South East Regional Hospital

Transcription

1 South East Regional Hospital Joint Consultative Committee 1614 Tathra Road Bega 23 November 2015 Chairperson: Kate Lyons, Executive Director Clinical Operations

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3 INTRODUCTION

4 The opening of South East Regional Hospital (SERH) is both exciting and good news in terms of health services and employment in the Bega region. The $187 million South East Regional Hospital is on target to begin accepting patients in March next year Services to be provided include: an expanded emergency department, including an emergency medical unit more critical care services, incorporating intensive care, high dependency and cardio beds in the one unit

5 Surgical services acute medical, stroke, maternity and paediatric services Drug and Alcohol services Inpatient sub-acute care unit Palliative care services Inpatient mental health service with up to 20 beds

6 Community and primary health care services A range of clinical support services including medical imaging, pharmacy and pathology Medical record, information technology and tele-health infrastructure Teaching and training Car parking for 500 vehicles

7 Key Principles

8 There will be no loss of jobs SNSWLHD will continue to meet all award requirements including NHPPD SNSWLHD will work with all unions will be consulted on transition arrangements Consultation with staff and unions will continue with further meetings planned for 16 December 2015 and 20 January 2016 SNSWLHD through various forums will provide an update on progress over the coming 2 to 3 months a timetable for consultation will be developed and distributed

9 Staff currently working at Bega will move directly across to SERH Pambula staff will be provided with preference Pambula staff will have training needs assessed if moving to SERH

10 Pambula Health Service

11 Pambula District Hospital Current service 30 beds Emergency department (doctor led) Limited day surgery Proposed service 12 beds Assessment, Treatment & Care Centre (ATC) (nurse led) No surgical service

12 Pambula District Hospital Assessment, Treatment & Care Centre service Nurse-led Walk-in patients only No ambulance presentations Supported by telehealth from SERH In patient service Palliative Care Transfer from other hospitals short term management prior to discharge Critically ill or unstable patients transferred to SERH Diagnostics eg Point of Care testing Patient cohort adult and elderly

13 Community health services continue Mental Health and Drug & Alcohol outreach service Integrated and networked part of Bega Valley Health Service General Manager and Director Medical Services point of escalation

14 South East Regional Hospital (SERH)

15 SERH Maximum capacity to 2021 Service Current bed Capacity Proposed Bed Capacity Net Additional Capacity Acute Medical Inpatient 52 (+6 shelled) Acute Surgical Inpatient (6 shelled) Surgical Extended Day Only 6 6 Integrated Intensive Care Birthing Suite Obstetric Beds Paediatrics Paediatric (Day only) Sub Acute and Rehabilitation Acute Mental Health (Adult) Sub Acute Mental Health (Adult) Total Beds (6 shelled) 92

16 Service Current Bed Capacity Proposed Bed Capacity Net Additional Capacity Day Surgery spaces Emergency Acute Bays Emergency Fast Track Emergency Medical Unit (23hr) Renal Dialysis Medical Oncology / Haematology Oral Health 0 3 (1 shell) 3 (1 shell) Total Ambulatory Care Spaces Operating Theatres 2 3 (+1 shell) 1 + shell Procedure room Total Theatres / Procedure Rooms 2 4 (1 Shell) 2 (1 shell) Total All beds/ambulatory& Theatre shelled 124

17 Mental Health and Drug & Alcohol Service

18 Mental Health Community MHDA Currently: Based at Pambula; outreach to Bega & Eden March 2016: Based at SERH; outreach to Pambula & Eden No change to staff numbers or roles

19 Mental Health Inpatient Services Currently: 6 beds (4 acute, 2 HDU) SERH: 20 beds (6 acute, 6 HDU, 8 sub-acute) Phase 1 March 2016: 12 beds (6 acute, 6 HDU) Phase 2 to be confirmed

20 Mental Health Triage and Emergency Care Service (TECS) Currently: Based in MH unit Bega March 2016: Based in SERH in dedicated rooms adjacent to ED Work on sound proofing to be completed before March 2016 No change to staff numbers or roles

21 Mental Health Other SERH additions Safe assessment room and MHDA interview room in ED Rooms on Medical ward suitable for D&A detoxification Rooms on Paediatric ward suitable for appropriate CAMHS admissions Note: these additions will provide better facilities for activity already occurring, they will not result in new kinds of activity

22 Workforce Profiles

23 Hospital Services in the Bega Valley From 7 March 2016 SERH SERH PAMBULA 20 Bed Medical Ward 7 Bed Maternity Unit 12 Bed Inpatient Ward 16 Bed Surgical Ward 6 Bed Paediatric Unit Assessment, Treatment & Care Clinic 12 Bed Subacute Unit 6 Renal Dialysis Chairs 12 Bed Mental Health Unit 2 Operating Rooms & 1 Procedure Room 6 Bed HDU/ICU Emergency Department.

