Just wondering what you have come up with. Currently in similar position but have been asked to look at service with our current level of WTE to cover 3 (currently cover 1) sites with no increase in WTE. Therefore would appreciate any info you have found.
I am currently pulling together evidence for a buisiness case to present to the trust to increase our childrens outreach service to 24/7 cover. We currently have Mon-Thurs day shift cover and Fri-Sun 24hr cover. The evidence I am presenting to them includes:
- number of 2222 calls (broken down into outreach cover/non outreach cover)
-number of unplanned admissions to critical care (broken down into whether these happen during or outside of outreach hours)
- number of cancelled elective admissions to critical care (pre/post outreach service introduction)
We started our Outreach 24/7 working from February this year and will be evaluating the service at 6 months in. Our team has been amalgamated with the H@N service and come under the service Acute Care Support Service.
There have been various bodies who have recommended 24/7 working, but I'm unsure how many teams are working this way and what evaluation has taken place??
Several trusts are developing an appetite for extending there current CCORT to 24/7. In some cases this inovlves amalgamation of existing H@N and CCORT in others colleagues are going directly to 24/7 CCORT with interview processes. There are also examples of combined CCORT / H@N teams that have now dissociated because of failure/mismatch of combine team roles of bed management (H@N) and deterioration detection and patient rescue.
I have two questions:
Does any one have experience of combining the CCORT with H@N successfullly or otherwise?
Does anyone have examples of business cases they would be happy to share with colleagues who are working to expand their service?
We have successfully combined H@N with CCO for over 10 years and we now provide a 24/7 CCO service. We have a seperate night manager to provide leadership and optimise flow etc.
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