Transcript Non emergency services - Ipswich and East Suffolk CCG

East of England Ambulance Service
NHS Trust
Roving Admission Avoidance Car
Type sub heading here and author name
Date
East of England Ambulance Service
RAAC
NHS Trust
• The role of RAAC is designed to
complement existing clinical teams.
• The RAAC clinicians should ultimately
be in a position to make autonomous
clinical. decisions within their scope of
practice
• The RAAC works across all traditional
boundaries of emergency care.
• The RAAC role should aim to have an
impact on the pathway and through out
the patient journey.
• Reduce A&E attendance’s by treating
patients at the scene
• Reduce waiting times in A&E and acute
care as only those patients needing
treatment in this environment would
attend hospital
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RAAC
Appendix 1
999 Call Received by EEAST
RAAC referral process
East of England Ambulance Service
NHS Trust
EEAST Call handler (Non Clinician)
processes call and call is coded using the
MPDS software
Low acuity agreed codes are passed to
the Clinical Support Desk G3 & G4 calls
Some high acuity calls will be
passed to the ECT desk and retriaged to ensure appropriate
resource/response.
The clinical outcomes could be
an ambulance response or the
call referred to the Clinical
Support Desk
CSD Clinician acquires further
information and re-triages the call using
(PSiam support software).
The clinical outcomes could be
alternative pathway referrals, self help
advise, ambulance dispatch or a referral
to the local RAAC scheme.
Local schemes may receive referrals from
EAU consultant or senior community
nurse/APS
HEOC refers the case to
RAAC.
If RAAC unable to accept due to
workload (following discussion with
HEOC) the call will be passed to dispatch
for a conventional response in
accordance MPDS coding and triage.
RAAC will aim to see patients within 2
hours of referral
Referral from EEAST operational staff
who have attended patient deemed
clinically suitable for RAAC criteria for
advice or visit. Crews to contact the
RAAC clinician to complete a clinician to
clinician referral.
HEOC Referrals:
The HEOC are to pass all information relating to the referral to the clinician including the
clinical information gleamed through the triage.
Operational Referrals:
When RAAC accepts an operational referral, the RAAC clinician is to advise the HEOC
that they are mobile to the call (This is to ensure clinician safety and wellbeing).
RAAC clinician is to provide face-to-face assessment. Assess, treat, refer, review or
provide welfare checks.
(RAAC will not telephone triage calls once referred by HEOC but may prioritise the order
they see patients based on clinical need)
RAAC to report outcome to HEOC upon completion. RAAC clinicians are to contact
patients GP and or OOH where clinically appropriate
• RAAC operates 0700-0100 Sun-Thurs
0700-0300 Fri-Sat
• East Suffolk catchment area
• Contactable: 07740256051
• ‘See & Treat’ service
• Aim to see patients within 2 hours
• Skilled in primary care
• PGD’s allow to administer a range of
primary care drugs & TTA’s
• ‘Right treatment, right place at the right
time’
• Respond to R1 calls (life threatening)
• Reduce number of ambulance
conveyances
• Reduce front door activity at hospital
• Support frontline staff with decision
making
• Work alongside APS
Operational Instruction (OI) 135
Roving Admission Avoidance Car – North Sector
Version Number:
Owner:
1
Teresa Church
Operational From:
14th October 2014
Review Date:
31st May 2014
Applicable to:
A/E Operations & HEOC
Distribution:
North Sector Staff, In Touch, Need to Know and group email
Introduction
The North Sector is working with the clinical commissioning groups within health and social care to reduce
the total number of unplanned hospital admissions and ambulance conveyances to hospital.
One of the key building blocks of the new urgent care pathway is to improve access to specialist
community services. Underpinning this ambition is the need to improve the existing delivery of care to
people at risk of admission and to provide care alternatives to the acute settings. The CCG’s and EEAST
are committed to managing urgent care demand by commissioning a model of urgent care that integrates
the health and care system to deliver –
“The Right treatment at the right time in the right place”
The service goal is to reduce unnecessary conveyances to hospital through a bespoke see and treat
service. This instruction will explain the process and framework of operation.
Scope
Within the North Sector there is currently one RAAC scheme which is being staffed by Specialist
Paramedics. The area they are working in is East Suffolk in collaboration with I&ESCCG.
Area
Suffolk East
Suffolk West
Call Sign
NRAC01
NRA642
Hours of Operation*
0700 – 0100 x 7
1100 – 2300 Mon/Fri
1100 – 2300 Sat/Sun
RAAC Contact numbers
07740 256051
07753 722830
*Please note hours of operation may vary, please contact the HEOC to confirm if the RAAC car is booked
on duty.
The RAAC will work flexibly within the North Sector in their commissioned areas of East and West Suffolk.
The service will provide a responsive (aiming to attend to a patient within 2 hours), high quality, safe and
appropriate service in a patients’ home. This service is intended for patients with immediate primary care
needs who require early assessment and work up with dedicated clinician time. Skill sets on each RAAC
may vary however the resource should be approached to see if they can assist.
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