Transcript Improving General Practice – A Call to Action Developing a

The Redesign of the Urgent Care
System in Suffolk
Introduction
Training & Education Event
11 December 2013
1
Our Purpose
• To redesign the urgent care system
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A&E
Ambulance
111
Out Of Hours
GP services
Community services
Mental Health
Social Services
Why look at the urgent care system now?
• System is struggling to meet rising demand
• National context
• Locally the Harmoni OOHs, 111 and the
Serco contracts expire in March 2015
Transforming Urgent and Emergency Services in England,
End of Phase 1 Report - led by Professor Sir Bruce Keogh
• Better support for people to self-care
• Help people with urgent care needs to get the
right advice in the right place, first time. 111
service enhanced to become the smart call to
make, a 24 hour, personalised, priority contact
service.
Transforming Urgent and Emergency Services in England, End of
Phase 1 Report - led by Professor Sir Bruce Keogh
• Provide highly responsive urgent care services outside
of hospital so people no longer choose to queue in A&E.
• Provide faster and consistent same-day, every-day
access to general practitioners, primary care and
community services including local mental health teams.
• Harness the skills, experience and accessibility of a
range of healthcare professionals including community
pharmacists and ambulance paramedics.
Transforming Urgent and Emergency Services in England, End of
Phase 1 Report - led by Professor Sir Bruce Keogh
• Ensure that people with serious or life threatening
emergency care needs receive treatment in centres with
the right facilities and expertise to maximise chances of
survival and recovery.
• Two levels of hospital emergency departments under the
current working titles of Emergency Centres and 40-70
Major Emergency Centres for specialised services.
• Overall number of Emergency Centres (including Major
Emergency Centres) will be broadly equal to the current
number of A&E departments.
Transforming Urgent and Emergency Services in England, End of
Phase 1 Report - led by Professor Sir Bruce Keogh
• Connect all urgent and emergency care services
together so the overall system becomes more
than just the sum of its parts.
5 Principles for an urgent care system in Suffolk
1. Integrated model with an overall responsibility
for urgent care across the population (primary,
community, mental health, social care,
secondary care and the voluntary sector).
2. Available 24/7 with consistently high quality
patient outcomes across the Urgent Care
System
Principles for an urgent care system in Suffolk
continued…
3.
Accessed and co-ordinated via a single
system
4.
Shared access to information systems ideally
with a single care record
5.
Urgent Care to be delivered where most
appropriate in the system, supported by a
shift in resources, training and development,
long-term, of professionals.
What next?
• Going to go through a range of scenarios that
will draw out your experience and local
understanding with the aim of identifying what
works well (and we should retain), what needs to
be changed or improved and other proposals to
make the system work better