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A New Approach to Unscheduled Care. Delivering excellence by organising our resources around the person’s needs. Moray Briefing Session 1 st August 2013. Unscheduled Care is…. urgent with the need to take action at the time of contact with services.

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A new approach to unscheduled care

A New Approach to Unscheduled Care

Delivering excellence by organising our resources around the person’s needs

Moray Briefing Session

1st August 2013


Unscheduled care is
Unscheduled Care is…

  • urgent with the need to take action at the time of contact with services.

  • care which cannot reasonably be foreseen or planned and can occur at any time.

  • also referred to as unplanned, urgent or emergency care

  • part of everyone’s role


Growing pressures

Increasing demand across public sector

Recruitment and retention challenges

Population changes

Public expectations

Striving to keep improving quality of care

Image to be added

Growing Pressures


Doing nothing is not an option
Doing Nothing is Not an Option

By 2020:

Grampian population +7.2%

Over 65s +13.5%

Length of stay +4%

Emergency bed days +15.9%

Emergency department attendances +7.4%


Individuals supported to make the best decisions about their own care and to choose the right service when they need support/treatment

Integrated and flexible workforce to improve care and service sustainability

Access to patient information at point

of contact

Decision support for professionals

when they need

Agreed decisions are delivered to meet the person’s needs

Re-enablement to support transition to self/care management and to enhance support at home and in the community.

Whole System Approach


What difference will it make
What Difference Will It Make? own care and to choose the right service when they need support/treatment

  • Person-centred = improved patient experience and quality of care

  • Building on community assets

  • Empowerment of family and carers

  • Building of relationships between partners

  • Improved staff experience, professional learning

  • Reduction of ambulance journeys

  • Reduction of A&E attendances and emergency admissions

  • Delivery of national targets e.g. delayed discharges, 4 hour standard, boarders, A&E attendances

  • More effective use of public funding


Priorities for 2013 14
Priorities for 2013/14 own care and to choose the right service when they need support/treatment

  •  number of Advanced

  • Clinical Practitioners

  • Integration of primary/

  • secondary care workforce

  • Know Who To Turn To

  • NHS Inform/Quality

  • Assured Information

  • Anticipatory Care Plans

  • Hub goes live Sept 2013

  • Local directory of

  • information

  • Enhance local networks

  • accessibility of

  • patient information

  • Clinical Guidance

  • Intranet

  • Technology supports

  • communication

24/7 Consultant Level Support

- Leverage of the Whole System

  • Implementing

  • partnership plans to 

  • delayed discharges

  •  number of staff with re-

  • enablement skills

  • Exploring ‘hospital at

  • home’ model

  • Booking of appointments

  •  number alternatives to

  • admission

  • Technology


Getting involved further information
Getting Involved/Further Information own care and to choose the right service when they need support/treatment

 Views/ideas and helping us test these

  • Patient, staff and partner experience

    E-mail - nhsg.unscheduledcare@nhs.net

  • USC Programme Newsletter

    www.nhsgrampian.org/unscheduledcare


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