Operating command centre

Surgical flow protection · advisory only

Run: 09:15
Source: 09:12
Profile: Morning protection
Operator: T. Linwood

Expected discharges today

All adult inpatient wards, 06:30-15:30 / source 09:12

At-risk discharges

9 open at-risk, 5 intervention-in-progress

Admissions exposed

7 elective, 6 transfer, 5 step-down bed dependencies

Theatre lists exposed

16 day lists, 28 cases with post-op bed dependency

Data quality exceptions

3 stale ward feeds, 8 partial theatre/recovery contexts

Site flow console

Window: 06:30 – 15:30
Active: 34 decisions
Ranked: top 24

LiveRun 09:15Source 09:12

Rank 1 of 34 active decisions

Protect Theatre 2 14:00

Clear Ward S4 / Bed 12 before 12:45 so A. Khan can land and the 14:00 case keeps recovery cover.

Focus chain from 58 expected discharges, 42 planned admissions and transfers, and 16 theatre lists.

Probability: 32%
Variance: -7 min
Outcome: Protected

Open decision

Related queue context

Recovered pathR. Chen12:30 release remains inside tolerance
InterventionM. OseiTransport action logged; no theatre loss
Watch itemT. Rahman15:00 release, partial theatre context
OwnerMaya SuttonWard S4 coordinator owns release path
Freshness09:12Admission and bed board refreshed at 09:12
ConstraintT2 coverRecovery cover confirmed partial, theatre context retained

Decision proofTheatre 2 protection restored

This pane compares the current operating posture against the selected action and shows the exact bed, admission, and theatre dependency that changes.

Without action: List exposed
Selected action: Protected
Operator move: Execute protected release

Dependency proof

One bed release changes the admission gate and the 14:00 theatre cover.

12:45 bed objective

A. KhanAdmission gate

After selected actionBed available inside buffer12:48

Evidence

A. Khan is same-bed-group dependent on S4 / Bed 12 and arrives inside the protection window.

Comparator: Arrival 12:00 / bed required 12:45
Threshold: Same-bed-group protection objective: bed available by 12:45
Source: Admission feed 09:12 / bed board 09:12

Counterfactual impact

What changes if the selected action is executed

Comparison	Release	Variance	Probability	Theatre
No action	13:45	+60 min	82%	List exposed
Execute protected release	12:38	-7 min	32%	Protected

Source basis

Feeds and threshold profile used for this recommendation

Encounter source: 09:12 fresh
Admission source: 09:12 fresh
Theatre context: Partial
Protection profile: Morning protection

Execution checks

Pharmacy finalises TTO by 10:05; transport held for 11:50; ward confirms escort.

Pharmacy10:05Pharmacy TTO owned; completion due before transport release.
Transport11:50Transport slot held for S4 discharge and ward escort path.
Ward S412:15Ward confirms discharge escort and bed turnaround sequence.
Theatre 2ProtectedRecovery cover retained for the 14:00 Theatre 2 case.

Ranked recommendation queue

6 shown from 24 ranked decisions

Open decision queue

#	Decision	State	Blocker	Outcome forecast	Impact	Owner	Action
2	S. DonnellyWard S4 / Bed 7	Breached	Protection objective already missedC. Morgan arrival 10:30	Objective missed65% risk by 10:302-4 hours delay band	Theatre 1 12:00 exposedRelease objective 08:30	Tom LinwoodBreached 09:10	Review
3	M. OseiWard N2 / Bed 4	Intervention in progress	Transport intervention logged; source detail staleL. Whitmore arrival 13:30	Action pending45% risk by 13:302-4 hours delay band	No theatre exposureRelease objective 11:15	Maya SuttonLogged 08:58	Review
4	T. RahmanWard S2 / Bed 3	At risk	Downstream evidence degraded; theatre context partialJ. Patel arrival 15:00	Pressure rising40% risk by 15:00Up to 1 hour delay band	Theatre 3 17:00 protectedRelease objective 12:15	Maya SuttonUpdated 09:15	Review
5	R. ChenWard S5 / Bed 9	Recovered	Interventions completed; release path recoveredN. Hughes arrival 12:30	Path recovered38% risk by 12:30Up to 1 hour delay band	Theatre 4 15:30 protectedRelease objective 09:45	Maya SuttonRecovered 09:00	Review
6	A. FraserWard E3 / Bed 2	Dismissed	Dependency removed after reassessmentNo active downstream exposure	No active exposure30% risk by 16:00Up to 1 hour delay band	Dependency removedRelease objective 14:00	Maya SuttonDismissed 09:00	Review
7	L. CartwrightWard N3 / Bed 14	At risk	TTO incomplete; discharge lounge slot unconfirmedC. Reeves arrival 12:45	Exposure likely58% risk by 12:451-2 hours delay band	Theatre 5 15:00 exposedRelease objective 10:45	Maya SuttonUpdated 09:13	Review

Latest audit

Open audit trail

09:15
Run refreshed09:15 run preserved rank 1 and 82% probability.System decision runner / Scheduled run
09:08
Alert acknowledgedOpened hero alert and reviewed blocker evidence.Maya Sutton / Site Flow Coordinator
09:00
Alert generatedAlert created from 09:00 run with Theatre 2 exposure.System decision runner / Scheduled run
09:14
Threshold profile reviewedDefault morning protection retained; rules r1 / prediction p1.Tom Linwood / Duty Operations Lead
09:12
Source refreshedEncounter and admission feeds refreshed; theatre context partial.System / Source feed