north norfolk ccg annual stakeholder event 2014 unplanned care n.
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North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care. What does that mean?.

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what does that mean
What does that mean?
  • Unscheduled care is any unplanned contact with the NHS by a person requiring or seeking help, care or advice. It follows that such demand can occur at any time, and that services must be available to meet this demand 24 hours a day. Unscheduled care includes urgent care and emergency care.1

1Commissioning a new delivery model for unscheduled care in London

Urgent Care – needs prompt attention but is not life threatening

Emergency Care – has life threatening injuries or conditions

kings fund guide
Kings Fund Guide

http://www.kingsfund.org.uk/projects/urgent-emergency-care/alternative-guide-urgent-and-emergency-care-system-england

what services do we have now
What services do we have now?
  • NHS Choices
  • Pharmacies
  • 111
  • Primary Care in hours and GP Out of Hours service
  • Norfolk County Council Community Services 0344 800 8020
  • Community/Voluntary Groups
  • Minor Injury Unit
  • Walk in Centre
  • Accident and Emergency
  • 999 – life threatening emergencies
north norfolk picture
North Norfolk Picture
  • 2013/14 over 13,000 emergency admissions to hospital in NN CCG area
  • Cost between £2- £2.6m per month
  • 58% admitted through A&E
  • 44% of those admitted stayed in hospital for less than 1 day
  • Most emergency admissions were in the 0 – 4 year and 65 years+ age bands
  • Older people’s medicine had highest number of admissions by speciality
  • 807 patients were admitted as an emergency 3 or more times during 2013/14
what are we already doing about this
What are we already doing about this?
  • Working more closely with NCC, NCH&C, Voluntary sector and other stakeholders on Integrated Care (Complex Cases)
  • Changes to General Practice
  • Volunteer Services
  • Self-Management, Coaching, Diabetes Education
  • Developing better 999 services e.g. more paramedics, recruit Community Responders
  • Living Well with Dementia Project
  • Falls Prevention
despite all of this
Despite all of this….
  • In April and May this year:
  • 264 more 999 calls than last year
  • 453 more attendances at A&E than last year
  • National increase in emergency admissions to hospital last year but North Norfolk has performed better
discussion groups
Discussion Groups

What more can we doto:

  • Ensure people get the right care quickly
  • Make sure emergency services are there for people that really need them