Urgent Care Presentation to Parish Councils in South Holderness - PowerPoint PPT Presentation

Urgent Care Presentation to Parish Councils in South Holderness August-October 2018 Better care, more locally, within budget, through transformation

Schedule: Topic Introduction What is available What is not available How to access services Patient pathways Question and answer session Better care, more locally, within budget, through transformation

Introduction Tracey Craggs Assistant Director Unplanned Care Transformation East Riding CCG Telephone: 01482-315754 Email: tracey.craggs@nhs.net  Invited to come and talk to you by Councillors Tucker and Healing  Aiming to help you to better understand the services that have been commissioned by the CCG for your urgent care needs  Clarity to you what is available and what is not  How you can access the services  Examples of a patient pathway or journey  Responding to your questions Better care, more locally, within budget, through transformation

What is Available (Urgent Care)  Self Care  NHS111/NHS111 Online  Pharmacy  GP Surgery  Out of Hours GP  Urgent Treatment Centres  Urgent appointments for the assessment and treatment of some minor injuries at Withernsea and Driffield Better care, more locally, within budget, through transformation

What can be seen/managed (Urgent Care Services)  Any symptoms or conditions that are not considered to be an EMERGENCY can be assessed by NHS111  Urgent treatment centres can see a range of urgent injuries or illnesses  Urgent appointments at Withernsea and Driffield can see and treat some low level minor injuries  The Rapid Response Service can see and treat some minor injuries and illness Better care, more locally, within budget, through transformation

What is Available (Urgent Treatment Centres) How/when Symptoms/Conditions •  Those as detailed in the ‘Choose Well’ booklet: Walk-in or appointment via NHS111 •  Cuts and grazes 7am – 11pm 365 days a year  Sprains and strains  Simple broken bones  Wounds and wound infections  Minor burns and scalds  Minor head injuries  Insect and animal bites  Minor eye injuries  Minor back injuries  Emergency Contraception  Skin infections/rashes/allergic reactions  Raised temperature/fever Clinical symptoms that fit under the headings above can sometimes require a higher level of care and treatment that is only established when an initial assessment is completed. If this is the case the clinician may direct a patient to an alternative service. Examples of this include: Cuts that are suspected to have tendon damage or significant tissue damage Minor head injuries where complications are suspected Insect and animal bites where increased complexity of medication is required The urgent need is identified as requiring ‘specialist intervention’ Better care, more locally, within budget, through transformation

What is Available (Urgent Appointments at Withernsea & Driffield) How/when Symptoms/Conditions Symptoms/Conditions Included Excluded •  Those as detailed in the ‘Choose  Minor eye injuries Contact NHS111 where assessment is completed •  Minor back injuries Presenting symptoms will be assessed as Well’ booklet:  Cuts and grazes  Emergency Contraception identifying that the condition is suitable to be  Sprains and strains  Skin infections/rashes/allergic treated by an urgent appointment being made in an  Wounds and wound 8-8 centre reactions •  Urine infections NHS111/CHCP make the appointment with the infections  Minor burns and scalds  Raised temperature/fever patient  Minor head injuries  Insect and animal bites NB: Appointments will be offered/made on the basis of clinical need. Where self care is appropriate patients will be provided with advice and guidance. Clinical symptoms that fit under the headings above can sometimes require a higher level of care and treatment that the staff in the 8-8 centre are not trained to deliver. If this is the case the clinician may direct a patient to an alternative service. Examples of this include: Cuts that are suspected to have tendon damage Minor head injuries where complications are suspected Insect and animal bites where increased complexity of medication is required e.g. tetanus injections The urgent need is identified as requiring ‘specialist intervention’ Better care, more locally, within budget, through transformation

What is not available (Urgent Care)  Minor injuries assessment and treatment is not delivered by all GP Practices  Walk in for Urgent Care assessment and treatment at Withernsea and Driffield  A checking/reassurance service  Clinical assessment/treatments that clinicians are not trained or hold competencies to deliver  Specialist interventions Better care, more locally, within budget, through transformation

