NHS North Durham Clinical Commissioning Group Urgent Care Model of Care
What s happening? NHS North Durham Clinical Commissioning Group (CCG) is proposing some changes to the way urgent care services are provided across North Durham
Why do things need to change? A national review on the way urgent care is currently provided - move towards integration with current services Recognising the role of GP practices in meeting urgent care needs and developing services 7 days a week Local clinical review of urgent care: High number of patients attending with primary care conditions in-hours
What is NHS North Durham CCG going to do to improve urgent care services? NHS North Durham CCG is developing a new strategy to make urgent care services better The strategy includes a plan, including specific changes that the CCG thinks will make access to urgent care better This urgent care strategy is part of a wider primary care and community strategy that the CCG thinks will make NHS services better in its local communities
How will the new model of care be developed? We are proposing to develop the new model of care for urgent care in two phases We will work closely with local people and local groups and organisations to make sure the new model offers the best possible urgent care services in North Durham
Urgent care model of care Phase 1 (Focused on in-hours urgent care) Make existing services more responsive to the needs of patients Increase capacity in primary care through: Weekend opening and extended opening hours Primary care outcomes scheme, improve outcomes GP practices would take direct referrals from 111 and accident and emergency, where appropriate Shotley Bridge urgent care centre would become a nurse practitioner led minor injuries service in-hours (out of hours remains unchanged)
How have these proposals been developed? An urgent care project group has been formed - GP Clinical Lead for Urgent Care The project group is made up of people from a crosssection of local organisations The project group has Looked at the current use of urgent care services Consulted with patients and carers using urgent care services at Shotley Bridge Hospital and other services across North Durham Explored different options that would provide better urgent care services for local people within GP practice
What Are The Next Steps? Clinical engagement with local GPs Engagement with NHS England Area Team Implementation of a full communications and engagement plan Development of the specification for the nurse practitioner led minor injuries unit Pilot of 111 service booking GP appointments
Communications and Engagement Engage and listen to patients, public and stakeholders Talk about the effect the proposed changes will have on them and people they care for Get the views and opinions of people using the current service Listen to any concerns about changes to current services Provide feedback and ensure effective communication around service change to make sure people using the services are aware of the new arrangements
Communications and Engagement Key Activities will include: Continued liaison with Health and Wellbeing Board Continued liaison with, and oversight of, Overview and Scrutiny Engagement with, and briefing of, key partners and stakeholders MPs, HealthWatch, individuals and voluntary sector groups and organisations Existing users of urgent care services GP practices in North Durham Provision of updated information on CCG websites Discussions with Patient Reference Groups / Patient Participation Groups Engagement of NHS staff providing the current urgent care service Engagement of, and sharing information with local media
Urgent care model of care phase 2 Collaboration with Durham Dales, Sedgefield and Easington CCG and Darlington CCG and provider organisations Urgent care working group Comprehensive urgent care strategy: Out of hours urgent care services Continued development of the role of GP practices Urgent care transport Specialist and rapid access services both physical and mental health Urgent care transport services Information and technology systems Accident and emergency and ambulance/paramedic services