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Out-of-hours Services and the Reforming Emergency Care Strategy

Out-of-hours Services and the Reforming Emergency Care Strategy. Angela Haggar Project Manager for Out-of-Hours and Reforming Emergency Care Castle Point and Rochford PCT and Southend PCT. What Do We Mean by Out-of-hours?. Monday to Friday 18:30 (6.30 p.m.) to 08:00 (8 a.m.) Weekends

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Out-of-hours Services and the Reforming Emergency Care Strategy

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  1. Out-of-hours Services and the Reforming Emergency Care Strategy Angela Haggar Project Manager for Out-of-Hours and Reforming Emergency Care Castle Point and Rochford PCT and Southend PCT

  2. What Do We Mean by Out-of-hours? • Monday to Friday • 18:30 (6.30 p.m.) to 08:00 (8 a.m.) • Weekends • 18:30 Friday to 08:00 Monday • Bank Holidays • 24 hour cover (08:00-08:00)

  3. What Happened Previously? • GPs responsible for their own patients 24-hours a day • GP Co-operatives • Commercial deputising services

  4. Why Did Things Change? • New GP contract - the right to opt-out • All practices in the Southend area have chosen to opt out • PCTs responsible for out-of-hours care

  5. How were the service providers chosen? • ‘Invitation to offer’ process • Shortlisting and presentations • Two new providers chosen • Essex Ambulance Service • Care UK • New service began 30/12/04 • Joint service with CP&R

  6. Who Is the Service for? • Patients within the Castle Point and Rochford and Southend PCT areas • Patients registered with a local GP surgery • Patients visiting the area

  7. The service is for… ‘urgent primary care needs’ A primary care need is something for which you would normally go to your own GP surgery An urgent need is one which cannot safely wait until your surgery is next open The service is not for… Routine, non-urgent needs Repeat prescriptions Vaccinations Certificates What Is the Service for?

  8. How can my need be met? • Telephone advice – clinical or non-clinical • Primary Care Centre consultation • Home visit from mobile GP or ECP

  9. Frequently Asked Questions… • Is it true that I won’t be able to see a doctor? • Is it true that I can’t be seen at home? • Is it true that I’ll have to pay for my treatment?

  10. The service so far….. Jan to Oct 2005 31,243 patient Consultations (17212 Southend) 20,196 patients seen at the OOH primary care centre (11342 Southend) 4356 patients seen at home (2348 Southend)

  11. Quality • National Quality Requirements • Identify life threatening conditions • Response times • Effective prioritisation • Clinical Standards • Standards for Better Health • Apply to all services providing care to NHS patients

  12. Monitoring • Ongoing • Patient feedback/surveys • Monthly Monitoring Group • Quarterly Board reports • Annual assessment visit • Essex Wide OOH Group

  13. What is the REC Strategy? The Aim • To develop or reconfigure services to enable more patients to be treated in a primary care or community setting where this is appropriate

  14. REC Objectives • Best use of A&E department • Opportunities for unscheduled care centres across the area • Prevention of unnecessary hospital admissions • Formation of effective emergency care networks

  15. Best Use of the A&E Dept. • Patients to be seen by the most appropriate person in the most appropriate place • Referral pathway from A&E to OOH • 2518 patients referred in first 10 months • 17% of patients seen at OOH PCC are from A&E • Information given re access to services

  16. Opportunities for unscheduled Care Centres across the area • Reduce attendance at A&E • First OOH PCC at Hospital site • New opportunities through the LIFT projects

  17. Local Improvement Finance Trust (LIFT) • In the public consultation period for the Shoebury LIFT development, OOH was one of the services that local people most wanted to be included in the centre.

  18. Prevention of Unnecessary Hospital Admissions • Initiatives for management of long term conditions • Referral pathways e.g. blocked catheters • OOH providers work closely with PCTs and other agencies • OOH GPs kept informed of local initiatives • ‘in-hours’ principles extended to OOH

  19. Formation of Effective Emergency Care Networks • Integrated working • Out-of-Hours service • District Nurses • Ambulance service • A&E/Hospital • Palliative Care • Mental Health • Social Services • OOH Stakeholder Group membership

  20. Thank You. Questions?

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