+Lakeside Plus

Corby Urgent Care Centre

+Lakeside Plus

Dr Stuart Maitland-Knibb Clinical Lead

+Lakeside Plus

A new vision A quality service

Delivering Urgent Unplanned Care where it is

needed most IN THE COMMUNITY

+Lakeside Plus

Take Home Messages

• Significant Reduction in activity in admission and ED

• Feedback from Patients excellent• All KPI markers met • Zero 4 hour breeches • 1st year Predicted > £600,000 annual save

in the smallest CCG in the country

+Lakeside Plus

Community Profile

• Corby smallest CCG nationally

• Corby Population120K by 2021

+Lakeside Plus

Primary Care Outline

• 5 Practices 48K -2K• 29 Partners

+Lakeside Plus

The Unit

• Purpose built • 8 miles from nearest trauma unit, PCI • 21 miles from vascular and stroke unit • 32 miles from major trauma centre

+Lakeside Plus

The Unit

• Purpose built • Planned by health care professionals • Designed to give a feeling of security and calm. • Designed to increase flow

+Lakeside Plus

What the Unit is not

• It's not a Minor Injury Unit • It's not a Minor Illness Unit• It's not a Walk in Centre • It's not an Out of Hours Unit

+Lakeside Plus

So what is it

• If you don't need 999 because your life or limb is at immediate risk

• If you cannot wait for the next available GP appointment

• The Urgent Care Centre is for you • If you are unsure call 111

+Lakeside Plus

Activity

• Open 12 hours a day • See between 150-200 per day• Local DGH seeing in 24 hours 160-230 • Admission rate for paediatrics of study

sample 4500 seen admission rate is 2% under 1 year and <1% over all

+Lakeside Plus

Staffing • 3 doctors all senior GPs with extended skills • 1 medical nurse practitioner • 2 injury nurse practitioners • 3 nurses • 2 HCA • 2 radiographers • 2 reception staff • 3 support staff

+Lakeside Plus

What We Offer

• Triage by a qualified nurse in <15 mins • Primary care solution software • X-Ray all room with pacs viewers • Ultrasound inc fast, diagnostic and bladder • Bloods inc FBC, CLOTTING, AMY, LFT,

RENAL, ATERIAL GAS, LACTATE, CRP, TROP & D-dimer

+Lakeside Plus

What We Offer

• Observation bays

(12 day couches 4 paediatric, 4 male and 4 female) • Resuscitation • Ambulance bay • Dr visiting service• Stop the clock care delivery

+Lakeside PlusClinical Governance

• Use both College of Emergency Medicine and Royal College of General Practice evidence and guidance with use of SOPs

• Secondary care validation of lab results and radiology

+Lakeside Plus

Clinical Governance

• Audits used from both colleges • Active in research programme • Active internal and external training of staff• Clinical lead works on ED consultant rota

weekly • Clinical lead works in pre-hospital in a

consultant level helicopter post

+Lakeside Plus

Cost

• Set up funded by GPs consortium (all local GPs)

• Tariff £44 per Patient up to 116 thereafter marginal at £13 per Patient

+Lakeside Plus

Stats

Reduction >1000 per month

+Lakeside Plus

Stats

Reduction 24%

+Lakeside Plus

Stats

Reduced by 14%

+Lakeside Plus

+Lakeside Plus

+Lakeside Plus

• The data supplied is from GEM and this is global data.Our own data suggests a higher swing of activity from our local acute Trust to Corby Urgent Care Centre.

• Up to 2013 both Kettering General Hospital and Northampton General Hospital (our 2 local area hospitals), have had a mirrored increase in activity. As can be seen by the following slide.

• In 2013 Kettering General Hospital had a reduction in acute admissions of over 8,000. Whereas Northampton General Hospital has seen an increase of 6,000.

•Therefore suggesting an overall reduction at Kettering by 14,000.

• KGH data should be looked at as a whole because of the way they use A&E as a gateway for emergency admissions.

• We cannot be 100% sure but we believe the swing is due to the opening of the Urgent Care Centre near to Kettering General Hospital.

+Lakeside Plus

+Lakeside Plus

+Lakeside Plus

Any Questions?