Docstoc

Re-commissioning Urgent Care Services

Document Sample
Re-commissioning Urgent Care Services Powered By Docstoc
					Re-commissioning
Urgent Care Services

Barnet 2009
Urgent Care Service Model
                              Social Services
   0845 4647                   Call Handling
  NHSD Advice




                                                                     District Nursing                           Scheduled
                                                    Telephone                              Community
                                                                         Service                               Registered GP
                                                  Clinical Advice                          Pharmacy




                      Urgent                    Telephone Clinical                           Face to Face
                                                                       Primary Care
  Phone Call       Primary Care                    Assessment                            Clinical Assessment
                                                                          Centre                                 Walk In
                   Call Handling
                                                                       Consultation




                                                   Medical Home      Intermediate Care
                                                                          Service               A&E
                                                       Visit




        999
   LAS Emergency         Mental Health Services
                             Call Handling
Premises
   single telephone number access
   appropriate referral between services
   information collected once
   clinical assessment carried out once
   patient information flow between services
   available patient care plans
   feedback to care manager
   information to patients regarding services
Services
 provision of access, clinical assessment,
  advice and referral to all urgent primary
  care services
 provision of OOH GP, dentistry and
  pharmacy services
 provision of urgent primary care services
  at the primary care centres including at
  BA&E
Additions to Telephone Service
 5pm to 9am for district nursing and
  intermediate care call handling
 Fast tracking for clinicians
 Prior patient records, care plans and
  feedback

   Links and information management
OOH Activity

                                     Calls
          Calls Dealt   Calls
Total                                Requiring
          with by       Requiring
Monthly                              Dentist
          Telephone     NP/ECP/GP
Calls                                Advice /
          Clinician     Consultation
                                     Consultation

          1,272         1,032
2,400                                24 (1%)
          (53%)         (43%)
OOH GP Service
                Join queue
    Walk in




                              WIC Reception
                                              Next available clinician
                                                 by competence
                Appointment
    Telephone



   6.30pm to 11pm, weekends and bank holidays
   Finchley and Edgware WICs

   Home visiting by clinical need all night
OOH Dentistry and Pharmacy
   Dentistry
     Dentaltreatment Saturday, Sunday and bank holiday
      mornings
     21% of calls
   Pharmacy
     Pharmaceutical  advice
     Medication dispensed
     Controlled drugs
     Palliative care
WICs
   Urgent care at primary care centres
   GPs, diagnostics and pharmacy
   Currently at Finchley and Edgware and open to
    all
   GP registration for unregistered attendees
   Referrals to pharmacy minor ailments schemes
   Links with scheduled GP services
WIC Activity

               Total Monthly
Service
               Attendances


Edgware WIC    4,563


Finchley WIC   3,193
Barnet A&E

 GP Registration           actual registration and health check
                           for unregistered patients



       GP Practice Links             direct access to diagnostics




                                                actual booking of
             GP Appointment Bookings            appointments for assessed
                                                patients
Quality
 Quarterly monitoring meetings
 National OOH quality requirements
     Patient  satisfaction
     Clinical audit

 Standards for better health
 Complaints, incidents, protection, risk

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:3
posted:4/9/2010
language:English
pages:12