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NEE Urgent Treatment Service (UTS) Collaborative
Morag Kirkpatrick – UTS Collaborative Programme Lead, NEE Moragkirkpatrick@nhs.net
NEE Urgent Treatment Service (UTS) Collaborative Morag Kirkpatrick - - PowerPoint PPT Presentation
NEE Urgent Treatment Service (UTS) Collaborative Morag Kirkpatrick - - PowerPoint PPT Presentation
NEE Urgent Treatment Service (UTS) Collaborative Morag Kirkpatrick UTS Collaborative Programme Lead, NEE Moragkirkpatrick@nhs.net NEE UTS Governance Structure NEE Benefits of Collaborative An Alliance Approach Same System, access
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NEE Benefits of Collaborative – An Alliance Approach
- Developed by experts
- Influenced by UC colleagues
- Integration with PC
- Integration with community
service s
- Single Alliance Agreement
- Shared KPI’s
- Shared principles
- Risk & gain share
- Greater autonomy to manage
UC system
- Same System, access patient record
across sites
- Supports 111 as SPOA
- Simple access
- Patient education & Self-care
- Staff resource – aim to rotate
staff across all sites
- Potential to expand wider
- Decision making within UTS
influenced by associate members
Demand Management Patient Outcomes UC System and Wider Contractual Changes
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NEE UTS Risk & Reward mechanism
Open Book reporting Potential for recurrent savings based
- n future
development and economies
- f scale in
purchasing Agree Cost of Service and percentages of Overheads and Margin Any remaining funding is set aside for service development and contingencies
Staffing templates agreed with agreed step changes based
- n any increase
in activity
*NB: All Full Members part of Risk/Gain Share with exception of GPPC as EA monies are ring-fenced for this purpose only. Purpose: Shares risks currently all providers face as individual orgs. Risks:
- Increasing costs
- Disjointed service delivery
- Increased complexity in
relationships and service provision
- Unclear patient pathways,
confusion/duplication
- Poor quality, lack of
governance
- Individual org
targets/reputation compromised
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NEE UTS Culture & Behaviour Challenges – Working within an Alliance Approach…
Contract vs Alliance Agreement Ability to challenge behaviours in real time Opportunity to develop principles rather than dictate them Organisation vs Alliance Language & terminology
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NEE UTS Clinical Challenges
UTS Model: Governance Assurance Framework
GP Extended Hours
Colchester 24/7 model Meets all NHSE UTS Standards
Clacton 8am-8pm Triage model Virtual GP support Meets UTS Standards
Harwich Remains a Minor Injury Unit but with benefits of wider service. Would not meet UTS Standards Virtual GP Support for Minor Illness
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NEE UEC Timeline
IUC commenced Nov 18 (STP Footprint) Primary Care Extended Access
UTS Commences NEE Community Hubs 1st Tranche Oct 19 April 19 Nov 18 2023 UC Single Point of Access
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Community Hubs Primary Care
ED and Assessment Units: Ambulance conveyances GP referrals
NEE UTS and Wider UEC system
GP Extended Hours
Colchester 24/7 model Meets all NHSE UTS Standards
Clacton 8am-8pm Triage model Virtual GP support Meets UTS Standards
Harwich Remains a Minor Injury Unit but with benefits of wider service. Would not meet UTS Standards Virtual GP Support for Minor Illness
Ambulance Conveyances HALO
111 999
- Clinical Triage
- Self care Advice
- Bookable
appointments to PC and UTC
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The UEC system ask…
- Continued engagement and participation of
System Partners
- Role model Alliance Behaviours & develop
culture with own staff
- Give changes a chance, no blame