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The UK Forum for Multi-Professional Critical Care Outreach, 
   Medical Emergency, Acute and Rapid Response Teams

Evidence base for 24 hour CCOT

  • 31 May 2014 12:45
    Message # 1559145
    dear all,

    I have been asked by the Trust to look at developing the night side of the CCOT service which is currently 12 hours a day 7 days a week.
    I am starting by pulling evidence together and have a CCOT workshop planned for this wednesday.
    having done some searching their is a paucity of evidence specific to CCOT at night but some strong recommendations about systems at night and deficits.

    would be very grateful for any pointers or help
  • 07 May 2015 10:08
    Reply # 3334884 on 1559145


    Hi mark

    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.


  • 09 May 2015 21:32
    Reply # 3337683 on 1559145


    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)  

    Alex :-)

  • 22 Jun 2015 09:56
    Reply # 3397986 on 1559145


    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??


  • 12 Oct 2015 14:49
    Reply # 3573496 on 1559145
    Deleted user

    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?



  • 30 Nov 2015 10:30
    Reply # 3667003 on 1559145
    Deleted user

    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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