East Lancashire Medical Services Ltd- ELMS clinical navigation hub- PEN 2016
Bridging the Gap
1. Bridging the Gap
Allied Health Professionals in General Practice
Matt Holmes – Urgent Care Practitioner
Clarendon Park Medical Centre, Leicester
2. The Urgent Care Practitioner
• An Advanced Practitioner
– Paramedic / ECP
– Nurse / ENP / ANP
• History of Urgent and Unscheduled
Care and Routine Primary Care
• Confident and Competent Telephone
Consultations leading to various
dispositions
3. The Urgent Appointment Service
Same Day Appointments
• GP Slots (Face-to-Face / TelCon)
• Minor Illness & Injury Clinics
• Home Visiting
• Practice Nurse / Phlebotomy
4. The GP Surgery
• More Accessibility
– The patient can ALWAYS see a doctor if
they need to.
• Less Locums (less cost)
• More GP/Patient Time
– Advanced Care Plans
– Health Care of The Elderly
5. The Patient
ALL PATIENTS
• Easier Access
• Quicker Service
• Guaranteed Appointments
• Increased Satisfaction
6. The Outcome
Vital Statistics – Dec ‘13 to April ‘14
2263 328 544 758 25 556 52
14.5% 24.6%1.1%33.5%24.0% 2.3%
2014
Calls Prescription GP MIaMI Team Advice Home Visit
December 457 66 99 170 5 107 10
January 431 59 120 128 4 108 12
February 412 54 123 123 8 88 16
March 511 90 112 167 4 128 10
April 458 59 90 170 4 125 4
58.1%
7. The Pies don’t Lie
15%
25%
32%
1%
24%
3%
Year to Date
28%
72%
Practitioner:GP
Appointments
Practitioner
Led
GP Led
MIaMI
GP
Script
Advice
9. The Future
• An Urgent Care Practitioner in EVERY
GP Surgery
• An Urgent Appointment Service for
EVERY GP Surgery
• A dedicated Education and Accreditation
Program for aspiring UCPs
