{
  "description": null,
  "_filename": "CodeSystem-Notts-OPEL-Score.json",
  "package_name": "notts.scr.poc",
  "date": "2021-09-22T10:00:00+00:00",
  "meta": {
    "lastUpdated": "2021-09-22T10:00:00+00:00"
  },
  "publisher": null,
  "purpose": "A CodeSystem to identify the Operational Pressures Escalation Level (OPEL)",
  "content": "complete",
  "name": "Notts-OPEL-Score",
  "copyright": "Copyright © Nottinghamshire County Council 2020",
  "type": null,
  "experimental": null,
  "resourceType": "CodeSystem",
  "title": null,
  "package_version": "0.1.0",
  "status": "draft",
  "id": "c685732c-9e19-4e04-8027-4cb6eb3d8b61",
  "kind": null,
  "url": "http://fhir.nottinghamshire.gov.uk/STU3/CodeSystem/OPEL-Score",
  "concept": [ {
    "code": "opel-1",
    "display": "OPEL 1",
    "definition": "The local health and social care system capacity is such that organisations are able to maintain patient flow and are able to meet anticipated demand within available resources. The local A&E Delivery Board area will take any relevant actions and ensure appropriate levels of commissioned services are provided. Additional support is not anticipated."
  }, {
    "code": "opel-2",
    "display": "OPEL 2",
    "definition": "The local health and social care system is starting to show signs of pressure. The local A&E Delivery Board will be required to take focused actions in organisations showing pressure to mitigate the need for further escalation. Enhanced co-ordination and communication will alert the whole system to take appropriate and timely actions to reduce the level of pressure as quickly as possible. Local systems will keep NHS E and NHS I colleagues at local regional level informed of any pressures, with detail and frequency to be agreed locally. Any additional support requirements should also be agreed locally if needed."
  }, {
    "code": "opel-3",
    "display": "OPEL 3",
    "definition": "The local health and social care system is experiencing major pressures compromising patient flow and continues to increase. Actions taken in OPEL Two have not succeeded in returning the system to OPEL One. Further urgent actions are now required across the whole system by all A&E Delivery Board partners, and increased external support may be required. Regional Teams in NHS E and NHS I will be made aware of rising system pressure, providing additional support as deemed appropriate and agreed locally. National team will also be informed by DCO/Regional Teams through internal reporting mechanisms."
  }, {
    "code": "opel-4",
    "display": "OPEL 4",
    "definition": "Pressure in the local health and social care system continues to escalate leaving organisations unable to deliver comprehensive care. There is increased potential for patient care and safety to be compromised. Decisive action must be taken by the local A&E Delivery Board to recover capacity and ensure patient safety. All available local escalation actions taken, external extensive support and intervention required. Regional Teams in NHS E and NHS I will be aware of rising system pressure, providing additional support as deemed appropriate and agreed locally, and will be actively involved in  conversations with the system. Where multiple systems in different parts of the country are declaring OPEL Four for sustained periods of time and there is an impact across local and regional boundaries, national action may be considered."
  } ],
  "caseSensitive": false,
  "version": "0.0.1"
}