beds, less than 6 breaches
9.30pm - Julia phoned. Lack of Star means several medically fit pts unable to be discharged. Some placed in
Champneys 4 bedder. Julia asked whether another 4 "medically fit" medical pts should outlie in surgery or on
James Hope. If they outlie in surgery they are likely to fill all surgical beds. Agreed open 4 beds on JH as the pts
will go tomorrow.
10pm. Text - 4 breaches. A&E ok, waits less than an hour but the last hour has had 22 attendances which is
quite high though apparently these are mainly assualts so may not result in admission. There are 12 medical
and 9 surgery beds and plenty of paeds and ICU (with Champneys and James Hope open). Cardiac and neuro
are full.
14 Jan
10am bed mtg - medicine minus 39, surgery minus 28.
15 Jan
6pm called TM as A+E busy and no ITU beds. TM to update me later.
10pm texted TM for an update. Updated as follows "Situation better
327
ATt- 23,15,18,10- slowing
50 in dept
UCC 5 / 27 min
Maj11/17 min
Paed 21 2 hr
Resus 5
Asses 1
1 med DTA to be placed
Br=18 invalidated
Probs on paeds3 special - Rmn didn't come but one on way Influx @5-6 breaching at same time Beds - unclear
SUrg ok ITU not in recovery yet Med - prob ok but female mix bit of prob Cardiac tight"
16 Jan
0900 - informed by Jan of a helicopter crash in Vauxhall. No casualties expected.
0915 - informed by Jan that we're on MI standby (no msg on Director on call pager) + have been asked to
expect 4 casualties. A+E confirm ready for them.
1000 - page received. Dir on call to contact NHSL with casualty numbers. I called Peter Boorman to confirm we
are on standby but haven't received any casualties yet. Updated MS/AR/JB/site by email.
1100 - stood down
1430 - Annie Palmer - no ICU beds. Will liaise with DG/CS.
1700 - update from Teresa. ICU/recovery plan in place for up to 4 pts. EBS aware. Out to agency for staff
11pm - update beds from Teresa. 9 breaches. Some beds. No ICU pts in recovery
17 Jan
7.30pm - Teresa called - no further issues
10.45pm - update from Teresa. 4 breaches. A+E ok. Some beds.