Urgent Care Service Specification Presentation - 11 July 2008
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Transcript of Urgent Care Service Specification Presentation - 11 July 2008
Re-commissioning Urgent Care Services
Barnet 2009
Urgent Care Service Model
Phone Call Walk In
Urgent Primary Care Call Handling
Telephone Clinical Assessment
Telephone Clinical Advice
Primary Care Centre
Consultation
Medical Home Visit
Face to Face Clinical Assessment
District Nursing Service
Intermediate Care Service A&E
CommunityPharmacy
Social Services Call Handling
Mental Health Services Call Handling
0845 4647NHSD Advice
999LAS Emergency
Scheduled Registered GP
Premises
single telephone number access appropriate referral between services information collected once clinical assessment carried out once patient information flow between services available patient care plans feedback to care manager information to patients regarding services
Services
provision of access, clinical assessment, advice and referral to all urgent primary care services
provision of OOH GP, dentistry and pharmacy services
provision of urgent primary care services at the primary care centres including at BA&E
Additions to Telephone Service
5pm to 9am for district nursing and intermediate care call handling
Fast tracking for clinicians Prior patient records, care plans and
feedback
Links and information management
OOH Activity
Total Monthly Calls
Calls Dealt with by Telephone Clinician
Calls Requiring NP/ECP/GP Consultation
Calls Requiring Dentist Advice / Consultation
2,400 1,272 (53%)
1,032 (43%)
24 (1%)
OOH GP ServiceWalk in
Telephone
Join queue
Appointment
WIC
Reception
Next available clinicianby competence
6.30pm to 11pm, weekends and bank holidays Finchley and Edgware WICs
Home visiting by clinical need all night
OOH Dentistry and Pharmacy
Dentistry Dental treatment Saturday, Sunday and bank holiday
mornings 21% of calls
Pharmacy Pharmaceutical advice Medication dispensed Controlled drugs Palliative care
WICs
Urgent care at primary care centres GPs, diagnostics and pharmacy Currently at Finchley and Edgware and open to
all GP registration for unregistered attendees Referrals to pharmacy minor ailments schemes Links with scheduled GP services
WIC Activity
ServiceTotal Monthly Attendances
Edgware WIC 4,563
Finchley WIC 3,193
Barnet A&E
GP Registration
GP Practice Links
GP Appointment Bookings
actual registration and health check for unregistered patients
direct access to diagnostics
actual booking of appointments for assessed patients
Quality
Quarterly monitoring meetings National OOH quality requirements
Patient satisfactionClinical audit
Standards for better health Complaints, incidents, protection, risk