Re-commissioning Urgent Care Services Barnet 2009
Urgent Care Service Model Scheduled Registered GP Phone Call Walk In Urgent Primary Care Call Handling Telephone Clinical ...
Premises <ul><li>single telephone number access  </li></ul><ul><li>appropriate referral between services  </li></ul><ul><l...
Services <ul><li>provision of access, clinical assessment, advice and referral to all urgent primary care services </li></...
Additions to Telephone Service <ul><li>5pm to 9am for district nursing and intermediate care call handling </li></ul><ul><...
OOH Activity 24 (1%)   1,032 (43%)   1,272 (53%)   2,400   Calls Requiring Dentist Advice / Consultation Calls Requiring N...
OOH GP Service <ul><li>6.30pm to 11pm, weekends and bank holidays </li></ul><ul><li>Finchley and Edgware WICs </li></ul><u...
OOH Dentistry and Pharmacy <ul><li>Dentistry </li></ul><ul><ul><li>Dental treatment Saturday, Sunday and bank holiday morn...
WICs <ul><li>Urgent care at primary care centres </li></ul><ul><li>GPs, diagnostics and pharmacy </li></ul><ul><li>Current...
WIC Activity 3,193   Finchley WIC   4,563   Edgware WIC   Total Monthly Attendances Service
Barnet A&E GP Registration GP Practice Links GP Appointment Bookings actual registration and health check  for unregistere...
Quality <ul><li>Quarterly monitoring meetings </li></ul><ul><li>National OOH quality requirements </li></ul><ul><ul><li>Pa...
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Urgent Care Service Specification Presentation - 11 July 2008

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Urgent Care Service Specification Presentation - 11 July 2008

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

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