Patient Pathway Self Care The assessment Advice and guidance Mrs J is gardening and indicates that Mrs J has a about how to clean and cuts her finger on a very minor cut to her apply first aid is provided small piece of glass finger with no clinical to Mrs J over the phone concerns identified Advice and guidance about what to do if Mrs J Mrs J cares for her injury Mrs J phones NHS111 has any concerns about herself her injury are provided An assessment is The assessment firstly undertaken using the rules out immediate life NHS Pathways tool that or limb threatening is clinically evidence conditions based Better care, more locally, within budget, through transformation

Patient Pathway Urgent Appointment at Withernsea or Driffield The assessment An urgent appointment Mrs J is gardening and indicates that the injury is made for Mrs J to cuts her finger on a sustained by Mrs J is attend the 8-8 Centre minor but cannot be small piece of glass with CHCP managed by self care Advice and guidance about how to clean and Mrs J attends the 8-8 Mrs J phones NHS111 apply first aid is Centre at the appointed provided to Mrs J over time the phone An assessment is The assessment will undertaken using the firstly rule out NHS Pathways tool that immediate life or limb is clinically evidence threatening conditions based Better care, more locally, within budget, through transformation

Patient Pathway Urgent Treatment Centre (1) The assessment undertaken Mrs J is gardening and cuts her identifies that Mrs J needs to Mrs J asks if she could be seen finger on a small piece of glass attend an Urgent Treatment at the 8-8 centre instead Centre Advice is sought from a Advice and guidance about clinician in NHS111 who how to clean and apply first advises that her clinical Mrs J phones NHS111 aid is provided to Mrs J over presentation requires a higher the phone level of care than can be offered at an 8-8 centre An assessment is undertaken The assessment firstly rules Mrs Jones is advised to attend using the NHS Pathways tool out immediate life or limb her nearest Urgent Treatment that is clinically evidence threatening conditions Centre based Better care, more locally, within budget, through transformation

Patient Pathway Urgent Treatment Centre (2) Advice is sought from a clinician If the clinical review identifies Mrs J is gardening and cuts her in NHS111 who reviews the that the injury could be finger on a small piece of glass clinical presentation with Mrs J managed in the 8-8 centre An urgent appointment is Mrs J asks if she could be seen Mrs J phones NHS111 arranged for Mrs J to attend at the 8-8 centre instead the 8-8 Centre with CHCP If the clinical review identifies An assessment is undertaken The assessment identifies that that the injury needs to be seen using the NHS Pathways tool Mrs J needs to attend an in an Urgent Treatment Centre that is clinically evidence based Urgent Treatment Centre this will be explained to the patient Reasons for this could include Advice and guidance about how glass stuck in the cut, requiring The assessment will firstly rule to clean and apply first aid is tetanus, needing antibiotics or out immediate life or limb provided to Mrs J over the tendon damage threatening conditions phone Better care, more locally, within budget, through transformation

Patient Pathway Key Messages  Every clinical presentation can be different  The NHS Pathways tool is clinically validated and safe  The time taken for the assessment to be completed will vary depending on the clinical condition and the answers provided  Where a higher level of clinical intervention is required this cannot be delivered in an 8-8 Centre and in some cases not in an Urgent Treatment Centre  Decisions taken about urgent care are based on clinical need, safety and quality Better care, more locally, within budget, through transformation

Patient Pathway Key Messages Where people have had experiences that they believe were not based on clinical need, safety or quality: Please make contact with our Patient Complaints/Concerns team and provide your consent for us to complete an end to end review of your case. The CCG’s patient relations team can be contacted directly via 01482 672047 or via email ERYCCG.ComplaintsAndConcerns@nhs.net. From this we can see what changes it may be necessary for us to make to improve the services that are available. Better care, more locally, within budget, through transformation

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