North Norfolk CCGAnnual Stakeholder Event 2014

Unplanned Care

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

1 Commissioning 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

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

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• 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?• 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….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

What more can we do to:Ensure people get the right care

quicklyMake sure emergency services are

there for people that really need them