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Working Time Directive 2009 Projects Milton Keynes General NHS Trust
Working Time Directive 2009 Projects Milton Keynes General NHS Trust
Milton Keynes General NHS Trust
WTD 2009 compliance through the improved management of emergency admissions and changed ways of working.
Click here to view the final report >>>Background Milton Keynes Hospital is a medium sized general hospital providing services to the residents of Milton Keynes and surrounding rural areas. The increase in population of Milton Keynes, currently estimated at 270,000, has placed high demands upon the local health service in both the acute and primary care sectors. This population is estimated to grow to 412,000 by 2031. As the main local provider of acute health services Milton Keynes prides itself on delivering quality care to the local people. The hospital currently has under 500 inpatient beds and provides the comprehensive range of general acute and surgical, elective, paediatric and maternity services. Milton Keynes General plans to grow its services to meet the needs of the expanding population and to provide care closer to home. The challenges of WTD 2009 allow an opportunity for Milton Keynes General to review the delivery of services and the training of junior doctors. Overview Recognising a whole system approach, Milton Keynes General worked across organisational boundaries, for example with the local Ambulance Trust, PCT, Social Care and Practice Based Commissioners, in the improved management of emergency admissions. Part of the focus on emergency care was in preventing emergency admissions. For those patients that are transferred to Milton Keynes General the Trust will provide fast access and high quality care with an appropriate skill mix of staff. Challenges Milton Keynes General completed a comprehensive analysis of work undertaken at night by all staff groups to identify the skills required to deliver care out of hours. The outcome of this work informed the planning of the day and night team concept. The Trust scoped, tested and implemented a model of care based around a day time hospital between 8.00am and 10pm and a night time hospital between 10pm and 8am. The model of care is managed by a senior clinician leading a multi-professional Outreach Team. This core team covers the hospital both night and day for emergency care. One of the challenges of the pilot was to finalise the appropriate skill mix to ensure that the right balance of competencies was available to meet the presenting medical and surgical needs. Delivering compliance Milton Keynes General delivered WTD 2009 compliance by scoping, testing, developing and implementing, where appropriate, changes in its approach to emergency care through:
The pilot began in August 2007 and completed in August 2008. |
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