24 Other Service Changes AREA Pharmacy Allied Health Pre-admission Clinic Medical Records HASA/Wardsmen Stores Community Health Pathology NATURE OF CHANGE Enhanced Service Enhanced Service Enhanced Service Enhanced Service Restructure/Replacement of Contract Security Enhanced Service No Change No Change

25 Summary of Changes: Med/Surg/Subacute/Pambula Current Situation Bed Numbers Productive FTE Total FTE Current Bega Medical Ward Current Bega Surgical Ward Current Pambula Ward Total SERH Medical/Surgical/Subacute & Pambula Bed Numbers Bed Numbers Productive FTE Total FTE SERH Medical Ward SERH Surgical Ward SERH Subacute Unit Pambula Bed Ward Total Net Change

26 SERH Medical Ward: Specific changes Staff Change FTE RN 1.74 EN NUM L Total -.52

27 SERH Surgical Ward: Specific changes Staff Change FTE EN Total -1.74

28 Pambula Ward: Specific changes Staff Change FTE RN EN NUM L AO AO Total -7.11

29 SERH Subacute Unit: Specific changes Staff Change FTE RN 5.66 EN 5.66 NUM L CNE 0.45 AO3 Ward Clerk 1.19 Senior Staff Specialist 0.48 Physiotherapist L Physiotherapist L Occupational Therapist L Speech Pathologist L Dietician L Social Worker L Pharmacist G Technical Assistant Grade Total 22.62

30 Summary of Changes: Operating Rooms(OR) Productive FTE Total FTE Current Total Bega and Pambula ORs SERH OR CSSD Changes SERH 12 hrs Increased OR Time Total Increase

31 OR Staff: Specific changes Staff Change FTE RN 3.20 EN 0.37 AO5 Senior Wait List Clerk 1.19 CSSD Manager HSM CSSD Technician 5.27 Operating Room Assistant 1.24 Total 12.48

32 Summary of changes: Emergency Departments Productive FTE Total FTE Current Bega ED Current Pambula ED Current Total ED Productive FTE Total FTE SERH ED Pambula ATC Total Post March Total Net change

33 Pambula ED to ATC: Specific changes Staff Change FTE RN Total -2.67

34 Bega to SERH ED: Specific changes Staff Change FTE RN 3.92 NUM L AO Total 5.85

35 Summary of Change: ICU Bed Numbers Productive FTE Total FTE Bega ICU SERH ICU Increase Staff Change FTE NUM.63 P/T Director of ICU VMO

36 Summary of change: Maternity Bed Numbers Productive FTE Total FTE Current Bega Maternity Unit SERH Maternity Increase (2 nd Midwife on ND)

37 Summary of Changes: Paediatrics Bed Numbers Productive FTE Total FTE Current Bega Paediatrics SERH Paediatrics Increase Staff Change FTE RN Y NUM L1 1.01

38 Summary of Initial Changes: Mental Health Bed Numbers Productive FTE Total FTE Current Bega Unit SERH Unit Increase

39 Specific Initial Changes: Mental Health Staff Change FTE RN EN AO Social Worker L HASA 5.22 CMO G2 Y Total 15.44

40 Further New Staff in Mental Health Staff Type FTE Recruitment By SERH Mental Health OT 1.13 Jul-16 SERH Mental Health CNC 1.13 Jul-16 SERH Mental Health Pharmacist 0.45 Jul-16 SERH Mental Health CNE 0.57 Jan-17 SERH Mental Health Psychologist 1.13 Jan-17 SERH Mental Health Consumer Advocate Total Increase Jan-17

41 HASA & Wardsmen Productive FTE Total FTE Current Bega & Pambula HASA & Wardsmen SERH & Pambula HASA & Wardsmen Total Net Change Staff Change FTE Manager Patient Support HSM HASA Wardsmen Total 7.85

42 Specific Changes: Other Areas Area Staff Change FTE Cluster Management Hospital Assistant G3 Stores 0.65 SERH Pre-admission Clinic RN 0.89 SERH Pre-admission Clinic AO SERH Renal Unit RN 0.75 SERH Med Records & Clin Info AO6 Senior Coder 1.13 Pambula General Admin Exec AO Total 2.23

43 Human Resources

44 Staff Consultation Workplace Consultative Committees bi-monthly agenda (minutes available) A number of the WCC meetings scheduled were not held due to no staff attendance Staff meetings monthly Bega & Pambula Department Managers Meetings monthly Verification visits to site Change Management workshops Models of Care

45 Staff Forums Let s get moving how to ensure departments and units are ready to move Planning Change management Decluttering Managing the move Human resources Communication - staff newsletters Information (ICT) Commissioning Move readiness Move plans

46 Change Management Change management meetings monthly Change readiness survey 8 September 2015 Departmental Change Management plans Scheduled Departmental & interdisciplinary meetings ICT workshops Steri-health clinical waste trial

47 Administration Change Management Workshop

48 Human Resource Planning Annual leave management plan Maximum staff on duty for transition Training timetable Move roster Orientation timetable Post move process for staff

49 Move Readiness

50 Move readiness Move readiness survey Departmental readiness survey ICT Open Forum 17 November 2015 (Q & A) Communications Workshop 24 November 2015 Order of March Workshop 25 November 2015 Move & logistics Plan Gantt Chart

51 Issues raised with SNSWLHD

52 Potential excess staff at Pambula how will this be dealt with? If there are more staff from Pambula wishing to move to SERH than can be accommodated, how will SNSWLHD manage this? Skill mix changes what are the changes for staff? Rotation of staff across SERH and Pambula District Hospital to maintain staff skills HASA/security roles Management structure IT and new systems

53 Plans

54 Helipad Ambulance Site Bega Tathra

55 Overall Floor Plan

56 Overall Floor Plan (Level 2)

57 Overall Floor Plan (Level 3)

58 Further Information Further information regarding SERH and photographs are available at: Further information regarding Pambula Health Service Community Engagement Committee (PHSCEC) is available at: /page

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