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

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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


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Better care, more locally, within budget, through transformation

Urgent Care

Presentation to Parish Councils in South Holderness August-October 2018

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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

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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
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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

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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

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What is Available (Urgent Treatment Centres)

How/when Symptoms/Conditions

  • Walk-in or appointment via NHS111
  • 7am – 11pm 365 days a year
  • Those as detailed in the ‘Choose Well’ booklet:
  • Cuts and grazes
  • 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’

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What is Available (Urgent Appointments at Withernsea & Driffield)

How/when Symptoms/Conditions Included Symptoms/Conditions Excluded

  • Contact NHS111 where assessment is completed
  • Presenting symptoms will be assessed as

identifying that the condition is suitable to be treated by an urgent appointment being made in an 8-8 centre

  • NHS111/CHCP make the appointment with the

patient 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.

  • Those as detailed in the ‘Choose

Well’ booklet:

  • Cuts and grazes
  • Sprains and strains
  • 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

  • Urine infections
  • Raised temperature/fever

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’

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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
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Patient Pathway Self Care

Mrs J is gardening and cuts her finger on a small piece of glass Mrs J phones NHS111 An assessment is undertaken using the NHS Pathways tool that is clinically evidence based The assessment firstly rules out immediate life

  • r limb threatening

conditions Advice and guidance about what to do if Mrs J has any concerns about her injury are provided Advice and guidance about how to clean and apply first aid is provided to Mrs J over the phone The assessment indicates that Mrs J has a very minor cut to her finger with no clinical concerns identified Mrs J cares for her injury herself

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Patient Pathway Urgent Appointment at Withernsea or Driffield

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

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Patient Pathway Urgent Treatment Centre (1)

Mrs J is gardening and cuts her finger on a small piece of glass Mrs J phones NHS111 An assessment is undertaken using the NHS Pathways tool that is clinically evidence based The assessment firstly rules

  • ut immediate life or limb

threatening conditions Advice and guidance about how to clean and apply first aid is provided to Mrs J over the phone The assessment undertaken identifies that Mrs J needs to attend an Urgent Treatment Centre Mrs J asks if she could be seen at the 8-8 centre instead Advice is sought from a clinician in NHS111 who advises that her clinical presentation requires a higher level of care than can be

  • ffered at an 8-8 centre

Mrs Jones is advised to attend her nearest Urgent Treatment Centre

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Patient Pathway Urgent Treatment Centre (2)

Mrs J is gardening and cuts her finger on a small piece of glass Mrs J phones NHS111 An assessment is undertaken using the NHS Pathways tool that is clinically evidence based The assessment will firstly rule

  • ut immediate life or limb

threatening conditions Advice and guidance about how to clean and apply first aid is provided to Mrs J over the phone The assessment identifies that Mrs J needs to attend an Urgent Treatment Centre Mrs J asks if she could be seen at the 8-8 centre instead Advice is sought from a clinician in NHS111 who reviews the clinical presentation with Mrs J If the clinical review identifies that the injury could be managed in the 8-8 centre An urgent appointment is arranged for Mrs J to attend the 8-8 Centre with CHCP If the clinical review identifies that the injury needs to be seen in an Urgent Treatment Centre this will be explained to the patient Reasons for this could include glass stuck in the cut, requiring tetanus, needing antibiotics or tendon damage

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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

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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.

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Feedback and questions?